重复经颅磁刺激技术联合常规康复训练对脑卒中偏瘫患者肢体运动功能、日常生活能力及生存质量的影响

Effects of Repetitive Transcranial Magnetic Stimulation Combined with Routine Rehabilitation Training on Limb Motor Function,Daily Living Ability and Quality of Life in Stroke Patients with Hemiplegia

目的探究重复经颅磁刺激(rTMS)技术联合常规康复训练在脑卒中偏瘫患者中的应用价值。方法选取2022年1—11月该院收治的80例脑卒中偏瘫患者作为研究对象,采用随机数字表法分为两组,对照组(n=40)采用常规康复训练,研究组(n=40)在常规康复训练基础上联合rTMS技术进行干预。比较两组脑卒中偏瘫患者干预前、干预2个月后的肢体运动功能、日常生活能力及生存质量。结果干预前,两组运动功能评定量表(FMA)上肢、下肢评分比较,组间差异无统计学意义(P>0.05);干预2个月后,研究组FMA上肢、下肢评分均高于对照组,组间差异有统计学意义(P<0.05)。干预前,两组日常生活能力(ADL)评分比较,差异无统计学意义(P>0.05);干预2个月后,研究组ADL评分高于对照组,差异有统计学意义(P<0.05)。干预前,两组脑卒中专门化生存质量量表(SS-QOL)评分比较,差异无统计学意义(P>0.05);干预2个月后,研究组SS-QOL评分为(210.88±14.57)分,高于对照组的(189.56±15.25)分,差异有统计学意义(P<0.05)。结论脑卒中偏瘫患者采用rTMS技术联合常规康复训练进行干预后的效果显著,能提升患者肢体运动功能和日常生活能力,提高生存质量,值得推广。

Objective To explore the application value of repetitive transcranial magnetic stimulation(rTMS)combined with routine rehabilitation training in stroke patients with hemiplegia.Methods 80 stroke patients with hemiplegia admitted to our hospital from January to November 2022 were selected as the study objects and divided into two groups by random number table method.The control group(n=40)received routine rehabilitation training,and the study group(n=40)received intervention based on routine rehabilitation training combined with rTMS technology.Limb motor function,daily living ability and quality of life of stroke patients with hemiplegia were compared between the two groups before intervention and 2 months after intervention.Results Before intervention,there was no significant difference between the two groups in motor function Rating scale(FMA)scores of upper and lower limbs(P>0.05).After 2 months of intervention,the FMA scores of upper and lower limbs of the study group were higher than those of the control group,and the difference between the groups was statistically significant(P<0.05).Before intervention,there was no significant difference in ADL scores between the two groups(P>0.05).After 2 months of intervention,the ADL score of the study group was higher than that of the control group,and the difference was statistically significant(P<0.05).Before intervention,comparison of stroke specialized Quality of Life Scale(SS-QOL)scores between the two groups,there was no significant difference(P>0.05).After 2 months of intervention,the total SS-QOL score of the study group(210.88±14.57)was higher than that of the control group(189.56±15.25),and the difference was statistically significant(P<0.05).Conclusion The combination of rTMS technology and routine rehabilitation training for stroke patients with hemiplegia has a significant effect after intervention,which can improve their limb motor function and daily living ability,improve their quality of life,and is worth promoting.