重复经颅磁刺激对脑卒中后上肢运动功能的改善效果

Clinical efficacy of repeated transcranial magnetic stimulation in the treatment of upper limb spasms after stroke and its impact on upper limb motor function

目的观察重复经颅磁刺激对脑卒中后上肢痉挛及上肢运动功能产生的影响。方法我院2023年8月至2024年5月收治的90例脑卒中后上肢痉挛患者均开展康复锻炼,并基于是否采取重复经颅磁刺激联合康复心理护理治疗均分为对照组45例与干预组45例,比较2组患者上肢痉挛评定评分、上肢运动能力量表评分、神经功能及日常生活活动能力各项目评分及满意度。结果2组患者治疗前上肢痉挛评定评分、上肢运动能力量表评分、神经功能及日常生活活动能力各项目评分差异无统计学意义(P>0.05)。治疗后2组患者上肢痉挛评定评分、神经功能评分、上肢运动能力量表评分及日常生活活动能力量表中各项目评分较治疗前均改善,且干预组改善幅度大于对照组(P<0.05)。干预组患者对治疗效果满意度比对照组高(P<0.05)。结论脑卒中后患者在使用基本康复训练的基础上,使用重复经颅磁刺激治疗有益于缓解上肢痉挛,改善患者上肢运动能力、神经功能与日常生活活动能力,进而提高患者对治疗效果的评价。

Objective To observe the clinical efficacy of repeated transcranial magnetic stimulation in the treatment of upper limb spasms after stroke and its impact on upper limb motor function.Methods From August 2023 to May 2024,a total of 90 patients with upper limb spasms after stroke in our hospital underwent rehabilitation exercise.They were divided into a control group(45 cases did not receive repeated transcranial magnetic stimulation treatment)and a study group(45 cases received repeated transcranial magnetic stimulation treatment)based on whether they received repeated transcranial magnetic stimulation treatment.The upper limb spasticity assessment score,upper limb motor ability scale score,neurological function and daily life activity ability scores and satisfaction of the two groups were compared.Results There was no statistically significant difference(P>0.05)in the upper limb spasticity assessment score,upper limb motor ability scale score,neurological function,and daily living activity scores between the two groups before treatment.After treatment,the upper limb spasticity assessment score and neurological function score of both groups decreased compared to those before treatment,and the decrease in the study group was greater than that in the control group(P<0.05).After treatment,the scores of upper limb motor ability scale and daily living activity scale in both groups improved compared to those before treatment,and the improvement in the study group was greater than that in the control group(P<0.05).The satisfaction of patients in the study group with the treatment effect was higher than that in the control group(P<0.05).Conclusion Repetitive transcranial magnetic stimulation therapy is beneficial for relieving upper limb spasms in patients with upper limb spasms after stroke,improving their upper limb motor ability,neurological function,and daily living activities,thereby enhancing their evaluation of treatment effectiveness.