重复经颅磁刺激治疗联合强制性运动疗法对脑卒中偏瘫上肢运动功能的影响  

Effect of Repeated Transcranial Magnetic Stimulation Therapy Combined with Mandatory Exercise

作　　者：桑贤明 黄梅 马鑫慧 张金明 SANG Xianming;HUANG Mei;MA Xinhui;ZHANG Jinming(Department of Rehabilitation Medicine,Shanghai Jianyuan Rehabilitation Hospital,Shanghai 201301,China;Department of Rehabilitation Medicine,Shanghai Taikang Shenyuan Rehabilitation Hospital,Shanghai 201620,China)

机构地区：[1]上海健源康复医院康复医学科,上海201301 [2]上海泰康申园康复医院康复医学科,上海201620

出　　处：《中国医药指南》2025年第6期89-91,共3页Guide of China Medicine

摘　　要：目的探究脑卒中偏瘫患者接受重复经颅磁刺激治疗、强制性运动疗法联合干预的价值。方法纳入本院收治96例脑卒中偏瘫患者(时间为2023年7月至2024年7月),按照随机数字表法分两组,各48例。全部患者进行神经内科基础药物治疗及康复运动,对照组在此基础开展强制性运动疗法,观察组在此基础开展重复经颅磁刺激治疗、强制性运动疗法联合干预。根据肢体运动功能、日常生活能力、生活质量综合评估两组治疗效果。结果治疗1个月后,观察组Fugl-Meyer运动功能评定量表(FMA)、Wolf运动功能量表(WMFT)、CarroⅡ上肢功能测试(UEFT)、改良Barthel指数(MBI)、世卫组织生存质量测定简表(WHOQOL-BREF)较对照组高(P<0.05)。结论脑卒中偏瘫患者接受重复经颅磁刺激治疗、强制性运动疗法联合干预能改善上肢运动功能,提高日常生活能力与生活质量。Objective To explore the value of combined intervention of repetitive transcranial magnetic stimulation therapy and forced exercise therapy in stroke patients with hemiplegia.Methods A total of 96 stroke patients with hemiplegia admitted to our hospital(from July 2023 to July 2024)were divided into two groups according to random number table method,with 48 cases in each group.All patient were treated with basic neurology drugs and rehabilitation exercises.The control group received mandatory exercise therapy on this basis,while the observation group received a combination of repeated transcranial magnetic stimulation therapy and mandatory exercise therapy intervention on this basis.According to the comprehensive evaluation of limb movement function,daily living ability,and quality of life,the treatment effects of two groups were evaluated.Results After a month of treatment,The results of Fugl-Meyer Motor Function Rating Scale(FMA),Wolf Motor Function Scale(WMFT),Carro II Upper Limb Function Test(UEFT),modified Barthel Index(MBI)and WHOQOLBREF in observation group were higher than those in control group(P<0.05).Conclusions The combined intervention of repetitive transcranial magnetic stimulation therapy and mandatory motor therapy can improve upper limb motor function,enhance daily living ability and quality of life in stroke patients with hemiplegia.

关 键 词：脑卒中 重复经颅磁刺激治疗 强制性运动疗法 

分 类 号：R743.3[医药卫生—神经病学与精神病学]