重复经颅磁刺激治疗脑卒中后软瘫期运动障碍的临床观察

Clinical observation of paralytic dyskinesia after repetitive transcranial magnetic stimulation for stroke

目的:对比常规康复训练与重复经颅磁联合常规康复训练的效果,为脑卒中后早期运动功能障碍患者重复经颅磁的应用提供科学的依据。方法:选取武汉大学中南医院为试验地点,选取50名符合标准的脑卒中患者作为研究对象,随机分为常规康复技术对照组和重复经颅磁联合常规康复技术治疗组,每组25人。对比两组运动功能的改善情况。结果:数据显示,康复治疗一个月后,两组患者运动功能FMA评分均高于康复治疗前,但治疗组运动功能FMA评分上升趋势明显快于对照组,差异有统计学意义(P <0. 05)。

Purpose： comparing the effect of routine rehabilitation with that of repetitive transcranial magnetic stimulation in order to provide scientific basis for the application of repetitive transcranial magnetic stimulation for stroke for early paralytic dyskinesia. Mehod： taking Zhongnan Hospital affiliated to Wuhan University as experiment site, selecting 50 standard stroke patients as research objects and randomly dividing them into routine rehabiliation technology contrast group and repetitive transcranial magnetic stimulation treatment group, each group having 25 persons, then comparing the improvement of each group. Results： Data show that after one-month rehabilitation, the movement function FMA of each group scores higher than before rehabilitation, but the the movement function FMA of the treatment scores higher than teh contrast group, their difference has statistical significance（P〈0.05）.