CAJ | 학술논문

目的：观察重复经颅磁刺激（ rTMS）对脑梗死患者运动功能恢复的影响。方法共选取60例脑梗死偏瘫的患者，随机分为低频刺激组，高频刺激组，对照组，每组20例。患者均接受脑梗死常规治疗，低频组和高频组在常规治疗基础上予以每天30 min的rTMS治疗，疗程10 d。比较治疗前后患者的运动功能，采用简式Fugl-Meyer评分（FMA）评定，同时检测各组脑梗死患侧运动诱发电位（MEP）潜伏期、波幅。结果治疗后，三组FMA评分均有明显的提高（P＜0．05），低频组及高频组FMA评分明显高于对照组（P＜0．05），低频刺激组和高频刺激组相比，FMA评分差异无统计学意义（P＞0．05），但低频刺激组MEP潜伏期较高频刺激组缩短（P＜0．05）、波幅峰值高于高频刺激组（P＜0．05）。结论低频及高频刺激均有利于脑梗死患者运动功能的康复。
목적：관찰중복경로자자격（ rTMS）대뇌경사환자운동공능회복적영향。방법공선취60례뇌경사편탄적환자，수궤분위저빈자격조，고빈자격조，대조조，매조20례。환자균접수뇌경사상규치료，저빈조화고빈조재상규치료기출상여이매천30 min적rTMS치료，료정10 d。비교치료전후환자적운동공능，채용간식Fugl-Meyer평분（FMA）평정，동시검측각조뇌경사환측운동유발전위（MEP）잠복기、파폭。결과치료후，삼조FMA평분균유명현적제고（P＜0．05），저빈조급고빈조FMA평분명현고우대조조（P＜0．05），저빈자격조화고빈자격조상비，FMA평분차이무통계학의의（P＞0．05），단저빈자격조MEP잠복기교고빈자격조축단（P＜0．05）、파폭봉치고우고빈자격조（P＜0．05）。결론저빈급고빈자격균유리우뇌경사환자운동공능적강복。
Objective To observe repetitive transcranial magnetic stimulation ( rTMS) for the recovery of motor dysfunction in patients with cerebral infarction .Methods Sixty cerebral infraction patients with hemiplegia were enrolled and randomly divided into low-frequency stimulation group ,high-frequency stimulation group and control group with twenty cases in each group .All patients received conventional treatment for cerebral infarction .Both low and high-frequency groups also received thirty minutes of daily rTMS treatment for ten consecutive days .Simplified Fugl-Meyer score (FMA) and latency and amplitude of motor evoked potential (MEP) were compared before and af-ter treatment.Results After treatment,FMA score among 3 groups significantly improved(P<0.05),higher in both low and high-frequency groups compared with the control group (P<0.05),although the score had no significant difference in both low and high-frequency groups(P>0.05),MEP latency was shorter(P<0.05) and amplitude higher(P<0.05) in the low-frequency group than the high-frequency group.Conclusion Low and high-frequency stimulation is beneficial for the recovery of motor function in patients with cerebral infarction .