摘要
Abstract
Objective:To observe the efficacy of high-frequency repetitive transcranial magnetic stimulation(rT-MS)in combination with electroacupuncture in treating ischemic stroke(IS)with limb spasms.Methods:All 102 IS patients with limb spasms admitted to our hospital were grouped via random number table.The control group(51 cases)received high-frequency rTMS(1 time/day,20 min/time,5 d/week,8 weeks),while test group(51 cases)received high-frequency rTMS(1 time/day,20 min/time,5 d/week,8 weeks)combined with electroacupuncture(1 time/day,retain needles for 20 min each time,5 times/week,for 8 weeks).Efficacy,modified Ashworth grading,National Institutes of Health Stroke Scale(NIHSS),motor function,modified Barthel Index(MBI),and hemorhe-ology were compared.Results:Both groups had better modified Ashworth scale grading than before treatment,and the test group was better than the control group(P＜0.05).After treatment,the scales of the simplified Fugl-Mey-er Assessment(FMA)-upper extremities(UE),FMA-lower extremities(LE),and MBI were higher in both groups with the test group scoring significantly higher than the control group(all P＜0.01).After treatment,the NIHSS scale,plasma viscosity(PV),and erythrocyte aggregation index(EAI)were decreased in both groups,and these values were significantly lower in the test group than in the control group(all P＜0.01).The test group had a higher overall effective rate than control group(P＜0.05).Conclusion:The combination of high-frequency rTMS and electroacupuncture is effective in treating IS with limb spasms,and can improve the modified Ashworth grading,NIHSS score,motor function,daily living activity ability,and hemorheology.关键词
高频重复经颅磁刺激/电针/缺血性脑卒中/肢体痉挛/疗效Key words
high-frequency repetitive transcranial magnetic stimulation/electroacupuncture/ischemic stroke/limb spasms/efficacy分类
医药卫生
