1. 汉中市中心医院康复医学科,汉中
2. 复旦大学附属华山医院康复医学科,上海
纸质出版:2025
移动端阅览
王阳, 黄钰铭, 王鹤玮, 等. 高频重复经颅磁刺激同步电针治疗对脑卒中偏瘫患者上肢功能的影响[J]. 中华物理医学与康复杂志, 2025,47(6):510-513.
王阳, 黄钰铭, 王鹤玮, et al. 高频重复经颅磁刺激同步电针治疗对脑卒中偏瘫患者上肢功能的影响[J]. 2025, 47(6): 510-513.
目的观察高频重复经颅磁刺激(rTMS)同步电针治疗对脑卒中偏瘫患者上肢功能的影响。方法选取脑卒中偏瘫患者36例
按照随机数字表法将其分为对照组和同步组
每组18例
治疗过程中每组均有3例退出研究
最终分别纳入15例。2组患者均接受常规药物治疗和康复训练
在此基础上
对照组分别接受电针治疗、作业疗法、高频rTMS治疗
同步组则在电针治疗的同时予以高频rTMS治疗
然后再进行作业疗法干预。治疗前、治疗3周后(治疗后)
采用感觉障碍积分量表、体感诱发电位N20波幅和潜伏期、上肢运动研究量表(ARAT)和改良Barthel指数(MBI)对2组患者进行疗效评定。结果治疗后
2组患者的感觉障碍积分量表评分、N20波幅和潜伏期、ARAT评分、MBI评分均有所改善(P<0.05)。与对照组比较
同步组治疗后的感觉障碍积分量表评分[(32.73±9.56)分]较高、N20波幅[0.52(0.30
1.02)μV]较高、N20潜伏期[(19.95±2.79)ms]较短、ARAT评分[(15.0(10.0
52.0))分]较高、MBI评分[(67.60±6.89)分]较高
差异有统计学意义(P<0.05)。结论高频rTMS不仅可以改善脑卒中偏瘫患者的上肢感觉功能
还能提升其上肢运动功能
值得临床应用。
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