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傅彩峰,高 朝,苏天慧,张春艳.低频重复经颅磁刺激对脑梗死患者恢复期运动功能的影响[J].中国康复医学杂志,2016,(2):150~153
低频重复经颅磁刺激对脑梗死患者恢复期运动功能的影响    点此下载全文
傅彩峰  高 朝  苏天慧  张春艳
青岛市中心医院康复医学科,青岛,266042
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摘要:
      摘要 目的:探讨低频重复经颅磁刺激(rTMS)对脑梗死患者恢复期运动功能障碍的影响。 方法:120例脑梗死恢复期患者随机分入rTMS患侧刺激组、健侧刺激组和对照组,每组各40例患者,对照组给予常规药物治疗及康复训练。在对照组治疗基础上患侧刺激组给予M1区100%运动阈值(MT)的rTMS,健侧刺激组给予M1区70%MT的rTMS。比较三组患者治疗前后的Fugl-Meyer评分(FMA)、Barthel指数(BI)、运动诱发电位(motion evoked potential, MEP)潜伏期并计算中枢运动传导时间(centermotion conduction time, CMCT)。 结果:治疗后与治疗前相比,三组患者的FMA评分、BI及MEP潜伏期、CMCT均改善(P<0.05),rTMS组治疗后优于对照组(P<0.05),但两治疗组间上述指标无明显差异(P>0.05)。 结论:低频rTMS可改善脑梗死恢复期的神经功能缺损,提高患者生活自理能力,改善生存质量。
关键词:康复  低频经颅磁刺激  脑梗死  恢复期  运动功能
Effects of low frequency repetitive transcranial magnetic stimulation for motor function in cerebral infarction recovery period    Download Fulltext
Central Hospital of Qingdao, 266042
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Abstract:
      Abstract Objective: To study the effect of low frequency repetitive transcranial magnetic stimulation (rTMS) on the recovery of motor function in cerebral infarction recovery period. Method: One hundred and twenty patients in the recovery stage of cerebral infarction were divided into three groups randomly: rTMS affected side group (n=40), healthy side group (n=40) and control group. The control group received conventional drug treatment and rehabilitation training. On the basis of control group the affected side group was treated with the rTMS of 100% MT in M1 region, the healthy side group was treated with the rTMS of 70% MT in M1 region. Fugl-Meyer assessment (FMA), Barthel index (BI), motion evoked potential (MEP), centermotion conduction time(CMCT) of the three groups were compared. Result: After treatment, FMA score, BI, and the MEP, CMCT of both groups were improved (P<0.05). Compared with control group, the result of rTMS group was better, but there was no statistically significant difference between the two treatment groups each index (P>0.05). Conclusion: Low frequency rTMS can improve the recovery stage of cerebral infarction, improve patient ability of daily life, improve the quality of life.
Keywords:rehabilitation  transcranial magnetic stimulation  cerebral infarction  recovery stage  motor function
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