中医康复2025，Vol.2Issue(1)：18-22,5.DOI:10.19787/j.issn.2097-3128.2025.01.004
小针刀联合经颅磁刺激治疗脑梗死后遗症期上肢痉挛的疗效观察
Therapeutic Efficacy of Small Needle Knife Combined with Transcranial Magnetic Stimulation in the Treatment of Upper Limb Spasticity in the Postcerebral Infarction Period
摘要
Abstract
Objective:To study the clinical efficacy of small needle knife therapy combined with Transcranial Magnetic Stimulation(TMS)in improving the symptoms of upper limb spasticity in patients with cerebral infarction sequelae.Methods:Eighty patients with mild to moderate spasticity of the upper limbs in the sequelae stage of cerebral infarction who attended our hospital from June 2021 to June 2023 were selected,and all of them were randomly divided into the small-needle knife group(n=26),the TMS group(n=27),and the combined group(n=27).On the basis of conventional rehabilitation training,the small-needle knife group was treated with small-needle knife,the TMS group was treated with transcranial magnetic therapy,and the combined group was treated with combined therapy.Patients'clinic spasticity index scores,motor-evoked potentials,and resting motor thresholds were assessed be-fore and after treatment.Results:The Fugl-Meyer scores of the three groups of patients improved after treatment,the clinic spasticity index scores decreased after treatment(P<0.01),with the Fugl-Meyer scores of the combined treatment group being higher than that of the single treatment group,and the clinic spasticity index scores lower than that of the single treatment group(P<0.01);the la-tency of motor-evoked potentials was shortened and wave amplitude increased after treatment among three groups(P<0.01),with the latency period of the motor-evoked potentials of the combined treatment group being shorter than that of the single treatment group,and the wave amplitude higher than that of the single treatment group(P<0.01);and the resting motor threshold of the three groups of patients decreased after treatment(P<0.01),with the combined treatment group having shorter resting motor thresholds than the single treatment group(P<0.01).Conclusion:Small needle knife combined with transcranial magnetic stimulation treatment can effectively relieve upper limb spastic state,central nervous system function and cerebral cortex excitability of patients with up-per limb functional spasms after cerebral infarction,and the therapeutic efficacy is better than that of single treatment method.关键词
脑梗死/上肢痉挛/小针刀/经颅磁刺激/临床痉挛指数/运动诱发电位/静息运动阈值Key words
cerebral infarction/upper limb spasticity/small needle knife/transcranial magnetic stimulation/clinical spasticity in-dex/motor evoked potentials/resting motor threshold分类
临床医学引用本文复制引用
文锦,陈南萍..小针刀联合经颅磁刺激治疗脑梗死后遗症期上肢痉挛的疗效观察[J].中医康复,2025,2(1):18-22,5.基金项目
江西省中医药管理局科技计划课题(2021B088) （2021B088）
