镜像疗法联合重复经颅磁刺激治疗对脑卒中后肩手综合征患者疼痛程度的影响  

Impact of Mirror Therapy Combined with Repetitive Transcranial Magnetic Stimulation on Pain Degree in Patients with Post-Stroke Shoulder Hand Syndrome

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作  者:黄嘉兴 赖裕婷 潘才凤 HUANG Jiaxing;LAI Yuting;PAN Caifeng(Department of Rehabilitation Medicine,Gaoming District People’s Hospital in Foshan city,Foshan 528500,China)

机构地区:[1]佛山市高明区人民医院康复医学科,广东佛山528500

出  处:《反射疗法与康复医学》2025年第1期67-70,共4页Reflexology And Rehabilitation Medicine

基  金:佛山市医学科研立项课题(20220015)。

摘  要:目的探讨镜像疗法联合重复经颅磁刺激在脑卒中后肩手综合征患者中的应用价值。方法选择2022年4月—2023年6月佛山市高明区人民医院收治的60例脑卒中后肩手综合征患者为研究对象,按随机数字表法将其分为对照组和观察组,各30例。对照组采用重复经颅磁刺激治疗,观察组在对照组基础上联合镜像疗法治疗,比较两组的上肢运动功能、疼痛程度、症状严重程度及日常生活能力。结果治疗2周后、治疗4周后,观察组Fugel-Meyer运动功能评定量表上肢部分评分、改良Barthel指数评分均高于对照组,疼痛视觉模拟评分、肩手综合征评估量表评分均低于对照组,组间差异有统计学意义(P<0.05)。结论镜像疗法联合重复经颅磁刺激治疗可改善脑卒中后肩手综合征患者的上肢运动功能,减轻疼痛程度,减轻临床症状,促进患者日常生活能力恢复。Objective To explore the application value of mirror therapy combined with repetitive transcranial magnetic stimulation in patients with post-stroke shoulder hand syndrome.Methods Sixty patients with post-stroke shoulder hand syndrome admitted to Gaoming District People's Hospital in Foshan City from April 2022 to June 2023 were selected as the research subjects.They were randomly divided into a control group and an observation group,with 30 patients in each group,using a random number table method,the control group received repeated transcranial magnetic stimulation treatment,while the observation group received a combination of mirror therapy on the basis of the control group.The upper limb motor function,pain degree,symptom severity,and daily living activity ability of the two groups were compared.Results After 2 and 4 weeks of treatment,the Fugel Meyer Motor Fugl-Meyer Assessment-Upper Extremities and Modified Barthel Index scores in the observation group were higher than those of the control group,while the pain Visual Analog Scale and Shoulder Hand Syndrome Scale scores were lower than those of the control group,and the differences between the groups were statistically significant(P<0.05).Conclusion Mirror therapy combined with repetitive transcranial magnetic stimulation can improve upper limb motor function,reduce pain degree,alleviate clinical symptoms,and promote the recovery of daily living abilities in patients with post-stroke shoulder hand syndrome.

关 键 词:脑卒中 肩手综合征 镜像疗法 重复经颅磁刺激 疼痛程度 

分 类 号:R743[医药卫生—神经病学与精神病学]

 

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