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重复经颅磁刺激与中频电疗对脑梗死后上肢运动功能康复的影响
引用本文:阮瑞琨,吴缝潮.重复经颅磁刺激与中频电疗对脑梗死后上肢运动功能康复的影响[J].中国处方药,2022(1).
作者姓名:阮瑞琨  吴缝潮
作者单位:中山市中医院神经内科康复科
摘    要:目的探析脑梗死患者应用重复经颅磁刺激与中频电疗对其上肢运动功能康复的影响。方法选取2021年3月~2021年8月期间收治的46例脑梗死患者进行分组研究,随机分为对照组(n=23)与观察组(n=23)。对照组给予常规药物与肢体功能康复治疗,观察组基于对照组治疗方案给予重复经颅磁刺激与中频电疗,对比两组临床疗效,运动功能量表(Fugl-Meyer)评分及不良反应发生率。结果观察组临床总有效率为95.65%,对照组为73.91%,观察组显著高于对照组(P<0.05)。观察组治疗后Fugl-Meyer评分显著高于对照组(P<0.05)。观察组不良反应发生率为8.70%,对照组为4.34%,差异无统计学意义(P>0.05)。结论脑梗死患者应用重复经颅磁刺激与中频电疗后,可进一步提高临床疗效,改善神经功能及运功功能,且不会增加不良反应。

关 键 词:脑梗死  康复治疗  经颅磁刺激  中频电疗  上肢运动功能

Effect of repetitive transcranial magnetic stimulation and intermediate frequency electrotherapy on the rehabilitation of upper limb motor function after cerebral infarction
Authors:RUAN Rui-kun  WU Feng-chao
Institution:(Zhongshan Traditional Chinese Medicine Hospital,Zhongshan 528400,China)
Abstract:Objective To analyze the effects of repetitive transcranial magnetic stimulation and intermediate frequency electrotherapy on the rehabilitation of upper limb motor function in patients with cerebral infarction.Methods 46 patients with cerebral infarction admitted to our hospital from March 2021 to August 2021 were selected as lbjects for group study,and randomly divided into a control group(n=23)and an observation group(n=23).The control group was given conventional drugs and limb function rehabilitation treatment,and the observation group was given repetitive transcranial magnetic stimulation and intermediate frequency electrotherapy based on the control group.The clinical efficacy,Fugl-Meyer score and the incidence of adverse reactions were compared between the two groups.Results The total clinical effective rate of the observation group was 95.65%,and that of the control group was 73.91%,the observation group was significantly higher than the control group(P<0.05).The Fugl-Meyer score in the observation group was significantly higher than that in the control group after treatment(P<0.05).The incidence of adverse reactions was 8.70%in the observation group and 4.34%in the control group,the difference was not statistically significant(P>0.05).Conclusion The application of repeated transcranial magnetic stimulation and intermediate frequency electrotherapy in patients with cerebral infarction can further improve the clinical efficacy,improve neurological and functional functions,and will not increase adverse reactions.
Keywords:Cerebral infarction  Rehabilitation treatment  Transcranial magnetic stimulation  Medium frequency electrotherapy  Upper limb motor function
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