首页|重复经颅磁刺激联合肢体运动疗法在缺血性脑卒中患者中的应用效果

重复经颅磁刺激联合肢体运动疗法在缺血性脑卒中患者中的应用效果

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目的 探讨重复经颅磁刺激联合肢体运动疗法在缺血性脑卒中(AIS)患者中的应用效果.方法 选择2021年4 月—2023 年 10 月徐州仁慈医院收治的 80 例AIS患者为研究对象,按随机数字表法将其分为对照组和观察组,各40例.对照组采用肢体运动疗法,观察组采用肢体运动疗法联合重复经颅磁刺激.比较两组患者的神经功能、日常生活能力、平衡功能及运动功能.结果 治疗后,观察组的美国国立卫生研究院脑卒中量表评分低于对照组,Barthel指数评分高于对照组,组间差异有统计学意义(P<0.05).观察组的Berg平衡量表评分为(52.82±0.53)分,高于对照组的(39.57±1.39)分,差异有统计学意义(P<0.05).观察组的Fugl-Meyer运动功能评定量表中上、下肢评分均高于对照组,组间差异有统计学意义(P<0.05).结论 AIS患者采用重复经颅磁刺激联合肢体运动疗法治疗,有助于改善患者的神经功能,提高运动能力及平衡功能,还可提升日常生活能力,值得临床推广使用.
Application Effect of Repetitive Transcranial Magnetic Stimulation Combined with Limb movement Therapy in the Patients with Acute Ischemic Stroke
Objective To explore the application effect of repetitive transcranial magnetic stimulation combined with limb movement therapy in patients with acute ischemic stroke(AIS).Methods A total of 80 AIS patients admitted to Xuzhou Renren Hospital from April 2021 to October 2023 were selected as the research objects,and were divided into control group and observation group according to random number table method,with 40 cases in each group.The control group received limb movement therapy,and the observation group received limb movement therapy combined with rcpetitive transcranial magnetic stimulation.Neurological function,daily living ability,balance function and motor function were compared between the two groups.Results After treatment,the National Institutes of Health stroke scale score of the observation group was lower than that of the control group,and the Barthel index score was higher than that of the control group,the differences between the groups were statistically significant(P<0.05).The Berg balance scale score of the observation group was(52.82±0.53)points,higher than(39.57±1.39)points of the control group,and the difference was statistically significant(P<0.05).The upper and lower limb scores of Fugl-Meyer assessment in the observation group were higher than those in the control group,and the differences between the groups were statistically significant(P<0.05).Conclusion Repetitive transcranial magnetic stimulation combined with limb movement therapy for AIS patients can help improve their nerve function,motor ability and balance function,as well as daily living ability,which is worthy of clinical promotion.

Acute ischemic strokeRepetitive transcranial magnetic stimulationLimb movement therapyNeurological functionMotor functionBalance functionAbility of daily living

薛加、刘园、潘建功

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徐州仁慈医院康复治疗部,江苏徐州 221000

缺血性脑卒中 重复经颅磁刺激 肢体运动疗法 神经功能 运动功能 平衡功能 日常生活能力

2024

反射疗法与康复医学

反射疗法与康复医学

ISSN:
年,卷(期):2024.5(6)
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