| 摘要: |
| ［摘要］ 目的 探讨重复性经颅磁刺激(rTMS)对脑卒中患者运动功能的改善作用。方法 收集2013-06～2015-07该院康复科住院治疗的脑卒中患者100例，随机将患者分为rTMS组和对照组各50例。对照组接受常规药物、针灸及运动等康复治疗。rTMS组在对照组基础上使用rTMS治疗。比较两组治疗前、治疗后的运动功能(Fugl-Meyer)评分、神经功能缺损(NIHSS)评分及日常生活能力(FIM)评分变化情况。结果 治疗后，两组Fugl-Meyer、FIM评分比治疗前显著提高，NIHSS评分则显著降低(P<0.05)；治疗后，rTMS组Fugl-Meyer、FIM评分比对照组显著提高，NIHSS评分显著降低（P<0.05）。两组治疗期间均无明显的不良反应发生。结论 rTMS对脑卒中患者的肢体运动功能有良好的改善作用，因此可作为一种无创性、新型的安全治疗手段。 |
| 关键词: 重复性经颅磁刺激 脑卒中 运动功能 |
| DOI：10.3969/j.issn.1674-3806.2017.02.14 |
| 分类号:R 741 |
| 基金项目: |
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| The effect of repetitive transcranial magnetic stimulation on the improvement of motor function in patients with stroke |
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LIU Chun-min
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Department of Rehabilitation, Nanshi Hospital of Nanyang City, Henan 473065, China
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| Abstract: |
| ［Abstract］ Objective To investigate the improving effect of repetitive transcranial magnetic stimulation on motor function in the patients with stroke.Methods One hundred patients with stroke who were treated in the rehabilitation department of our hospital from June 2013 to July 2015 were collected, and were randomly divided into the rTMS group and the control group, with 50 cases in each group. The control group was treated with rehabilitation therapy such as routine medicine, acupuncture and exercise. The rTMS group was treated with rTMS on the basis of the rehabilitation therapy in the control group. The changes of the motor function(Fugl-Meyer) scores, neurological deficit(NIHSS) scores and the daily living ability(FIM) scores were compared between the two groups before and after the treatment.Results After the treatment, the Fugl-Meyer and FIM scores were significantly more than those before the treatment in the two groups, the NIHSS scores were significantly less than those before the treatment(P<0.05). After the treatment, the Fugl Meyer and FIM scores in the rTMS group were significantly more than those in the control group, the NIHSS scores were significantly less than those in the control group(P<0.05). There were no obvious adverse reactions during the treatment period in the two groups.Conclusion rTMS is an effective, non-invasive and safe treatment method for impoving the limb motor function in the patients with stroke. |
| Key words: Repetitive transcranial magnetic stimulation(rTMS) Stroke Motor function |
