摘要
目的研究经颅磁刺激(TMS)联合功能训练对脑卒中患者神经功能及肢体功能的影响。方法选取2018年1月至2019年3月西安市第九医院收治的脑卒中患者88例,按照随机数表法分为观察组和对照组各44例。观察组采用TMS联合功能训练,对照组采用常规功能训练,均连续训练4周,比较两组患者训练4周后的疗效,于治疗前、治疗4周后采用美国国立卫生院卒中量表(NIHSS)评价神经功能、Fugl-Meyer运动功能评定量表(FMA)评价肢体功能、改良Barthel指数(MBI)和日常生活能力评分量表(ADL)评价日常生活能力,同时比较两组患者治疗4周后的肌力水平。结果治疗4周后,观察组患者的临床治疗显效率为61.36%,明显高于对照组的31.82%,差异有统计学意义(P<0.05);治疗4周后,两组患者的NIHSS、ADL评分均较治疗前明显下降,且观察组患者的NIHSS、ADL评分分别为(13.43±3.83)分和(16.53±3.81)分,明显低于对照组的(18.71±3.88)分和(19.87±4.29)分,差异均有统计学意义(P<0.05);治疗4周后,两组患者FMA、MBI评分均较治疗前明显上升,且观察组患者的FMA、MBI评分分别为(46.53±7.50)分和(63.91±7.03)分,明显高于对照组的(42.26±6.64)分和(56.68±7.12)分,差异均有统计学意义(P<0.05);治疗4周后,观察组患者的上肢肌力水平优良率为68.18%,明显高于对照组的45.45%,差异有统计学意义(P<0.05)。结论经颅磁刺激联合功能训练能够有效改善脑卒中患者神经功能及肢体功能、提升日常生活能力及上肢肌力。
Objective To study the effects of transcranial magnetic stimulation(TMS)combined with functional training on neurological function and limb function in patients with stroke.Methods Eighty-eight stroke patients who were treated in Ninth Hospital of Xi'an from January 2018 to March 2019 were selected and divided into the observation group and control group according to random number table method,with 44 patients in each group.The observation group was given TMS combined with functional training,and the control group was given routine functional training,continuously for 4 weeks.The efficacy after 4 weeks of training was compared between the two groups.Before treatment and after 4 weeks of treatment,the neurological function was evaluated by National Institutes of Health Stroke Scale(NIHSS),the limb function was assessed by Fugl-Meyer Motor Function Assessment(FMA),and the daily living ability was evaluated by Modified Barthel Index(MBI)and Ability of Daily Living Scale(ADL).The muscle strength was compared between the two groups after 4 weeks of treatment.Results After 4 weeks of treatment,the marked effective rate of clinical treatment in the observation group was significantly higher than that in the control group(61.36%vs 31.82%,P<0.05).After 4 weeks of treatment,the scores of NIHSS and ADL in the two groups were significantly decreased compared with those before treatment,and the scores of NIHSS and ADL in observation group were(13.43±3.83)points and(16.53±3.81)points,which were significantly lower than corresponding(18.71±3.88)points and(19.87±4.29)points in the control group(P<0.05).After 4 weeks of treatment,the scores of FMA and MBI in the two groups were significantly increased compared with those before treatment,and the scores of FMA and MBI in observation group were(46.53±7.50)points and(63.91±7.03)points,which were significantly higher than corresponding(42.26±6.64)points and(56.68±7.12)points in the control group(P<0.05).After 4 weeks of treatment,the excellent and good rate of upper limb musc
作者
刘家峰
王虹
许海莺
张民英
LIU Jia-feng;WANG Hong;XU Hai-ying;ZHANG Min-ying(Department of Traditional Chinese Medicine Rehabilitation,the Ninth Hospital of Xi'an,Xi'an 710054,Shaanxi,CHINA;Department of Rehabilitation Medicine,the First Affiliated Hospital of Air Force Medical University of PLA,Xi'an 710032,Shaanxi,CHINA)
出处
《海南医学》
CAS
2020年第15期1926-1929,共4页
Hainan Medical Journal
关键词
经颅磁刺激
功能训练
脑卒中
神经功能
肢体功能
Transcranial magnetic stimulation(TMS)
Functional training
Stroke
Neurological function
Limb function
