| 刘青,王支发.重复经颅磁刺激治疗肩手综合征 50例观察[J].安徽医药,2021,25(1):124-126. |
| 重复经颅磁刺激治疗肩手综合征 50例观察 |
| Observation of clinical effect of rTMS on shoulder and hand syndrome in 50 cases |
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| DOI：10.3969/j.issn.1009?6469.2021.01.031. |
| 中文关键词: 肩手综合征 重复经颅磁刺激 脑卒中 运动障碍 运动活动 |
| 英文关键词: Shoulder?hand syndrome Transcranial magnetic stimulation Stroke Motor disorders Motor activity |
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| 中文摘要: |
| 目的观察重复经颅磁刺激(rTMS)对肩手综合征的临床疗效。方法选择 2017年 3月至 2018年 12月在安徽医科大学附属巢湖医院住院的脑卒中后并发肩手综合征病人 100例，按住院号单双号半随机分为两组，试验组与对照组各 50例，两组病人均予常规的康复治疗；对照组予冷水浸浴治疗，试验组予重复经颅磁刺激治疗。两组病人分别于治疗前、治疗 2周时进行 Fugl?Meyer上肢功能评定(FMA?UE)和疼痛视觉模拟评定(VAS)。结果两组病人经治疗后疼痛及上肢功能均改善(均 P＜0.05)，经治疗后试验组 FMA?UE评分(21.0±6.3)分、对照组(18.4±5.1)分，试验组 VAS评分(3.3±1.5)分、对照组(4.4±1.6)分，试验组疗效较对照组改善显著，两组比较差异有统计学意义(P＜0.05)。结论重复经颅磁刺激(rTMS)可有效改善脑卒中后肩手综合征疼痛及上肢运动功能。 |
| 英文摘要: |
| Objective To observe the clinical effect of repeated transcranial magnetic stimulation(rTMS)on shoulder?hand syn? drome(SHS).Methods A total of 100 patients with SHS after stroke treated inChaohu Hospital of Anhui Medical University fromMarch 2017 to December 2018 were chosen and randomly assigned to the experimental group(n＝50)and the control group(n＝ 50).The patients were randomly divided into two groups.Both groups received conventional rehabilitation treatment.The control groupwas treated with cold water immersion bath，while the experimental group was treated with rTMS.Fugl?meyer assessment of upper limb function(FMA?UE)and visual analogue scale of pain(VAS)were evaluated before and 2 weeks after treatment，respectively.Results Both groups showed significant improvement in upper limb pain and function(all P＜0.05).After treatment，FMA?UE score in the experimental group and control group was(21.0±6.3)and(18.4±5.1)，respectively，VAS score in the experimental group and the control group was(3.3±1.5)and(4.4±1.6)，respectively.The efficacy of the experimental group was significantly improved com? pared with that of the control group，and the difference between the two groups was statistically significant(P＜0.05).Conclusion The rTMS training program performed on shoulder?hand syndrome has a beneficial effect on pain and upper limb function. |
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