| Clinical study of repetitive transcranial magnetic stimulation combined with acupuncture in the treatment of neuropathic pain after spinal cord injury |
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| DOI： |
| EN KeyWords: Transcranial magnetic stimulation Acupuncture Spinal cord injury Neuropathic pain |
| Fund Project:浙江省医药卫生科技计划（2022KY592） |
| 作者 | 单位 | | 余艳梅 | 1.浙江中医药大学,杭州 310053；2.浙江省人民医院康复中心,浙江省康复与运动医学研究所,浙江省人民医院康复医学科,杭州医学院附属人民医院,杭州 310014 | | 刘勇 | 浙江省人民医院康复中心,浙江省康复与运动医学研究所,浙江省人民医院康复医学科,杭州医学院附属人民医院,杭州 310014 | | 徐智韬 | 浙江省人民医院康复中心,浙江省康复与运动医学研究所,浙江省人民医院康复医学科,杭州医学院附属人民医院,杭州 310014 | | 李伟利 | 浙江省人民医院康复中心,浙江省康复与运动医学研究所,浙江省人民医院康复医学科,杭州医学院附属人民医院,杭州 310014 | | 吕倩 | 浙江省人民医院康复中心,浙江省康复与运动医学研究所,浙江省人民医院康复医学科,杭州医学院附属人民医院,杭州 310014 |
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| EN Abstract: |
| Objective: To observe the clinical efficacy of repetitive transcranial magnetic stimulation (rTMS) combined with acupuncture in the treatment of neuropathic pain (NP) after spinal cord injury (SCI). Methods: A total of 99 patients with NP after SCI were randomly divided into control group, acupuncture group and combined group, with 33 cases in each group. The control group received routine basic treatment, the acupuncture group received acupuncture treatment on the basis of the control group, and the combined group received rTMS treatment on the basis of the acupuncture group. The patients in the three groups were assessed with visual analogue scale (VAS), Hamilton Depression Scale (HAMD), Hamilton Anxiety Scale (HAMA) and quality of life SF-36 before and 6 weeks after treatment. Results: After 6 weeks of treatment, the VAS score, HAMD score and HAMA score in the three groups were significantly lower (P<0.05), and the scores of SF-36 were significantly higher than those before treatment (P<0.05); The VAS score, HAMD score and HAMA score in the acupuncture group were lower (P<0.05), and the scores of SF-36 scale were higher than those in the control group (P<0.05); The VAS score, HAMD score and HAMA score in the combined group were lower (P<0.05), and the scores of SF-36 scale were higher than those in the acupuncture group and the control group (P<0.05). Conclusion: rTMS combined with acupuncture in the treatment of NP patients after SCI is helpful to alleviate the clinical pain, and has a significant effect in improving the mood and quality of life of patients. |
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