重复经颅磁刺激对脑卒中患者中枢运动传导功能的影响.docVIP

重复经颅磁刺激对脑卒中患者中枢运动传导功能的影响 　　[摘要]目的 探讨重复经颅磁刺激（rTMS）对脑卒中患者中枢运动传导功能的影响。方法 选取2015年1月～2016年6月于我院神经内科住院的脑梗死患者共60例，随机分为A、B组，各30例。A组给予常规治疗，B组采用常规治疗+rTMS治疗。对所有患者治疗前及治疗10 d后均进行三重磁刺激（TST）检测，并比较神经功能评分。结果 两组患者患侧治疗后的TSTtest/TSTcontrol波幅和面积比率均不同程度降低，且B组的下降幅度更大（P0.05）。两组患者患侧治疗后的NIHSS、BI及FMA评分均显著改善，且B组的神经功能评分改善更明显（P0.05）。结论 TST 可作为脑卒中患者治疗的一个客观疗效评价指标。rTMS可降低脑卒中患者TST检测结果，改善中枢运动传导功能障碍。 　　[关键词]重复经颅磁刺激；三重磁刺激；脑卒中；运动功能 　　[中图分类号] R743.3 [文献标识码] A [文章编号] 1674-4721（2017）09（a）-0045-03 　　Influence of repetitive transcranial magnetic stimulation on central motor conduction function in patients with stroke 　　LIN Min-ting LI Ming YANG Xuan ZHOU Xue-xian 　　Electromyography Room of Functional Examination Department，Foshan Hospital of Traditional Chinese Medicine in Guangdong Province，Foshan 528000，China 　　[Abstract]Objective To investigate the influence of repetitive transcranial magnetic stimulation on central motor conduction function in patients with stroke.Methods 60 inpatients with cerebral infarction treated in neurology department of our hospital from January 2015 to June 2016 were selected.The patients were randomly divided into group A and group B，and there were 30 cases in each group.Group A was treated with conventional therapy while group B was treated with conventional therapy+rTMS treatment.The patients were detected with triple magnetic stimulation （TST） and neurological function score was compared before treatment and after 10 days treatment.Results The amplitude and area ratio of TSTtest/TSTcontrol decreased in different level in the two groups after ipsilateral treatment，and the decrease of group B was more significant （P0.05）.NIHSS，BI and FMA score were significantly improved in the two groups after ipsilateral treatment，and the neurological scores of group B improved more significantly （P0.05）.Conclusion TST can be used as an objective evaluation index for the treatment of stroke patients.TMS can reduce the TST test results of stroke patients，improve the central motor cond