首页|经颅直流电刺激联合作业疗法在脑卒中后上肢偏瘫患者中的应用研究

经颅直流电刺激联合作业疗法在脑卒中后上肢偏瘫患者中的应用研究

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目的 研究经颅直流电刺激(Transcranial Direct-Current Stimulation,tDCS)联合作业疗法(Occupational therapy,OT)在脑卒中后上肢偏瘫患者中的应用效果.方法 选取 2021 年 1 月至 2023 年 12 月于本院就诊的 60 例脑卒中后上肢偏瘫患者为研究对象,随机分为对照组和观察组各 30 例.对照组采用OT治疗,观察组采用tDCS联合OT治疗.比较两组上肢功能、偏瘫上肢功能恢复情况和日常生活自理能力.结果 治疗后,两组FMA-UE和MSS评分均高于治疗前,MAS评分均低于治疗前,且观察组优于对照组,差异有统计学意义(P<0.05);治疗后,两组Brunnstrom分期量表评分高于治疗前,且观察组总分高于对照组,差异有统计学意义(P<0.05);治疗后,观察组MBI评分高于对照组,差异有统计学意义(P<0.05).结论 采用tDCS联合OT治疗脑卒中后上肢偏瘫,能有效促进患者上肢功能恢复,降低患肢痉挛程度,改善患者日常生活自理能力.
Application of Transcranial Direct Current Stimulation Combined with Occupational Therapy in Patients with Upper Limb Hemiplegia after Stroke
Objectives To study the application effect of Transcranial DirectCurrent Stimulation(tDCS)combined with Occupational Therapy(OT)in patients with upper limb hemiparesis after stroke.Methods A total of 60patients with post-stroke upper limb hemiplegia who were treated in our hospital from January 2021 to December 2023 were select-ed as the study subjects,and they were randomly divided into control group and observation group,with 30 cases in each group.The control group was treated with OT,and the observation group was treated with tDCS combined with OT.Upper limb function,recovery of hemiplegic upper limb functionand self-care ability in daily life were compared between the two groups.Results After treatment,the FMA-UE and MSS scores of both groups were significantly higher than those before treatment,and the MAS scores were significantly lower than those before treatment,and the observa-tion group was significantly better than the control group(P<0.05).After treatment,the Brunnstrom staging scale scores of both groups were significantly higher than those before treatment,and the total score of the observation group was sig-nificantly higher than that of the control group(P<0.05).After treatment,the BMI score of the observation group was sig-nificantly higher than that of the control group(P<0.05).Conclusions The use of tDCS combined with OT in the treat-ment of upper limb hemiplegia after stroke can effectively promote the recovery of upper limb function,reduce the de-gree of spasticity of the affected limbs,and improve patients'ability to take care of themselves in daily life.

Transcranial direct current stimulationOccupational therapyStrokeUpper extremity hemiparesis

汪仲涵、王春方、孙长城、张颖

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天津市人民医院/天津市康复医学研究所/天津市中西医结合重点专科,天津 300121

经颅直流电刺激 作业疗法 脑卒中 上肢偏瘫

2024

现代诊断与治疗
南昌市医学会 南昌市医学科学研究所

现代诊断与治疗

影响因子:0.736
ISSN:1001-8174
年,卷(期):2024.35(18)