重复经颅磁刺激疗法对不完全性脊髓损伤患者疼痛程度、大脑皮质兴奋性及日常生活能力的影响  

Effects of repetitive transcranial magnetic stimulation therapy on pain degree, cerebral cortex excitability and daily living ability in patients with incomplete spinal cord injury

作　　者：雷岩 苑媛媛 张楠楠 李超 LEI Yan;YUAN Yuanyuan;ZHANG Nannan;LI Chao(No.1 Exercise Therapy Department,Shaanxi Kangfu Hospital,Xi'an 710065;Rehabilitation Medicine Department,the Second Affiliated Hospital of Xi'an Jiaotong University,Xi'an 710000,China)

机构地区：[1]陕西省康复医院运动疗法一科,陕西西安710065 [2]西安交通大学第二附属医院康复医学科,陕西西安710000

出　　处：《临床医学研究与实践》2024年第28期71-74,共4页Clinical Research and Practice

摘　　要：目的 探讨重复经颅磁刺激(rTMS)疗法对不完全性脊髓损伤患者疼痛程度、大脑皮质兴奋性及日常生活能力的影响。方法 选取2019年1月至2022年10月收治的92例不完全性脊髓损伤患者,以随机数字表法将其分为对照组(n=46)与研究组(n=46)。对照组给予常规康复治疗,研究组给予rTMS治疗。比较两组的治疗效果。结果 治疗后,两组的疼痛评级指数(PRI)、疼痛视觉模拟量表(VAS)、现时疼痛强度(PPI)评分均低于治疗前,且研究组低于对照组(P<0.05)。治疗后,两组的运动诱发电位(MEP)波幅均升高,静息运动阈值(RMT)均降低,且研究组优于对照组(P<0.05)。治疗后,两组的改良Barthel指数评定量表(MBI)评分均升高,且研究组高于对照组(P<0.05)。结论 rTMS治疗不完全性脊髓损伤患者的效果较好,能够有效减轻患者的疼痛程度,改善大脑皮质兴奋性,促进日常生活能力提高,值得临床应用与推广。Objective To investigate the effect of repetitive transcranial magnetic stimulation(rTMS)therapy on pain degree,cerebral cortex excitability and daily living ability in patients with incomplete spinal cord injury.Methods A total of 92 patients with incomplete spinal cord injury admitted from January 2019 to October 2022 were selected and divided into control group(n=46)and study group(n=46)by random number table method.The control group was given routine rehabilitation treatment,and the study group was given rTMS treatment.The therapeutic effects of the two groups were compared.Results After treatment,the scores of Pain Rating Index(PRI),Visual Analogue Scale(VAS)and Present Pain Intensity(PPI)in the two groups were lower than those before treatment,and those in the study group were lower than the control group(P<0.05).After treatment,the amplitude of motor evoked potential(MEP)in the two groups increased,the resting motor thershold(RMT)decreased,and those in the study group were better than the control group(P<0.05).After treatment,the score of Modified Barthel Index(MBI)in the two groups increased,and that in the study group was higher than the control group(P<0.05).Conclusion The rTMS in the treatment of patients with incomplete spinal cord injury has good effect.It can effectively reduce the pain degree of patients,improve the excitability of cerebral cortex,and promote the improvement of daily living ability.It is worthy of clinical application and promotion.

关 键 词：重复经颅磁刺激 不完全性脊髓损伤 疼痛程度 大脑皮质兴奋性 日常生活能力 

分 类 号：R493[医药卫生—康复医学]