| 王红娟,宋慧群,司翠平,曹玉灵.高频重复经颅磁刺激联合电针治疗缺血性脑卒中伴肢体痉挛的疗效观察[J].中国康复,2025,40(7):398-401 |
| 高频重复经颅磁刺激联合电针治疗缺血性脑卒中伴肢体痉挛的疗效观察 |
| Efficacy of magnetic stimulation combined with electroacupuncture in the treatment of ischemic stroke with limb spasticity |
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| DOI：10.3870/zgkf.2025.07.003 |
| 中文关键词: 高频重复经颅磁刺激 电针 缺血性脑卒中 肢体痉挛 疗效 |
| 英文关键词: high-frequency repetitive transcranial magnetic stimulation electroacupuncture ischemic stroke limb spasms efficacy |
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| 中文摘要: |
| 目的：观察高频重复经颅磁刺激（rTMS）联合电针治疗缺血性脑卒中（IS）伴肢体痉挛的疗效。方法：选择我院收治的IS伴肢体痉挛患者102例，按随机数字表法分为研究组和对照组各51例。对照组予高频rTMS治疗，研究组予高频rTMS联合电针治疗，均为1次/d，20min/次，5d/周，共8周。于治疗前后分别进行改良Ashworth分级、美国国立卫生研究院卒中量表（NIHSS）、运动功能、改良巴氏指数（MBI）评估及血液流变学检测，并计算治疗有效率以比较2组的治疗效果。结果：治疗后，2组改良Ashworth分级低于治疗前（P＜0.05），且研究组低于对照组（P＜0.01）；2组Fugl-Meyer评分量表上肢部分（FMA-UE）、下肢部分（FMA-LE）、MBI评分均高于治疗前（P＜0.01），且研究组高于对照组（P＜0.01）；2组NIHSS、血浆粘度（PV）、红细胞聚集指数（EAI）均降低（P＜0.01），且研究组低于对照组（P＜0.01）；研究组总有效率高于对照组（P＜0.05）。结论：高频rTMS联合电针治疗IS伴肢体痉挛的疗效优于单用高频rTMS治疗，具有临床应用价值。 |
| 英文摘要: |
| Objective: To observe the efficacy of high-frequency repetitive transcranial magnetic stimulation (rTMS) in combination with electroacupuncture in treating ischemic stroke (IS) with limb spasms. Methods: All 102 IS patients with limb spasms admitted to our hospital were grouped via random number table. The control group (51 cases) received high-frequency rTMS (1 time/day, 20 min/time, 5 d/week, 8 weeks), while test group (51 cases) received high-frequency rTMS (1 time/day, 20 min/time, 5 d/week, 8 weeks) combined with electroacupuncture (1 time/day, retain needles for 20 min each time, 5 times/week, for 8 weeks). Efficacy, modified Ashworth grading, National Institutes of Health Stroke Scale (NIHSS), motor function, modified Barthel Index (MBI), and hemorheology were compared. Results: Both groups had better modified Ashworth scale grading than before treatment, and the test group was better than the control group (P<0.05). After treatment, the scales of the simplified Fugl-Meyer Assessment (FMA) - upper extremities (UE), FMA - lower extremities (LE), and MBI were higher in both groups with the test group scoring significantly higher than the control group (all P<0.01). After treatment, the NIHSS scale, plasma viscosity (PV), and erythrocyte aggregation index (EAI) were decreased in both groups, and these values were significantly lower in the test group than in the control group (all P<0.01). The test group had a higher overall effective rate than control group(P<0.05). Conclusion: The combination of high-frequency rTMS and electroacupuncture is effective in treating IS with limb spasms, and can improve the modified Ashworth grading, NIHSS score, motor function, daily living activity ability, and hemorheology. |
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