摘要
目的:观察低频r TMS治疗对于卒中后运动功能障碍恢复的作用,同时观察脑出血患者低频r TMS治疗的安全性。方法:选取75例患者,采用随机数字表法随机分组:对照组(n=39),治疗组(n=36)。2组患者均予常规康复训练,治疗组除常规康复治疗外,予健侧M1区低频r TMS治疗,每日1次,共20天。治疗前后分别对各组患者进行FuglMeyer评分(包括上肢及下肢评分)、FIM、Berg评分。结果:(1)Fugl-Meyer评分:治疗后2组患者Fugl-Meyer评分均升高,与对照组相比,治疗组评分(特别是上肢评分)升高更明显(P<0.05)。(2)Berg评分:2组患者在治疗后Berg评分较治疗前均有升高,且治疗组明显高于对照组(P<0.05)。(3)FIM评分:2组患者在治疗后FIM评分较治疗前均有升高,但是2组未显示显著性差异(P>0.05)。(4)安全性:治疗过程中所有观察对象均未出现不良反应,安全性较好。结论:健侧M1区低频r TMS能明显提高卒中后患者偏瘫肢体的运动功能及平衡功能,对上肢功能作用更显著,且治疗安全性好。
Objective： To study the effect of low frequency repetitive transcranial magnetic stimulation （rTMS） on dyskinesia in stroke patients, and its safety for patients with cerebral hemorrhage. Method： Seventy-five stroke patients were randomly assigned to treatment group（n=36）and control group（n=39）.Both groups received conventional rehabilitation, and the treatment group received rTMS in M1 region,once a day, a total of 20 days. Both groups were assessed with Fugl-Meyer Assessment （FMA）,Functional Independence Measure（FIM）and Berg before and after treatment. Result： ①Fugl-Meyer Assessment：Fugl-Meyer scores of the 2 groups were both elevated after treatment. Compared with the control group,the treatment group score for the upper limb increased more significantly （P〈0.05）. ②Berg scale：The scores of Berg scale in 2 groups were higher than those before treatment,and the treatment group was significantly higher than the control group（P〈0.05）. ③FIM： The post treatment scores of FIM in 2 groups were higher than those before treatment, however, no significant difference was found between the 2 groups（P〉0.05）. ④Safety： No side-effects were observed during treatment, and the safety is good. Conclusion： rTMS is safe and can improve motor function （especially for upper limb） and balance function significantly for stroke patients.
作者
赵晓琳
刘天龙
周禹鑫
张立新
ZHAO Xiaolin;LIU Tianiong;ZHOU Yuxin;et al.(Rehabilitation Center of Shengjing Hospital of China Medical University, 110000)
出处
《中国康复医学杂志》
CAS
CSCD
北大核心
2018年第7期800-805,共6页
Chinese Journal of Rehabilitation Medicine
关键词
脑卒中
重复经颅磁刺激
运动障碍
stroke
transcranial magnetic stimulation
dyskinesia
作者简介
赵晓琳，女，硕士研究生，住院医师;通讯作者
