重复经颅磁刺激联合康复训练治疗急性脑梗死患者的效果  

Effect of Repeated Transcranial Magnetic Stimulation Combined with Rehabilitation Training in Patients with Acute Cerebral Infarction

作　　者：张宝光 ZHANG Baoguang(Department of Neurology,Qingzhou People's Hospital,Qingzhou 262500,China)

机构地区：[1]青州市人民医院神经内科,山东青州262500

出　　处：《反射疗法与康复医学》2024年第16期52-55,共4页Reflexology And Rehabilitation Medicine

摘　　要：目的探讨重复经颅磁刺激(rTMS)联合康复训练治疗急性脑梗死(ACI)患者的效果。方法选择2021年1月—2023年8月青州市人民医院收治的70例ACI患者为研究对象,按随机数字表法将其分为对照组及观察组,每组35例。对照组行常规治疗联合康复训练,观察组在对照组基础上行rTMS。比较两组患者的神经功能、肢体运动功能及生活质量。结果治疗后,观察组的美国国立卫生研究院卒中量表评分低于对照组,差异有统计学意义(P<0.05)。治疗后,观察组的Fugl-Meyer运动功能量表中上肢及下肢运动评分均高于对照组,组间差异有统计学意义(P<0.05)。治疗后,观察组的生活质量综合评定问卷中躯体功能、心理功能、社会功能、物质生活状态评分分别为(85.41±7.24)分、(86.02±7.74)分、(86.25±7.34)分、(86.62±7.34)分,均高于对照组的(78.85±6.36)分、(77.81±6.24)分、(78.54±6.3)分、(78.93±6.75)分,组间差异有统计学意义(P<0.05)。结论ACI患者采用rTMS联合康复训练治疗的效果显著,能有效促进神经功能及肢体功能恢复,提高生活质量。Objective To investigate the effect of repeated transcranial magnetic stimulation(rTMS)combined with rehabilitation training in patients with acute cerebral infarction(ACI).Methods A total of 70 patients with ACI admitted to Qingzhou People's Hospital from January 2021 to August 2023 were selected as the study objects and were divided into a control group and an observation group according to random number table method,with 35 cases in each group.The control group received routine treatment and rehabilitation training,and the observation group received rTMS on the basis of the control group.The neurological function,limb motor function and quality of life were compared between the two groups.Results After treatment,the National Institute of Health Stroke Scale score in the observation group was lower than that in the control group,the difference was statistically significant(P<0.05).After treatment,the motor scores of upper and lower limbs in Fugl-Meyer Assessment in the observation group were higher than those in the control group,the differences between the groups were statistically significant(P<0.05).After treatment,the scores of physical function,psychological function,social function and material life function in the Generic Quality of Life Inventory-74 of the observation group were(85.41±7.24)points,(86.02±7.74)points,(86.25±7.34)points and(86.62±7.34)points,respectively,which were higher than(78.85±6.36)points,(77.81±6.24)points,(78.54±6.3)points and(78.93±6.75)points of the control group,the differences between the groups were statistically significant(P<0.05).Conclusion The effect of rTMS combined with rehabilitation training in ACI patients is remarkable,which can effectively promote the recovery of neurological function and limb function and improve the quality of life.

关 键 词：急性脑梗死 重复经颅磁刺激 康复训练 神经功能 肢体运动功能 

分 类 号：R743.3[医药卫生—神经病学与精神病学]