首页|互动式头针联合基于rTMS的肢体功能锻炼对脑卒中康复肢体功能障碍患者的影响

互动式头针联合基于rTMS的肢体功能锻炼对脑卒中康复肢体功能障碍患者的影响

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目的:探讨互动式头针联合基于rTMS的肢体功能锻炼对脑卒中康复肢体功能障碍患者临床疗效、运动功能、神经保护因子及生活质量的影响.方法:根据随机数字表法,2021 年 1 月—2023 年 1 月驻马店市中心医院就诊的137 例脑卒中偏瘫患者分为对照组(68 例)和观察组(69 例).对照组患者进行基于rTMS的肢体功能锻炼,观察组在对照组的基础上联合互动式头针,两组均连续治疗 1 个月.比较两组临床疗效,治疗前后的运动功能、神经保护因子及生活质量.结果:观察组临床疗效较对照组更为显著(P<0.05).经治疗两组FMA-上肢评分与FMA-下肢评分均有所升高,观察组较对照组升幅更大;两组 5m折返试验时间均有所减少,观察组较对照组降幅更大(P<0.05).经治疗两组脑源性神经营养因子、神经生长因子及神经营养素-3 水平均有所升高,观察组较对照组升幅更大(P<0.05).经治疗两组躯体疼痛、活力、生理功能、躯体功能、精神健康、总体健康、情感职能及社会功能评分均有所升高,观察组较对照组升幅更大(P<0.05).结论:互动式头针联合基于rTMS的肢体功能锻炼在脑卒中康复肢体功能障碍中疗效确切,可有效改善患者运动功能,调节神经保护因子水平,提高其生活质量.
Effect of Interactive Scalp Acupuncture Combined with rTMS-based Limb Function Training on Patients with Limb Dysfunction During Stroke Rehabilitation
Objective:To explore the effect of interactive head acupuncture combined with rTMS-based limb function training on clinical efficacy,motor function,neuroprotective factors and quality of life in patients with limb dysfunction after stroke rehabilitation.Methods:According to the random number table method,137 patients with hemiplegia due to stroke who visited Zhumadian Central Hospital from January 2021 to January 2023 were divided into a control group(68 cases)and an observation group(69 cases).The control group underwent rTMS-based limb function training,and the observation group combined interactive head acupuncture on the basis of the control group.Both groups were treated for 1 month.The clinical efficacy,motor function,neuroprotective factors and quality of life before and after treatment were compared between the two groups.Results:The clinical efficacy of the observation group was more significant than that of the control group(P<0.05).After treatment,the FMA-upper limb score and FMA-lower limb score of both groups increased,and the increase in the observation group was greater than that in the control group;the 5m reentry test time of both groups was reduced,and the decrease in the observation group was greater than that in the control group(P<0.05).After treatment,the levels of brain-derived neurotrophic factor,nerve growth factor and neurotrophin-3 in both groups increased,and the increase in the observation group was greater than that in the control group(P<0.05).After treat-ment,the scores of body pain,vitality,physiological function,physical function,mental health,general health,emo-tional function and social function in both groups increased,and the increase in the observation group was greater than that in the control group(P<0.05).Conclusion:Interactive head acupuncture combined with limb function exercise based on rTMS has a definite effect in the rehabilitation of limb dysfunction in stroke patients,and can effectively im-prove the patient's motor function,regulate the level of neuroprotective factors,and improve their quality of life.

StrokeInteractive head acupunctureLimb function exerciseMotor function

王芦琼、周雪艳

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河南省驻马店市中心医院 河南驻马店 463700

脑卒中 互动式头针 肢体功能锻炼 运动功能

2024

中医药临床杂志
中华中医药学会

中医药临床杂志

影响因子:0.636
ISSN:1672-7134
年,卷(期):2024.36(8)
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