首页|重复经颅磁刺激联合虚拟情景互动训练在治疗脑梗死患者上肢功能障碍的疗效观察

重复经颅磁刺激联合虚拟情景互动训练在治疗脑梗死患者上肢功能障碍的疗效观察

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目的 探讨重复经颅磁刺激联合虚拟情景互动训练在治疗脑梗死患者上肢功能障碍的疗效观察。方法 将本院2022年1月—2023年3月收治的90例脑梗死上肢功能障碍患者随机分为三组,每组30例,对照1组采用重复经颅磁刺激治疗,对照2组采用虚拟情景互动训练,观察组采用重复经颅磁刺激联合虚拟情景互动训练,对比三组的上肢功能Fugl-UE评定法(FMA-UE)评分和日常生活活动能力量表(MBI)评分、患侧运动皮质运动诱发电位(MEP)潜伏期和中枢运动传导时间(CMCT)、最大握力值。结果 观察组治疗后、治疗结束1个月和3个月的FMA-UE评分、MBI评分均高于对照1组、对照2组,组间差异有统计学意义(P<0。05);观察组治疗后、治疗结束1个月和3个月的MEP、CMCT均短于对照1组、对照2组,组间差异有统计学意义(P<0。05);观察组治疗后、治疗结束1个月和3个月的最大握力值高于对照1组、对照2组,组间差异有统计学意义(P<0。05)。结论 重复经颅磁刺激联合虚拟情景互动训练在治疗脑梗死患者上肢功能障碍的疗效显著。
Curative Effect Observation of Repetitive Transcranial Magnetic Stimulation Combined with Virtual Scenario Interactive Training in Treatment of Upper Limb Dysfunction of Cerebral Infarction Patients
Objective To explore and observe curative effect of repetitive transcranial magnetic stimulation combined with virtual scenario interactive training in treatment of upper limb dysfunction of cerebral infarction patients.Methods The paper chose 90 patients with upper limb functional impairment due to cerebral infarction in our hospital from January 2022 to March 2023,and divided them into three groups randomly,with 30 cases in each group.Control group 1 was treated with repeated transcranial magnetic stimulation treatment,control group 2 with virtual scenario interactive training,and observation group with repeated transcranial magnetic stimulation combined with virtual scenario interactive training.The Fugl-UE evaluation method(FMA-UE)scores,daily living ability scale(MBI)scores,affected motor cortex motor evoked potential(MEP)latency and central motor conduction time(CMCT),and maximum grip strength value were compared among three groups.Results The FMA-UE scores and MBI scores of observation group were higher than control group 1 and 2 at the end of treatment,1 month and 3 months after treatment(P<0.05).MEP and CMCT levels of observation group were shorter than control group 1 and 2 at the end of treatment,1 month and 3 months after treatment(P<0.05).Maximum grip strength values of observation group at the end of treatment course,1 month and 3 months after treatment were higher than control group 1 and 2(P<0.05).Conclusion Combination of repetitive transcranial magnetic stimulation and virtual scenario interactive training can achieve significant curative effect on upper limb dysfunction of cerebral infarction patients.

Cerebral infarctionUpper limb dysfunctionRepetitive transcranial magnetic stimulationVirtual scenario interactive training

陈子波、金蓉、梁潇、刘安琪

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华南理工大学附属第六医院/佛山市南海区人民医院 康复医学科,广东 佛山 528226

脑梗死 上肢功能障碍 重复经颅磁刺激 虚拟情景互动训练

佛山市卫生和计生局医学科研项目

20220003

2024

智慧健康

智慧健康

ISSN:
年,卷(期):2024.10(10)