互动式头针联合基于rTMS的肢体功能锻炼对脑卒中康复肢体功能障碍患者的影响

Effect of Interactive Scalp Acupuncture Combined with rTMS-based Limb Function Training on Patients with Limb Dysfunction During Stroke Rehabilitation

目的:探讨互动式头针联合基于rTMS的肢体功能锻炼对脑卒中康复肢体功能障碍患者临床疗效、运动功能、神经保护因子及生活质量的影响。方法:根据随机数字表法,2021年1月—2023年1月驻马店市中心医院就诊的137例脑卒中偏瘫患者分为对照组(68例)和观察组(69例)。对照组患者进行基于rTMS的肢体功能锻炼,观察组在对照组的基础上联合互动式头针,两组均连续治疗1个月。比较两组临床疗效,治疗前后的运动功能、神经保护因子及生活质量。结果:观察组临床疗效较对照组更为显著(P<0.05)。经治疗两组FMA-上肢评分与FMA-下肢评分均有所升高,观察组较对照组升幅更大;两组5m折返试验时间均有所减少,观察组较对照组降幅更大(P<0.05)。经治疗两组脑源性神经营养因子、神经生长因子及神经营养素-3水平均有所升高,观察组较对照组升幅更大(P<0.05)。经治疗两组躯体疼痛、活力、生理功能、躯体功能、精神健康、总体健康、情感职能及社会功能评分均有所升高,观察组较对照组升幅更大(P<0.05)。结论:互动式头针联合基于rTMS的肢体功能锻炼在脑卒中康复肢体功能障碍中疗效确切,可有效改善患者运动功能,调节神经保护因子水平,提高其生活质量。

Objective: To explore the effect of interactive head acupuncture combined with rTMS-based limb function training on clinical efficacy, motor function, neuroprotective factors and quality of life in patients with limb dysfunction after stroke rehabilitation. Methods: According to the random number table method, 137 patients with hemiplegia due to stroke who visited Zhumadian Central Hospital from January 2021 to January 2023 were divided into a control group (68 cases) and an observation group (69 cases). The control group underwent rTMS-based limb function training, and the observation group combined interactive head acupuncture on the basis of the control group. Both groups were treated for 1 month. The clinical efficacy, motor function, neuroprotective factors and quality of life before and after treatment were compared between the two groups. Results: The clinical efficacy of the observation group was more significant than that of the control group (P<0.05). After treatment, the FMA-upper limb score and FMA-lower limb score of both groups increased, and the increase in the observation group was greater than that in the control group;the 5m reentry test time of both groups was reduced, and the decrease in the observation group was greater than that in the control group (P<0.05). After treatment, the levels of brain-derived neurotrophic factor, nerve growth factor and neurotrophin-3 in both groups increased, and the increase in the observation group was greater than that in the control group (P<0.05). After treat-ment, the scores of body pain, vitality, physiological function, physical function, mental health, general health, emo-tional function and social function in both groups increased, and the increase in the observation group was greater than that in the control group (P<0.05). Conclusion: Interactive head acupuncture combined with limb function exercise based on rTMS has a definite effect in the rehabilitation of limb dysfunction in stroke patients, and can effectively im-prove the patient’s motor function, regulate the level of neuroprotective factors, and improve their quality of life.