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重复经颅磁刺激对急性期脑梗死患者上肢运动功能影响的研究 被引量:5

The effect of repetitive transcranial magnetic stimulation on upper extremity motor function in patients with acute cerebral infarction
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摘要 目的探讨不同频率的重复经颅磁刺激对急性期脑梗死患者上肢运动功能康复的作用。方法选取2017年9月至2018年7月本院收治的105例急性期脑梗死伴肢体运动功能障碍的患者随机分为高频组36例,低频组35例,伪刺激组34例。在患者生命体征稳定后,选用依瑞德CYY-Ⅰ型磁刺激仪,给予8字型聚焦刺激线圈刺激。对治疗前后的患者进行上肢简易Fugl-Meyer(FMA)运动功能评分、脑卒中患者姿势评定量表(PASS)评分、运动诱发电位(MEP)神经电生理测试。结果治疗前3组患者各项指标比较差异无统计学意义;治疗14 d后3组患者FMA评分、PASS评分及MEP测试均较治疗前好转(P<0.01);且高频组和低频组患者在治疗后与伪刺激组相比差异具有统计学意义(P<0.01),但高频组和低频组评分比较差异无统计学意义。结论1 Hz低频重复经颅磁刺激及10 Hz高频重复经颅磁刺激均能显著改善急性期脑梗死患者的上肢运动功能,两者对肢体康复的作用无明显差异。 Objective To investigate the effect of repetitive transcranial magnetic stimulation with different frequencies on the rehabilitation of upper limb motor function in patients with acute cerebral infarction.Methods From September 2017 to July 2018,105 patients with acute cerebral infarction and limb motor dysfunction were selected in our hospital,they were randomly divided into high frequency group(36 cases),low frequency group(35 cases)and pseudo stimulation group(34 cases).After the vital signs of the patients were stable,the 8-shaped focused stimulation coil was used to stimulate the patients.Before and after the treatment,the patients were assessed with simple Fugl Meyer(FMA)motor function score,stroke patient posture Rating Scale(PASS)score and motor evoked potential(MEP)neurophysiological test.Results There was no significant difference among the three groups before treatment.After 14 days treatment,the FMA score,PASS score and MEP test of the three groups were better than those before treatment(P<0.01).The difference between the high frequency group and the low frequency group was statistically significant(P<0.01),but there was no significant difference between the high frequency group and the low frequency group.Conclusion 1 Hz low frequency repetitive transcranial magnetic stimulation and 10 Hz high frequency repetitive transcranial magnetic stimulation can significantly improve the upper limb motor function of patients with acute cerebral infarction,and there is no significant difference between the two in limb rehabilitation.
作者 陈淑凤 陈田希 罗鸿波 Chen Shufeng;Chen Tianxi;Luo Hongbo(Ningde Municipal(city)Hospital,Ningde,Fujian,352100,China)
机构地区 宁德市医院
出处 《当代医学》 2020年第9期35-38,共4页 Contemporary Medicine
关键词 急性期脑梗死 重复经颅磁刺激 运动功能障碍 Acute cerebral infarction Repetitive transcranial magnetic stimulation Motor dysfunction
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