摘要
目的:分析早期康复训练联合重复经颅磁刺激对脑梗死偏瘫患者肢体功能恢复的影响。方法:选取我院2018年1月至2021年1月收治的90例脑梗死偏瘫患者作为本次研究的观察对象,采用双盲随机数字法将其分为观察组和对照组,每组45例,两组患者均给予常规的临床药物治疗以及康复治疗,观察组在此基础上,给予重复经颅磁刺激治疗,观察两组患者在治疗前后的心理状态评分(焦虑、抑郁状态);美国国立卫生研究院卒中量表(NIHSS)评分和Fugl-Meyer评分;分析中枢运动传导时间(CMCT)以及运动诱发电位(MEP)波幅情况。结果:治疗前,两组患者在HAMA、HAMD评分对比上无差异性(P>0.05),治疗后,观察组在HAMA、HAMD评分上显著低于对照组;治疗前,两组患者在NIHSS、Fugl-Meyer评分对比上无差异性(P>0.05),治疗后,观察组在NIHSS评分上显著低于对照组,在Fugl-Meyer评分上,显著高于对照组;治疗前,两组患者在CMCT、MEP对比上无差异性(P>0.05),治疗后,观察组在CMCT对比上显著低于对照组,在MEP对比上,显著高于对照组,P<0.05差异有统计意义;经过临床6个月的随访观察,两组未发现有并发症发生情况,对比无差异性(P>0.05)。结论:早期康复治疗联合重复经颅磁刺激对改善患者的心理状态,提高和恢复患者的神经功能和运动功能以及在诱发电位的波幅和缩短神经传导的时间上具有重要意义,值得推广。
Objective:To analyze the effect of early rehabilitation training combined with repetitive transcranial magnetic stimulation on the recovery of limb function in patients with cerebral infarction and hemiplegia.Methods:90 patients with cerebral infarction hemiplegia treated in our hospital from January 2018 to January 2021 were selected as the observation objects of this study.They were divided into observation group and control group by double-blind random number method,with 45 cases in each group.Both groups were given routine clinical drug treatment and rehabilitation treatment.On this basis,the observation group was given repeated transcranial magnetic stimulation,The psychological state scores(anxiety and depression)of the two groups were observed before and after treatment.National Institutes of Health Stroke Scale(NIHSS)score and Fugl Meyer score.Central motor conduction time(CMCT)and motor evoked potential(MEP)amplitude were analyzed.Results:Before treatment,there was no difference in HAMA and HAMD scores between the two groups(P>0.05).After treatment,HAMA and HAMD scores in the observation group were significantly lower than those in the control group.Before treatment,there was no difference in NIHSS and Fugl Meyer scores between the two groups(P>0.05).After treatment,NIHSS score in the observation group was significantly lower than that in the control group,and Fugl Meyer score was significantly higher than that in the control group.Before treatment,there was no difference in CMCT and MEP between the two groups(P>0.05).After treatment,the observation group was significantly lower than the control group in CMCT and significantly higher than the control group in MEP(P<0.05).After clinical follow-up for 6 months,no complications were found in the two groups,and there was no difference between the two groups(P>0.05).Conclusion:Early rehabilitation therapy combined with repetitive transcranial magnetic stimulation is of great significance to improve the psychological state of patients,improve and restore the n
作者
宋帅
Song Shuai(Department of Musculoskeletal Pain Rehabilitation,The Fifth Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,China)
出处
《四川生理科学杂志》
2022年第1期44-46,66,共4页
Sichuan Journal of Physiological Sciences
关键词
早期康复训练
重复经颅磁刺激
脑梗死
肢体功能
Early rehabilitation training
Repetitive transcranial magnetic stimulation
Cerebral infarction
Limb function
