通督调神针刺结合重复经颅磁刺激对脑梗死患者康复治疗的效果观察

目的：探究通督调神针刺结合重复经颅磁刺激（rTMS）治疗对脑梗死患者血小板、语言及运动能力的影响。方法：选取2019年7月至2021年2月北京市大兴区人民医院神经内科住院治疗的新发脑梗死和复发脑梗死患者112例作为研究对象，按入院顺序奇偶数分为观察组和对照组，每组56例。对照组采用内科常规治疗；观察组在对照组基础上加用通督调神针刺结合重复经颅磁刺激（rTMS）治疗，2组疗程均为4周。比较2组患者治疗后总有效率及治疗前后语言能力、Fugl-Meyer评分及血小板参数。结果：观察组、对照组的总有效率分别为92.86%和75.00%，2组比较差异有统计学意义（P<0.05）；治疗后2组患者语言能力、Fugl-Meyer评分均显著升高（均P<0.05），且观察组高于对照组（P<0.05）；治疗后2组患者的血小板参数均下降（均P<0.05），且观察者组低于对照组（P<0.05）。结论：通督调神针刺结合rTMS对脑梗死患者疗效显著，能够有效改善患者生活能力。

Efficacy of Tongdu Tiaoshen Acupuncture Therapy Combined with Repetitive Transcranial Magnetic Stimulation in the Rehabilitation of Patients with Cerebral Infarction

To explore the effects of Tongdu Tiaoshen acupuncture therapy combined with repetitive transcranial magnetic stimulation(rTMS) on the platelet parameters,language ability,and movement ability in the patients with cerebral infarction.Methods:A total of 112 patients with cerebral infarction treated at Department of Neurology,Beijing Daxing District People''s Hospital were randomly assigned into an observation group(56 patients) and a control group(56 patients).On the basis of the routine treatment in the control group,the observation group received Tongdu Tiaoshen acupuncture therapy combined with rTMS.Both treatments lasted for four weeks,and the total effective rate was compared between the two groups.Furthermore,the score of language ability,Fugl-Meyer score,and platelet parameters were compared between before and after treatments and between the two groups.Results:The total effective rate in the observation group was higher than that in the control group(92.86% vs.75.00%,P<0.05).After treatment,the scores of language ability and Fugl-Meyer in the two groups increased(P<0.05) and were higher in the observation group than in the control group(P<0.05).After treatment,the platelet parameters in the two groups decreased(P<0.05) and were lower in the observation group than in the control group(P<0.05).Conclusion:Tongdu Tiaoshen acupuncture therapy combined with rTMS can improve the living ability of the patients with cerebral infarction,which is worthy of application in clinical practice.