不同频率经颅磁刺激治疗急性出血性脑卒中后偏瘫患者的临床疗效观察

Clinical efficacy observation of different frequencies of tra′nscranial magnetic stimulation in the treatment of patients with hemiplegia after acute hemorrhagic stroke

目的 分析不同频率经颅磁刺激(TMS)治疗急性出血性脑卒中后偏瘫患者的临床疗效。方法 我院2019年7月至2021年4月收治的93例急性出血性脑卒中后偏瘫患者,根据治疗方式不同,分为对照组44例(10 Hz TMS治疗)和试验组49例(1 Hz TMS治疗)。对比两组临床疗效、运动功能评定量表(FMA)评分、脑卒中专用生活质量量表(SS-QOL)评分及步态。结果 实验组总效率高于对照组(P<0.05);治疗后实验组FMA评分、SS-QOL评分及步速、步频、跨步长比率(患肢/健肢)均高于对照组(P<0.05)。结论 对急性出血性脑卒中后偏瘫患者选择低频TMS治疗的临床效果优于高频治疗,不但能改善患者的肢体运动能力及步态,还能提升患者的生活质量。

Objective To analyze the clinical efficacy of different frequencies of transcranial magnetic stimulation(TMS) in the treatment of patients with hemiplegia after acute hemorrhagic stroke.Methods Ninety-three patients with hemiplegia after acute hemorrhagic stroke admitted to our hospital from July 2019 to April 2021 were selected. According to different treatment methods, the patients were divided into a control group(n=44) treated with 10 Hz TMS and an experimental group(n=49) treated with 1 Hz TMS). The clinical efficacy, Fugl-Meyer assessment scale(FMA) score, Stroke specific quality of life scale(SS-QOL) score and gait were compared between the two groups.Results The total efficiency of the experimental group was higher than that of the control group(P<0.05). After treatment, the FMA score, the SS-QOL, stride speed, stride frequency, and stride length ratio(affected limb/healthy limb) of the experimental group were all higher than those of the control group(P<0.05).Conclusions The clinical effect of low-frequency TMS therapy is better than that of high-frequency therapy for patients with acute hemorrhagic post-stroke hemiplegia. It can not only improve the patient′s limb movement ability and gait, but also improve the patient′s quality of life.