rTMS联合针刺对脑卒中患者下肢运动功能的临床研究  

Clinical study on rTMS combined with acupuncture on lower limb motor function in stroke patients

作　　者：崔婷[1] 刘朵[1] 杨爽[1] 钱莹 周剑英[1] CUI Ting;LIU Duo;YANG Shuang;QIAN Ying;ZHOU Jianying(Department of Rehabilitation,Kunming Traditional Chinese Medicine Hospital,Kunming Yunnan,650599,China)

机构地区：[1]昆明市中医医院康复科,云南昆明650599

出　　处：《云南医药》2025年第2期28-30,共3页Medicine and Pharmacy of Yunnan

基　　金：云南省昆明市卫生健康委员会卫生科研课题项目(2022-1101-007)。

摘　　要：目的观察rTMS联合针刺对脑卒中患者下肢功能的康复效果。方法2023年2月-2024年5月昆明市中医医院康复科收治的72例脑卒中患者,按随机数字表法分组,每组36例。对照组:规范基础治疗及康复训练;治疗组:联合针刺及rTMS。比较2组治疗前后下肢简化Fugl-Meyer运动功能评分、berg平衡量表及日常生活活动能力评分。结果治疗后2组FMA-LE评分均升高,治疗组FMA-LE评分显著更高,差异有统计学意义(P<0.05);治疗后2组BBS评分均升高,治疗组显著更高,差异有统计学意义(P<0.05);治疗后2组BI评分均升高,治疗组显著更高,差异有统计学意义(P<0.05)。结论脑卒中患者在常规康复的同时联合应用针刺及rTMS,较单独应用其中一项,可明显改善患者下肢功能。Objective To observe the rehabilitation effect of repetitive transcranial magnetic stimulation(rTMS)combined with acupuncture on lower limb function in stroke patients.Methods From February 2023 to May 2024,a total of 72 stroke patients admitted to the Rehabilitation Department of Kunming Traditional Chinese Medicine Hospital were randomly divided into groups according to number table method,with 36 patients in each group.Control group:standardized basic treatment and rehabilitation training;Treatment group:combined acupuncture and rTMS.Lower extremity simplified Fugl-Meyer motor function score,berg balance scale and daily living activity score before and after treatment were compared between two groups.Results After treatment,the FMA-LE score of both groups increased,and the FMA-LE score of the treatment group was significantly higher,with statistical significance(P<0.05).After treatment,the BBS scores of both groups were increased,and the BBS scores of the treatment group were significantly higher,with statistical significance(P<0.05).After treatment,BI score of both groups was increased,and BI score of the treatment group were significantly higher,with statistical significance(P<0.05).Conclusions The combination of acupuncture and rTMS in the routine rehabilitation for stroke patients can significantly improve their lower limb function compared with the single application of either one.

关 键 词：RTMS 针刺 脑卒中 下肢功能 康复治疗 

分 类 号：R743.3[医药卫生—神经病学与精神病学]