目的:观察揿针结合重复经颅磁刺激(repeated transcranial magnetic stimulation,rTMS)治疗急性颅脑损伤的效果.方法:选取 2020 年 1 月—2023 年 12 月江西省儿童医院收治的 60 例急性颅脑损伤患儿作为研究对象,采用随机数字表法分为对照组和观察组,各 30 例.对照组患儿采用常规针刺结合rTMS治疗,观察组患儿采用揿针结合rTMS治疗.两组均连续干预 4 周.对比两组临床疗效、肌力、粗大运动功能、肌张力.结果:观察组治疗总有效率高于对照组,差异有统计学意义(P<0.05);治疗前,两组肌力及粗大运动功能评估量表-88(gross motor function measure,GMFM-88)、改良Ashworth量表(modified Ashworth scale,MAS)评分比较,差异均无统计学意义(P>0.05);治疗 1 周后及治疗结束后,观察组GMFM-88 评分均高于对照组,治疗结束后,观察组MAS评分低于对照组,差异均有统计学意义(P<0.05);治疗结束后,两组肌力均优于治疗前,差异均有统计学意义(P<0.05).结论:对急性颅脑损伤患儿实施揿针结合rTMS治疗可促进肌力与粗大运动功能恢复,整体疗效突出.
Clinical Effect of Press Needle Combined with rTMS in the Treatment of Acute Craniocerebral Injury
Objective:To observe the effect of press needle combined with repeated transcranial magnetic stimulation(rTMS)in the treatment of acute craniocerebral injury.Method:A total of 60 children with acute craniocerebral injury treated in Jiangxi Provincial Children's Hospital from July 2020 to December 2023 were selected as the study objects,and were divided into control group and observation group by random number table method,with 30 cases in each group.Children in the control group were treated with routine acupuncture combined with rTMS,and children in the observation group were treated with press needle combined with rTMS.The intervention lasted for 4 weeks in both groups.The clinical efficacy,muscle strength,gross motor function and muscle tone of two groups were compared.Result:The total effective rate of the observation group was higher than that of the control group,the difference was statistically significant(P<0.05).Before treatment,there were no significant differences between two groups in the muscle strength and the scores of gross motor function measure-88(GMFM-88)and modified Ashworth scale(MAS)(P>0.05).After 1 week of treatment and after treatment,GMFM-88 scores of observation group were higher than those of control group,after treatment,MAS scores of observation group was lower than that of control group,the differences were statistically significant(P<0.05).After treatment,the muscle strength of both groups was better than that before treatment,the difference was statistically significant(P<0.05).Conclusion:The implementation of press needle combined with rTMS in children with acute craniocerebral injury can promote the recovery of muscle strength and gross motor function,has an outstanding overall efficacy.
Press needleRepeated transcranial magnetic stimulationAcute craniocerebral injury
万方数据
维普
