针灸临床杂志
針灸臨床雜誌
침구림상잡지
JOURNAL OF CLINICAL ACUPUNCTURE AND MOXIBUSTION
2013年
11期
14-17
,共4页
重复经颅磁刺激%针刺%脑梗塞%神经元特异性烯醇酶%磁共振波谱
重複經顱磁刺激%針刺%腦梗塞%神經元特異性烯醇酶%磁共振波譜
중복경로자자격%침자%뇌경새%신경원특이성희순매%자공진파보
Repetitive transcranial magnetic stimulation%Acupuncture%Cerebral infarction%Neuron specific enolase%Magnetic resonance spectrum
目的：观察重复经颅磁刺激结合针刺对脑梗塞患者NSE水平的影响及磁共振波谱分析代谢物的变化。方法：将符合纳入标准的180例患者，按随机数字表法随机分成3组，每组60例，rTMS组给予重复经颅磁刺激治疗，针刺组给予针刺治疗，治疗组给予重复经颅磁刺激配合针刺治疗，一个疗程后进行相关疗效评定。结果：治疗组总有效率为96．67％，针刺组总有效率为88．33％，rTMS组总有效率为75.00％，治疗组的临床疗效明显优于针刺组和对照组，差异有统计学意义（P＜0．05，P＜0．01），针刺组优于rTMS组，差异有统计学意义（P＜0．05）。治疗组在NIHSS、NSE、NAA、Lac、FMA和MBI方面均优于针刺组和rTM组，差异均有统计学意义（ P＜0．05）；针刺组在NIHSS、FMA和MBI方面均优于rTMS组，差异均有统计学意义（P＜0．05），在NSE、NAA和Lac方面针刺组和rTMS组差异无统计学意义（P＞0．05）。结论：脑梗塞患者采用重复经颅磁刺激结合针刺治疗，能显著提高临床疗效，修复神经功能缺损，改善肢体运动能力和日常生活能力，并可降低NSE水平，提高NAA释放，加速Lac清除。
目的：觀察重複經顱磁刺激結閤針刺對腦梗塞患者NSE水平的影響及磁共振波譜分析代謝物的變化。方法：將符閤納入標準的180例患者，按隨機數字錶法隨機分成3組，每組60例，rTMS組給予重複經顱磁刺激治療，針刺組給予針刺治療，治療組給予重複經顱磁刺激配閤針刺治療，一箇療程後進行相關療效評定。結果：治療組總有效率為96．67％，針刺組總有效率為88．33％，rTMS組總有效率為75.00％，治療組的臨床療效明顯優于針刺組和對照組，差異有統計學意義（P＜0．05，P＜0．01），針刺組優于rTMS組，差異有統計學意義（P＜0．05）。治療組在NIHSS、NSE、NAA、Lac、FMA和MBI方麵均優于針刺組和rTM組，差異均有統計學意義（ P＜0．05）；針刺組在NIHSS、FMA和MBI方麵均優于rTMS組，差異均有統計學意義（P＜0．05），在NSE、NAA和Lac方麵針刺組和rTMS組差異無統計學意義（P＞0．05）。結論：腦梗塞患者採用重複經顱磁刺激結閤針刺治療，能顯著提高臨床療效，脩複神經功能缺損，改善肢體運動能力和日常生活能力，併可降低NSE水平，提高NAA釋放，加速Lac清除。
목적：관찰중복경로자자격결합침자대뇌경새환자NSE수평적영향급자공진파보분석대사물적변화。방법：장부합납입표준적180례환자，안수궤수자표법수궤분성3조，매조60례，rTMS조급여중복경로자자격치료，침자조급여침자치료，치료조급여중복경로자자격배합침자치료，일개료정후진행상관료효평정。결과：치료조총유효솔위96．67％，침자조총유효솔위88．33％，rTMS조총유효솔위75.00％，치료조적림상료효명현우우침자조화대조조，차이유통계학의의（P＜0．05，P＜0．01），침자조우우rTMS조，차이유통계학의의（P＜0．05）。치료조재NIHSS、NSE、NAA、Lac、FMA화MBI방면균우우침자조화rTM조，차이균유통계학의의（ P＜0．05）；침자조재NIHSS、FMA화MBI방면균우우rTMS조，차이균유통계학의의（P＜0．05），재NSE、NAA화Lac방면침자조화rTMS조차이무통계학의의（P＞0．05）。결론：뇌경새환자채용중복경로자자격결합침자치료，능현저제고림상료효，수복신경공능결손，개선지체운동능력화일상생활능력，병가강저NSE수평，제고NAA석방，가속Lac청제。
Objective:To observe the effect of repetitive transcranial magnetic stimulation combined with acu-puncture on NSE levels of patients with cerebral infarction and the influence of the metabolite changes in mag -netic resonance spectrum analysis .Methods:180 patients who met the standard were randomly divided into three groups , each group with 60 cases.Give repetitive transcranial magnetic stimulation in rTMS group;acu-puncture group was given acupuncture treatment;the treatment group was given repetitive transcranial magnetic stimulation with acupuncture treatment , after one course to assess the curative effect .Results:Total effective rate in the treatment group was 96 .67%;the total effective rate in the acupuncture group was 88 .33%;the total effective rate in the rTMS group was 75 .00%.The clinical curative effect in the treatment group was better than acupuncture group and the control group ,and the difference was statistically significant ( P<0 .05 ,P<0.01 ) , and the acupuncture group was better than the rTMS group , the difference was statistically significant ( P <0.05 ) .NIHSS, NSE, NAA, Lac, FMA and MBI in the treatment group were superior to the rTM group and ac-upuncture group , and the difference had a statistical significance ( P<0 .05 ); acupuncture group was superior to the rTMS group in the NIHSS , FMA and MBI ,and the difference had a statistical significance ( P<0 .05 );in the aspect of Lac , NSE and NAA in the acupuncture group and rTMS group there was no statistically significant difference(P>0.05).Conclusion:Patients with cerebral infarction by using repetitive transcranial magnetic stimulation combined with acupuncture treatment can significantly improve the clinical curative effect , and re-pair the nerve function defect , improve the body movement and daily life ability , and the method can decrease NSE level , improve the NAA release and accelerate the Lac .
