目的分析高频重复经颅磁刺激(HFrTMS)联合悬吊训练(SET)治疗不完全性脊髓损伤(ISCI)的效果。方法依据随机数字表法将安徽省六安市中医院2021年12月至2022年10月收治的90例ISCI患者分为联合组(45例)及对照组(45例)。对照组予以SET干预,...目的分析高频重复经颅磁刺激(HFrTMS)联合悬吊训练(SET)治疗不完全性脊髓损伤(ISCI)的效果。方法依据随机数字表法将安徽省六安市中医院2021年12月至2022年10月收治的90例ISCI患者分为联合组(45例)及对照组(45例)。对照组予以SET干预,联合组在对照组基础上增加HF r TMS干预,两组均干预4周。评价临床疗效,比较干预前后脊髓功能独立性(FIM)、神经性疼痛程度(SF-MPQ)、独立生活能力(BI)平衡能力(BBS)、下肢功能(ASIA-LEMS)评分及步态参数变化。结果联合组临床疗效优于对照组,差异有统计学意义(P<0.05)。干预后,两组FIM及BI评分高于干预前,且联合组高于对照组,差异有统计学意义(P<0.05);干预后两组SF-MPQ评分低于干预前,且联合组低于对照组,差异有统计学意义(P<0.05)。干预后,两组BBS、ASIA-LEMS评分高于治疗前,且联合组高于对照组,差异有统计学意义(P<0.05)。干预后,两组步长、步速、步频高于干预前,且联合组高于对照组,差异有统计学意义(P<0.05)。结论HF r TMS联合SET治疗ISCI患者效果显著,能够提高脊髓功能独立性、平衡能力和独立生活能力,降低神经性疼痛程度。展开更多
Objective:To observe the clinical effect on post-stroke cognitive impairment(PSCI) treated by acupuncture at the acupoints composed in accordance with the "four seas theory".Methods:A total of 70 patients wi...Objective:To observe the clinical effect on post-stroke cognitive impairment(PSCI) treated by acupuncture at the acupoints composed in accordance with the "four seas theory".Methods:A total of 70 patients with PSCI were randomly divided into a treatment group(n=35) and a control group(n=35).In the control group,conventional basic treatment and rehabilitation training were adopted,while in the treatment group,on the base of the treatment as the control group,acupuncture was applied at the acupoints composed in accordance with "four seas theory",lasting 8 weeks.The scores of mini-mental state examination(MMSE) and the instantaneous memory,the scores of Montreal cognitive assessment(MoCA) and the delayed memory,the score of kidney essence insufficiency in syndrome differentiation scale of vascular dementia(SDSVD),event-related potentials(ERP) P300 and clinical therapeutic effect were compared in the patients between two groups before and after treatment separately.Results:After treatment,MMSE score and the score of instantaneous memory were higher than the results before treatment in either group respectively(all P <0.05),in which,MMSE score in the treatment group was higher than that in the control group(P <0.05).After treatment,MoCA score and the score of delay recall were higher than the results before treatment in either group(all P <0.05),in which,MoCA score in the treatment group was higher than that of the control group(P <0.05).After treatment,the score of SDSVD was lower than that before treatment in either group(both P <0.05),in which SDSVD score in the treatment group were lower than the control group(P <0.05).There were no statistical changes in P300 latency and wave amplitude in the patients of the control group after treatment(both P> 0.05).However,in the treatment group,P300 latency was reduced and the wave amplitude was increased after treatment(both P <0.05).The total effective rate was 88.57% in the treatment group,higher than 71.43% in the control group(P <0.05).Conclusion:Acupuncture at the acupoints composed on the base of the "four seas theory" effectively improves the cognitive function and traditional Chinese medicine syndrome scores in PSCI patients.This therapy is of great value in clinic in the future.展开更多
文摘目的分析高频重复经颅磁刺激(HFrTMS)联合悬吊训练(SET)治疗不完全性脊髓损伤(ISCI)的效果。方法依据随机数字表法将安徽省六安市中医院2021年12月至2022年10月收治的90例ISCI患者分为联合组(45例)及对照组(45例)。对照组予以SET干预,联合组在对照组基础上增加HF r TMS干预,两组均干预4周。评价临床疗效,比较干预前后脊髓功能独立性(FIM)、神经性疼痛程度(SF-MPQ)、独立生活能力(BI)平衡能力(BBS)、下肢功能(ASIA-LEMS)评分及步态参数变化。结果联合组临床疗效优于对照组,差异有统计学意义(P<0.05)。干预后,两组FIM及BI评分高于干预前,且联合组高于对照组,差异有统计学意义(P<0.05);干预后两组SF-MPQ评分低于干预前,且联合组低于对照组,差异有统计学意义(P<0.05)。干预后,两组BBS、ASIA-LEMS评分高于治疗前,且联合组高于对照组,差异有统计学意义(P<0.05)。干预后,两组步长、步速、步频高于干预前,且联合组高于对照组,差异有统计学意义(P<0.05)。结论HF r TMS联合SET治疗ISCI患者效果显著,能够提高脊髓功能独立性、平衡能力和独立生活能力,降低神经性疼痛程度。
文摘Objective:To observe the clinical effect on post-stroke cognitive impairment(PSCI) treated by acupuncture at the acupoints composed in accordance with the "four seas theory".Methods:A total of 70 patients with PSCI were randomly divided into a treatment group(n=35) and a control group(n=35).In the control group,conventional basic treatment and rehabilitation training were adopted,while in the treatment group,on the base of the treatment as the control group,acupuncture was applied at the acupoints composed in accordance with "four seas theory",lasting 8 weeks.The scores of mini-mental state examination(MMSE) and the instantaneous memory,the scores of Montreal cognitive assessment(MoCA) and the delayed memory,the score of kidney essence insufficiency in syndrome differentiation scale of vascular dementia(SDSVD),event-related potentials(ERP) P300 and clinical therapeutic effect were compared in the patients between two groups before and after treatment separately.Results:After treatment,MMSE score and the score of instantaneous memory were higher than the results before treatment in either group respectively(all P <0.05),in which,MMSE score in the treatment group was higher than that in the control group(P <0.05).After treatment,MoCA score and the score of delay recall were higher than the results before treatment in either group(all P <0.05),in which,MoCA score in the treatment group was higher than that of the control group(P <0.05).After treatment,the score of SDSVD was lower than that before treatment in either group(both P <0.05),in which SDSVD score in the treatment group were lower than the control group(P <0.05).There were no statistical changes in P300 latency and wave amplitude in the patients of the control group after treatment(both P> 0.05).However,in the treatment group,P300 latency was reduced and the wave amplitude was increased after treatment(both P <0.05).The total effective rate was 88.57% in the treatment group,higher than 71.43% in the control group(P <0.05).Conclusion:Acupuncture at the acupoints composed on the base of the "four seas theory" effectively improves the cognitive function and traditional Chinese medicine syndrome scores in PSCI patients.This therapy is of great value in clinic in the future.
