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重复经颅磁刺激联合电刺激小脑顶核在急性脑梗死治疗中的应用

吴明超 洪小慧 徐鸿 曹铭华

中国医学创新2025,Vol.22Issue(34):33-36,4.
中国医学创新2025,Vol.22Issue(34):33-36,4.DOI:10.3969/j.issn.1674-4985.2025.34.008

重复经颅磁刺激联合电刺激小脑顶核在急性脑梗死治疗中的应用

Application of Repetitive Transcranial Magnetic Stimulation Combined with Electrical Stimulation of Cerebellar Fastigial Nucleus in the Treatment of Acute Cerebral Infarction

吴明超 1洪小慧 1徐鸿 1曹铭华1

作者信息

  • 1. 景德镇市第一人民医院神经内科 江西 景德镇 333000
  • 折叠

摘要

Abstract

Objective:To explore the application of repetitive transcranial magnetic stimulation(rTMS)combined with electrical stimulation of cerebellar fastigial nucleus in the treatment of acute cerebral infarction.Method:A total of 200 patients with acute cerebral infarction admitted to the First People's Hospital of Jingdezhen from October 2022 to October 2024 were selected and divided into control group(100 cases)and observation group(100 cases)according to the random number table method.The control group was given conventional treatment,while the observation group was treated with rTMS combined with electrical stimulation of cerebellar fastigial nucleus on the basis of the control group.The scores of NIHSS,Barthel index and modified Rankin scale(mRS)before treatment and after 14 d of treatment and 90 d after the treatment were compared between the two groups,as well as the occurrence of adverse reactions in the two groups.Result:The NIHSS scores of both groups after 14 d of treatment and 90 d after the treatment were lower than those before treatment,and the observation group lower than the control group(P<0.05).After 14 d of treatment and 90 d after the treatment,the Barthel index scores in both groups increased compared with those before treatment,and the observation group higher than the control group(P<0.05).The mRS scores of both groups after 14 d of treatment and 90 d after the treatment were lower than those before treatment,and the observation group lower than the control group(P<0.05).During the treatment period,there was no statistically significant difference in the incidence of adverse reactions between the two groups(P>0.05).Conclusion:rTMS combined with electrical stimulation of cerebellar fastigial nucleus can improve the activities ability of daily living and prognosis of patients with acute cerebral infarction,and it is highly safe.

关键词

急性脑梗死/电刺激小脑顶核/重复经颅磁刺激

Key words

Acute cerebral infarction/Electrical stimulation of cerebellar fastigial nucleus/Repetitive transcranial magnetic stimulation

引用本文复制引用

吴明超,洪小慧,徐鸿,曹铭华..重复经颅磁刺激联合电刺激小脑顶核在急性脑梗死治疗中的应用[J].中国医学创新,2025,22(34):33-36,4.

基金项目

景德镇市科技计划项目(20231SFZC006) (20231SFZC006)

中国医学创新

1674-4985

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