本体感觉神经肌肉促进技术联合重复经颅磁刺激对缺血性脑卒中上肢功能障碍患者的影响  

Effect of Proprioceptive Neuromuscular Facilitation Technique Combined with Repetitive Transcranial Magnetic Stimulation on Upper Limb Dysfunction in Patients with Ischemic Stroke

作　　者：黄美松 HUANG Meisong(Department of Rehabilitation Medicine,the Third People's Hospital of Hechi,Hechi 547000,China)

机构地区：[1]河池市第三人民医院康复医学科,广西河池547000

出　　处：《中国医学创新》2025年第8期6-10,共5页Medical Innovation of China

摘　　要：目的:探讨本体感觉神经肌肉促进(proprioceptive neuromuscular facilitation,PNF)技术联合重复经颅磁刺激(repetitive transcranial magnetic stimulate,rTMS)治疗缺血性脑卒中上肢功能障碍患者的效果。方法:选取2022年10月—2024年9月河池市第三人民医院收治的60例缺血性脑卒中上肢功能障碍患者,按随机数字表法分为研究组(n=30)和对照组(n=30)。对照组仅给予rTMS治疗,研究组给予PNF联合rTMS治疗,两组均连续治疗4周。对比两组Fugl-Meyer上肢功能运动量表(Fugl-Meyer assessment upper extremity scale,FMA-UE)评分、Wolf运动功能试验(Wolf motor function test,WMFT)评分、改良Barthel指数(modified Barthel index,MBI)评分、改良Ashworth量表(modified Ashworth scale,MAS)、临床疗效、肩外展及腕背伸角度。结果:治疗后,研究组MAS分级较对照组改善,肩外展及腕背伸角度均较对照组增大,FMA-UE、WMFT、MBI评分均较对照组高,差异均有统计学意义(P<0.05)。研究组总有效率显著高于对照组,差异有统计学意义(P<0.05)。结论:相较于单一rTMS治疗,PNF联合rTMS治疗更有助于改善缺血性脑卒中上肢功能障碍患者的上肢运动功能和日常生活能力,降低患肢肌张力。Objective:To investigate the efficacy of proprioceptive neuromuscular facilitation(PNF)technique combined with repetitive transcranial magnetic stimulation(rTMS)in the treatment of upper limb dysfunction in patients with ischemic stroke.Method:Sixty patients with upper limb dysfunction after ischemic stroke admitted to the Third People's Hospital of Hechi from October 2022 to September 2024 were selected and divided into study group(n=30)and control group(n=30)according to random number table method.The control group was given rTMS,and the study group was given PNF combined with rTMS,both groups were treated continuously for 4 weeks.The Fugl-Meyer assessment upper extremity scale(FMA-UE)score and Wolf motor function test(WMFT)score,modified Barthel index(MBI)score,modified Ashworth scale(MAS),clinical efficacy,shoulder abduction and wrist dorsiflexion angle were compared between the two groups.Result:After treatment,MAS grade of the study group was improved compared with the control group,shoulder extension and wrist dorsalis angle were increased compared with the control group,FMA-UE,WMFT and MBI scores were higher than those of the control group,the differences were statistically significant(P<0.05).The total effective rate of the study group was significantly higher than that of the control group,the difference was statistically significant(P<0.05).Conclusion:Compared with rTMS alone,PNF combined with rTMS is more helpful to improve the upper limb motor function and daily living ability of patients with ischemic stroke upper limb dysfunction,and reduce the muscle tone of the affected limb.

关 键 词：缺血性脑卒中 上肢功能障碍 本体感觉神经肌肉促进技术 重复经颅磁刺激 

分 类 号：R74[医药卫生—神经病学与精神病学]