本文關(guān)鍵詞： 低頻重復(fù)經(jīng)顱磁刺激(r TMS) 急性腦梗死 療效　出處：《中國公共衛(wèi)生》2017年07期 　論文類型：期刊論文

【摘要】：目的分析低頻重復(fù)經(jīng)顱磁刺激(rTMS)對(duì)急性腦梗死患者的療效,為急性腦梗死的治療提供科學(xué)依據(jù)。方法整群抽取2016年1—11月在河北承德醫(yī)學(xué)院附屬醫(yī)院接受治療的200例急性腦梗死伴有偏癱患者,將其隨機(jī)分為rTMS組和常規(guī)組各100例,2組均給予常規(guī)康復(fù)治療,rTMS組同時(shí)給予rTMS治療,比較2組患者的美國國立衛(wèi)生研究院卒中量表(NIHSS)評(píng)分、巴氏指數(shù)(BI)、Fugl-Meyer評(píng)分、運(yùn)動(dòng)誘發(fā)電位(MEP)潛伏期、MEP波幅、中樞運(yùn)動(dòng)傳導(dǎo)時(shí)間(CMCT)和漢密爾頓焦慮量表(HAMA)評(píng)分等指標(biāo),以評(píng)價(jià)rTMS對(duì)急性腦梗死患者的療效。結(jié)果rTMS組與常規(guī)組患者治療前比較,2組患者NIHSS評(píng)分、BI指數(shù)、Fugl-Meyer評(píng)分、MEP潛伏期、MEP波幅、CMCT、HAMA評(píng)分等指標(biāo)差異均無統(tǒng)計(jì)學(xué)意義(均P0.05);治療2周后,rTMS組患者的BI指數(shù)[(69.43±7.85)%]、Fugl-Meyer評(píng)分[(65.20±6.84)分]和MEP波幅[(1.04±0.19)mv]均高于常規(guī)組患者的[(63.18±8.40)%]、[(60.88±7.47)分]和[(0.91±0.15)mv],NIHSS評(píng)分[(5.13±1.96)分]、MEP潛伏期[(23.72±0.43)ms]和CMCT[(10.11±0.49)ms]均低于常規(guī)組患者的[(5.72±1.88)分]、[(24.10±0.38)ms]和[(10.67±0.43)ms],差異均有統(tǒng)計(jì)學(xué)意義(均P0.05);治療4周后,rTMS組患者的BI指數(shù)[(83.20±8.17)%]、Fugl-Meyer評(píng)分[(74.12±6.65)分]和MEP波幅[(1.15±0.16)mv]均高于常規(guī)組患者的[(76.94±9.35)%]、[(69.36±7.17)分]和[(0.96±0.18)mv],NIHSS評(píng)分[(3.27±1.05)分]、MEP潛伏期[(23.12±0.36)ms]、CMCT[(9.62±0.51)ms]和HAMA評(píng)分[(7.53±1.86)分]均低于常規(guī)組患者的[(4.06±1.13)分]、[(23.70±0.47)ms]、[(10.01±0.64)ms]和[(8.96±1.97)分],差異均有統(tǒng)計(jì)學(xué)意義(均P0.05)。結(jié)論rTMS可明顯改善急性腦梗死患者的運(yùn)動(dòng)功能及焦慮狀態(tài)。
[Abstract]:Objective to analyze the effect of low frequency repetitive transcranial magnetic stimulation (RTMS) on patients with acute cerebral infarction. Methods 200 patients with acute cerebral infarction with hemiplegia were selected from 2016 to November in affiliated Hospital of Chengde Medical College of Hebei Province. They were randomly divided into two groups: rTMS group and routine group (n = 100). Both groups were given routine rehabilitation therapy and rTMS treatment. The NIHSS scores of the two groups were compared, and the Pap index Fugl-Meyer score was compared between the two groups. The latent period of motor evoked potential (MEP), the amplitude of MEP, the central motor conduction time (CMCTs) and the Hamilton anxiety scale (Hama) score, etc. Results there was no significant difference in NIHSS score and Fugl-Meyer score between rTMS group and routine group before treatment, and there was no significant difference in NIHSS latency and amplitude of MEP wave and Hama score between rTMS group and control group (P 0.05). The BI index [69.43 鹵7.85mv] Fugl-Meyer score [65.20 鹵6.84] and the amplitude of MEP (1.04 鹵0.19mv) in the rTMS group were significantly higher than those in the normal group [63.18 鹵8.40%], [60.88 鹵7.47] and [0.91 鹵0.15mv] [5.13 鹵1.96] and the latency of MEP [23.72 鹵0.43ms] and CMCT [10.11 鹵0.491ms] were significantly lower than those in the normal group [63.18 鹵8.40%] and [0.91 鹵0.15mv] [5.13 鹵1.96], respectively. There was significant difference in the latency of MEP [23.72 鹵0.43 Ms] and CMCT [10.11 鹵0.49 Ms]. The BI index [83.20 鹵8.17g%] Fugl-Meyer score [74.12 鹵6.65] and the MEP amplitude [1.15 鹵0.16mv] in the rTMS group [76.94 鹵9.35%], [69.36 鹵7.17) minutes] and [0.96 鹵0.18mv] NIHSS score [3.27 鹵1.05m] in the control group were significantly lower than those in the routine group [23.12 鹵0.36ms] and HAMA scores [9.62 鹵0.51ms] and 0.64ms 鹵0.64ms (7.53 鹵1.86mv). [0.96 鹵0.18mv] [3.27 鹵1.05mV] [23.12 鹵0.36ms] and HAMA scores [7.53 鹵1.86ms] were significantly lower than those in the routine group [76.94 鹵9.35mv] and [0.96 鹵0.18mv] [3.27 鹵1.05m] and [23.12 鹵0.36ms] and HAMA scores (7.53 鹵1.86ms), respectively. The difference was statistically significant (P 0.05). Conclusion rTMS can significantly improve motor function and anxiety state in patients with acute cerebral infarction.
【作者單位】： 承德醫(yī)學(xué)院附屬醫(yī)院老年病科;
【分類號(hào)】：R743.33

【相似文獻(xiàn)】

相關(guān)期刊論文 前10條

1 田鳳石,鞏巖霞,葛進(jìn),朱玉霞,吳巖,趙明,張秀泉,姜霞,郭金玲,王金良;急性腦梗死患者可溶性細(xì)胞粘附分子及相關(guān)因素的研究[J];中國危重病急救醫(yī)學(xué);2000年12期

2 李桂英,孟秋云;欣坦治療急性腦梗死42例療效觀察[J];現(xiàn)代中西醫(yī)結(jié)合雜志;2002年07期

3 馬可夫,楮曉凡;急性腦梗死患者血清血管內(nèi)皮生長(zhǎng)因子的測(cè)定[J];中風(fēng)與神經(jīng)疾病雜志;2003年01期

4 鄭曉紅;硫酸鎂佐治急性腦梗死40例療效觀察[J];臨床醫(yī)藥實(shí)踐;2003年09期

5 郭百海;周麗;;經(jīng)顱超聲多普勒診斷急性腦梗死的價(jià)值[J];中國實(shí)用內(nèi)科雜志;2006年S2期

6 翁保慧;;超敏C-反應(yīng)蛋白與急性腦梗死的相關(guān)性分析[J];廣西醫(yī)科大學(xué)學(xué)報(bào);2007年01期

7 薛新宏;王大力;彭延波;張江;高素玲;常莉莎;張麗;趙曉晶;;急性腦梗死患者血清神經(jīng)元特異性烯醇化酶的變化[J];華北煤炭醫(yī)學(xué)院學(xué)報(bào);2007年06期

8 郭秀鳳;李運(yùn)剛;李化勇;夏英凱;;急性腦梗死患者血漿單核細(xì)胞趨化蛋白-1和組織因子的變化[J];中華老年心腦血管病雜志;2008年10期

9 馬莉莎;劉仲華;隋彩珍;;單唾液酸四己糖神經(jīng)節(jié)苷脂治療急性腦梗死64例療效觀察[J];山東醫(yī)藥;2009年05期

10 王永萍;;高同型半胱氨酸血癥與急性腦梗死關(guān)系探討[J];社區(qū)醫(yī)學(xué)雜志;2009年17期

相關(guān)會(huì)議論文 前10條

1 黃菊明;;探討神經(jīng)元特異性烯醇化酶在急性腦梗死患者中的臨床價(jià)值[A];2007年浙江省神經(jīng)病學(xué)學(xué)術(shù)年會(huì)論文匯編[C];2007年

2 張?jiān)蕩X;;急性腦梗死毒損腦絡(luò)學(xué)說基礎(chǔ)與臨床研究進(jìn)展[A];第二屆中西醫(yī)結(jié)合腦病診治新進(jìn)展高級(jí)研討班專家講義及論文匯編[C];2010年

3 毛銳;聶志余;靳令經(jīng);封亮;陳玉輝;李云霞;;頸動(dòng)脈粥樣硬化性狹窄或閉塞所致急性腦梗死類型研究[A];中華醫(yī)學(xué)會(huì)第十三次全國神經(jīng)病學(xué)學(xué)術(shù)會(huì)議論文匯編[C];2010年

4 張小雨;張鳳;王棟;張媛媛;李曉紅;;急性腦梗死后血糖水平與輕度認(rèn)知功能損害關(guān)系研究[A];2011全國老年癡呆與衰老相關(guān)疾病學(xué)術(shù)會(huì)議第三屆山東省神經(jīng)內(nèi)科醫(yī)師（學(xué)術(shù)）論壇論文匯編[C];2011年

5 耿亞蘭;鐘傳林;楊清樺;;急性腦梗死患者超敏C-反應(yīng)蛋白監(jiān)測(cè)的臨床意義[A];貴州省醫(yī)學(xué)會(huì)第八屆神經(jīng)病學(xué)年會(huì)論文集[C];2010年

6 趙路清;崔愛勤;劉錦峰;張運(yùn)生;王惠聰;郭學(xué)英;劉改生;郭志昌;;不同劑量金爾倫治療急性腦梗死的臨床研究[A];中華醫(yī)學(xué)會(huì)第七次全國神經(jīng)病學(xué)學(xué)術(shù)會(huì)議論文匯編[C];2004年

7 吳云成;趙永波;談?dòng)阑?喬健;呂傳真;;血清神經(jīng)元特異性烯醇化酶與急性腦梗死患者遠(yuǎn)期預(yù)后的相關(guān)性研究[A];中華醫(yī)學(xué)會(huì)第七次全國神經(jīng)病學(xué)學(xué)術(shù)會(huì)議論文匯編[C];2004年

8 劉軍;富昭;魚博浪;張明;丁暉;吳蘭琴;邵瑩;劉慶祿;;氫質(zhì)子磁共振波譜在急性腦梗死診斷中的價(jià)值[A];人體斷面數(shù)據(jù)獲取與圖像處理研討會(huì)論文匯編[C];2005年

9 蘇慶杰;陳志斌;蔡美華;王W，

本文編號(hào)：1516881