重复经颅磁刺激联合镜像疗法对脑卒中患者手功能康复的效果<sup>*</sup>

doi:10.3969/j.issn.1671-7171.2025.01.004

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Abstract 【Objective】To investigate the effect of repetitive transcranial magnetic stimulation (rTMS) combined with mirror therapy (MT) on hand function rehabilitation in stroke patients.【Methods】Eighty stroke patients in the recovery period were randomly divided into a control group and an observation group, with 40 patients in each group. The control group received conventional hand function rehabilitation training, while the observation group received rTMS combined with MT mirror therapy. After one month of treatment, the electroencephalogram (EEG) indices [δ/α value (DAR), brain symmetry index (BSI)], upper limb motor function scores (Fugl-Meyer, FMA), hand function scores (using the Brunnstrom evaluation scale and the Modified Ashworth Spasticity Scale), daily living abilities (Modified Barthel Index), and quality of life were compared between the two groups.【Results】The levels of DAR and BSI in the observation group were significantly lower than those in the control group after treatment (P<0.05). The differences in Brunnstrom evaluation stages and Ashworth spasticity grades between the two groups after treatment were statistically significant (P<0.05). The total FMA scores for the wrist, hand, and upper limbs, as well as the Barthel scores and various quality of life scores after treatment, were higher in the observation group than in the control group (P<0.05).【Conclusion】The rTMS combined with MT can significantly improve EEG indices in stroke patients, promote hand function rehabilitation, and enhance daily living abilities and quality of life.

Key words： Stroke Transcranial Magnetic Stimulation Neurological Rehabilitation Stroke Rehabilitation Treatment Outcome

Received: 28 May 2024

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R743

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http://journal07.magtech.org.cn/yxlcyj/EN/10.3969/j.issn.1671-7171.2025.01.004 OR http://journal07.magtech.org.cn/yxlcyj/EN/Y2025/V42/I1/12

[1] 顾彬,张津沁,夏元浩,等.反复促进疗法对脑卒中恢复期偏瘫患者手功能的影响[J].中国康复理论与实践,2023,29(6):697-702.
[2] 邹园华,练建平.rTMS对脑卒中偏瘫患者感觉功能、认知功能及上肢运动的影响[J].江西医药,2021,56(11):2004-2006.
[3] 翟志刚.rTMS联合头眼感觉运动整合训练在脑卒中偏瘫患者康复治疗中的应用[J].国际医药卫生导报,2024,30(2):234-238.
[4] 苟平平,魏小利,潘慧滢.温针灸联合镜像疗法治疗老年脑卒中后肩手综合征疗效观察[J].海南医学,2023,34(11):1556.
[5] 卢花,周鑫.经颅磁刺激仪配合康复护理对脑卒中患者的Fugl-Meyer和FCA评分及ADL评分效果分析[J].当代医学,2018,24(35):64-66.
[6] 张颖慧,林根龙.多功能神经康复诊疗系统对偏瘫的疗效观察[J].内蒙古医学杂志,2020,52(4):425-426.
[7] 何国军,杜亚辉.综合营养干预对脑卒中后吞咽障碍患者营养状况及生活质量的影响[J].中国慢性病预防与控制,2019,27(8):620-623.
[8] 赖炽洪,朱蓉雪,叶莹,等.体外冲击波联合运动训练对脑卒中患者桡侧和尺侧腕屈肌张力及康复的作用影响[J].江西医药,2020,55(11):1616-1617.
[9] 何圆斌,何晨杰,郑志茹,等.脑卒中后手部功能障碍的临床康复治疗研究综述[J].护理学,2023,12(3):368-374.
[10] 徐冬梅,刘华,袁建,等.基于脑神经可塑性的上肢康复机器人对脑卒中患者运动性失语症及认知功能的影响[J].中国老年学杂志,2023,43(6):1363-1366.
[11] SAES M, ZANDVLIET S B, Andringa A S,et al. Is resting-state EEG longitudinally associated with recovery of clinical neurological impairments early poststroke: a prospective cohort study[J].Neurorehabil Neural Repair,2020,34(5):389-402.
[12] WEN X, LI L, LI X L, et al. Therapeutic role of additional mirror therapy on the recovery of upper extremity motor function after stroke: a single-blind, randomized controlled trial[J].Neural Plast,2022,2022:8966920.
[13] GIBSON B C, VAKHTIN A.Revisiting hemispheric asymmetry in mood regulation: implications for rtms for major depressive disorder[J].Brain Sci,2022,12(1):112.

[1]	. [J]. JOURNAL OF CLINICAL RESEARCH, 2025, 42(1): 135-137.