不同频率重复经颅磁刺激在缺血性卒中急性期后患者中的应用效果比较  

Application effects of repetitive transcranial magnetic stimulation with different frequencies in patients with acute ischemic stroke after acute stage

作　　者：卜鑫燕 冯璐 BU Xinyan;FENG Lu(Qingzhou Hospital of Traditional Chinese Medicine,Department of Rehabilitation Medicine,Qingzhou 262500 Shandong,China;Qingzhou Hospital of Traditional Chinese Medicine,Department of Spleen and Stomach Diseases,Qingzhou 262500 Shandong,China)

机构地区：[1]青州市中医院康复医学科,山东青州262500 [2]青州市中医院脾胃病科,山东青州262500

出　　处：《中国民康医学》2024年第24期122-124,共3页Medical Journal of Chinese People’s Health

摘　　要：目的:比较不同频率重复经颅磁刺激(rTMS)在缺血性卒中急性期后患者中的应用效果。方法:回顾性分析2022年3月至2023年3月该院收治的80例缺血性卒中急性期后患者的临床资料,按不同rTMS治疗频率将其分为观察组和对照组各40例。对照组行低频(1 Hz)rTMS治疗,观察组行高频(10 Hz)rTMS治疗,比较两组临床疗效,治疗前后美国国立卫生研究院卒中量表(NIHSS)、Fugl-Meyer运动功能评定量表(FMA)、Barthel指数(BI)和简易精神状态检查表(MMSE)评分。结果:观察组治疗总有效率为97.50%,高于对照组的80.00%,差异有统计学意义(P<0.05);治疗后,两组BI、MMSE和FMA评分均高于治疗前,且观察组高于对照组,两组NIHSS评分均低于治疗前,且观察组低于对照组,差异有统计学意义(P<0.05)。结论:高频rTMS治疗缺血性卒中急性期后患者可提高治疗总有效率、BI评分、MMSE评分和FMA评分,以及降低NIHSS评分,效果优于低频rTMS治疗。Objective:To compare application effects of repetitive transcranial magnetic stimulation(rTMS)with different frequencies in patients with ischemic stroke after acute stage.Methods:The clinical data of 80 patients with ischemic stroke after acute stage admitted to this hospital from March 2022 to March 2023 were retrospectively analyzed.According to different frequencies of rTMS treatment,they were divided into observation group and control group,40 cases in each group.The control group was treated with low frequency(1 Hz)rTMS,while the observation group was treated with high frequency(10 Hz)rTMS.The clinical efficacy,before and after the treatment of the National Institutes of Health stroke scale(NIHSS)score,the Fugl-Meyer motor assessment(FMA)score,the Barthel index(BI)score,and the mini-mental state examination(MMSE)score were compared between the two groups.Results:The total effective rate of the observation group was 97.50%,which was significantly higher than 80.00%of the control group,and the difference was statistically significant(P<0.05).After the treatment,the scores of BI,MMSE and FMA of the two groups were higher than those before the treatment,and those in the observation group were higher than those in the control group;the NIHSS scores of the two groups were lower than those before the treatment,and that in the observation group was lower than that in the control group;and the differences were statistically significant(P<0.05).Conclusions:High-frequency rTMS can improve the total effective rate,the BI scores,the MMSE scores and the FMA scores,and reduce the NIHSS scores in the patients with ischemic stroke after acute stage.Moreover,it is superior to low frequency rTMS treatment.

关 键 词：重复经颅磁刺激 缺血性卒中 

分 类 号：R454.1[医药卫生—治疗学]