本文關(guān)鍵詞：針刺結(jié)合低頻重復(fù)經(jīng)顱磁刺激（LF-rTMS）治療腦卒中后上肢功能障礙的臨床研究　出處：《南京中醫(yī)藥大學(xué)》2017年碩士論文　論文類型：學(xué)位論文

  更多相關(guān)文章： 針刺 低頻重復(fù)經(jīng)顱磁刺激 腦卒中 上肢運動功能 臨床療效

【摘要】：目的觀察針刺配合低頻重復(fù)經(jīng)顱磁刺激(LF-rTMS)對腦卒中后上肢運動功能障礙的影響。方法采用隨機數(shù)字表法將腦卒中后上肢運動功能障礙的患者分為聯(lián)合組(n=20)和rTMS組(n=20)以及針刺組(n=20)。針刺組給予針刺配合常規(guī)康復(fù)治療,rTMS組給予常規(guī)康復(fù)和LF-rTMS治療,聯(lián)合組在針刺組治療的基礎(chǔ)上輔以LF-rTMS治療,刺激部位為健側(cè)半球的M1區(qū)(大腦運動皮質(zhì)的上肢運動功能代表區(qū)),刺激頻率為1.0Hz。于治療前、治療4周后采用簡易Fugl-Meyer運動功能量表(FMA)(上肢部分)、Wolf運動功能測試量表(WMFT)評分評價療效。結(jié)果rTMS組治療前后FMA評分和WMFT評分:(4.65±1.66)分、(7.45±2.63)分和(0.85±1.57)分、(10.05±4.02)分,針刺組治療前后FMA評分和WMFT評分:(4.45±0.89)分、(5.80±1.74)分和(0.6±1.23)分、(6.75±2.07)分,聯(lián)合組治療前后FMA評分和WMFT評分:(4.60±0.75)分、(13.55±2.56)分和(0.95±2.06)分、(8.95±3.90)分。3組治療前后FMA評分和WMFT評分均有提高,差異均具有統(tǒng)計學(xué)意義(P0.05);組間對比發(fā)現(xiàn),治療后,rTMS組WMFT評分優(yōu)于針刺組,FMA評分優(yōu)于針刺組;rTMS組和聯(lián)合組Wolf量表評分均明顯優(yōu)于對照組(P0.05),組間差異具均有統(tǒng)計學(xué)意義(P0.05)。結(jié)論針刺配合1Hz重復(fù)經(jīng)顱磁刺激(rTMS)可顯著促進腦卒中后偏癱上肢運動功能的恢復(fù)。
[Abstract]:Objective to observe the combination of acupuncture and low frequency repetitive transcranial magnetic stimulation (LF-rTIMT). Methods the patients with upper limb motor dysfunction after stroke were randomly divided into two groups: combined group (n = 20) and rTMS group (n = 20). The acupuncture group was given acupuncture combined with routine rehabilitation therapy. RTMS group was treated with routine rehabilitation and LF-rTMS, and the combined group was treated with LF-rTMS on the basis of acupuncture group. The stimulation site was M1 in the healthy hemisphere (the motor function of the upper extremity of the motor cortex represented by the region of motor function) and the stimulation frequency was 1.0 Hz before treatment. After 4 weeks of treatment, a simple Fugl-Meyer motor function scale (upper limb part) was used. Results FMA score and WMFT score of rTMS group were 4.65 鹵1.66 before and after treatment. 7.45 鹵2.63) and 0.85 鹵1.57) and 10.05 鹵4.02 respectively. Before and after treatment, the FMA score and WMFT score of the acupuncture group were 4.45 鹵0.89 and 5.80 鹵1.74 and 0.6 鹵1.23 respectively. The scores of FMA and WMFT before and after treatment were 6.75 鹵2.07 and 4.60 鹵0.75 respectively. The scores of FMA and WMFT were improved before and after treatment in group A (13.55 鹵2.56) and 0.95 鹵2.06 (8.95 鹵3.90) before and after treatment. The difference was statistically significant (P 0.05). The comparison between groups showed that the WMFT score of rTMS group was better than that of acupuncture group after treatment. The scores of Wolf in rTMS group and combined group were significantly better than those in control group (P 0.05). Conclusion Acupuncture combined with 1 Hz repetitive transcranial magnetic stimulation can significantly promote the recovery of motor function in the upper limb of hemiplegia after stroke.
【學(xué)位授予單位】：南京中醫(yī)藥大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2017
【分類號】：R743.3

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1 朱臨潼;針刺結(jié)合低頻重復(fù)經(jīng)顱磁刺激（LF-rTMS）治療腦卒中后上肢功能障礙的臨床研究[D];南京中醫(yī)藥大學(xué);2017年

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