摘要
目的探讨经颅磁刺激结合Frenkel体操训练对脑卒中后共济失调障碍患者的临床疗效及平衡功能的影响。方法选取2016年8月至2018年8月该院收治的脑卒中后共济失调障碍患者84例,随机分为观察组和对照组,每组各42例。两组均给予常规治疗,对照组在此基础上实施经颅磁刺激,观察组在对照组基础上联合Frenkel体操训练。评定两组临床疗效、共济失调程度、平衡功能、日常生活活动能力及血液流变学指标的变化情况。结果两组治疗后世界神经病联合会国际合作共济失调量表(ICARS)评分均较治疗前降低(P<0.05),且观察组较对照组低(P<0.05);观察组总有效率(97.62%)较对照组(78.57%)高(P<0.05);两组治疗后Berg平衡量表(BBS)、Barthel指数评定量表评分均较治疗前高(P<0.05),且观察组较对照组高(P<0.05);两组治疗后各血液流变学指标测量值均较治疗前低(P<0.05),且观察组较对照组低(P<0.05)。结论脑卒中后共济失调障碍患者经颅磁刺激结合Frenkel体操训练治疗,临床疗效显著,同时能明显改善患者平衡功能及日常生活活动能力,可有效调节血液流变学指标。
Objective To explore the Transcranial magnetic stimulation combined with Frenkel gymnastics training on the clinical effect and balance function of patients with ataxia disorder after cerebral apoplexy.Methods Eighty-four cases of patients with ataxia disorder after cerebral apoplexy admitted to our hospital from August 2016 to August 2018 were randomly divided into two groups,the observation group and the control group,42 cases in each group.The two groups were given routine treatment,on this basis,the control group was treated with Transcranial magnetic stimulation,and the observation group was combined with Frenkel gymnastics training on the basis of the control group.The changes of clinical efficacy,ataxia degree,balance function,daily living ability and hemorheological indexes were evaluated in the two groups.Results The scores of International Cooperative Ataxia Rating Scale(ICARS)in the two groups after treatment were lower than those before treatment(P<0.05),and the observation group was lower than the control group(P<0.05);the total effective rate of the observation group was 97.62%,which was higher than that of the control group 78.57%(P<0.05);after treatment,the Berg Balance Scale(BBS)and the scores of the Barthel index of ADL in the two groups were all higher than those before treatment(P<0.05),and the observation group was higher than the control group(P<0.05);the measured values of hemorheological indexes in the two groups were lower than those before treatment(P<0.05),and the observation group was lower than the control group(P<0.05).Conclusion Transcranial magnetic stimulation combined with Frenkel gymnastic training in the treatment of ataxia disorder after cerebral apoplexy can achieve a significant clinical effect,at the same time,it can obviously improve the balance function and daily living ability of the patients,and effectively regulate the hemorheological indexes.
作者
谭华
司宝霞
苏丹
TAN Hua;SI Baoxia;SU Dan(Department of Rehabilitation Medicine,the Fifth People's Hospital of Chongqing,Chongqing 400062,China)
出处
《检验医学与临床》
CAS
2019年第17期2465-2468,共4页
Laboratory Medicine and Clinic
关键词
经颅磁刺激
Frenkel体操训练
脑卒中
共济失调障碍
平衡功能
transcranial magnetic stimulation
frenkel gymnastics training
cerebral apoplexy
ataxia disorder
balance function
