经颅磁刺激在急性脑梗死运动功能康复中的作用

目的 研究经颅磁刺激对运动传导通路的易化作用及其脑卒中运动功能康复中的作用。资料与方法 选取65例住院的急性脑梗死患者，在基本治疗相同的情况下，治疗组给予14天的经颅磁刺激治疗。比较第1天和第14天的MEP（运动诱发电位）、CMCT（中枢运动传导时间）、肌力和Fugl-Meyer运动功能评分。结果 在Gug-Meyer运动功能评分、肌力和CMCT等方面：治疗前，两组无显著性差异；治疗后，两组分别与治疗前相比，均有非常显著性差异，治疗组的运动功能恢复明显优于对照组。治疗前后，两组之间的MEP潜伏期无显著性差异。结论 脑卒中急性期进行经颅磁刺激治疗，可明显缩短CMCT，有利于运动功能的恢复。

The effect of TMS on motor function in patients with acute brain infarction

ObjectiveWe discussed the effect of TMS on the motor conduction pathway and studied the function of TMS in the motor function of patients with stroke. Methods65 patients with acute brain infarction were divided into two groups, treatment group given TMS once a day and contral group. Motor nerve center was stimulated twice or three times each day. 14 days were one period of treatment. MEP, CMCT, force and Fugl Meyer scores were recorded on the first and the last days. Results Before treatment, there was no difference between two groups on CMCT, force and Fugl Meyer scores. After treatment, the patients in the treatment group got much better improvement in movement ability than the patients in the control group. But there was no difference between two groups on MEP neither before nor after treatment. Conclusions TMS can help patients with stroke to regain movement ability, and improve the recovery of force and fine movement, and also reduce the CMCT distinguishably. TMS is easy to use and no evidently uncomfortable influence on patients happens.