中国现代医学杂志2026，Vol.36Issue(1)：22-27,6.DOI:10.3969/j.issn.1005-8982.2026.01.004
脑卒中致下肢运动功能障碍患者应用持续重复经颅磁刺激联合头针的疗效观察
Observation on the therapeutic effect of continuous repetitive transcranial magnetic stimulation(rTMS)combined with scalp acupuncture in patients with lower extremity motor dysfunction caused by stroke
摘要
Abstract
Objective To analyze the therapeutic effect of continuous repetitive transcranial magnetic stimulation(rTMS)combined with scalp acupuncture in patients with lower extremity motor dysfunction caused by stroke.Methods A total of 79 patients with lower extremity motor dysfunction caused by stroke admitted to the Department of Rehabilitation,Maanshan 17th Metallurgical Hospital from November 2022 to August 2024 were selected and divided into a control group(38 cases)and an observation group(41 cases)according to different treatment methods.Both groups were given symptomatic treatments such as lowering blood pressure,lipid-lowering,hypoglycemic,nourishing brain cells,improving microcirculation,and exercise rehabilitation training.On this basis,the control group was treated with rTMS,and the observation group was treated with rTMS combined with scalp acupuncture.Both groups were treated for 4 weeks,and the therapeutic effects of the two groups were compared.Results The effective rate of the observation group was higher than that of the control group(P<0.05).The differences in Berg Balance Scale(BBS)scores and Timed Up and Go Test(TUGT)scores before and after treatment in the observation group were both larger than those in the control group(P<0.05).The difference in Fugl-Meyer Assessment(FMA)Lower Extremity Motor Function Scale scores before and after treatment in the observation group was larger than that in the control group(P<0.05).The differences in 10-meter walking time and Stroke-Specific Quality of Life Scale(SS-QOL)scores before and after treatment in the observation group were both larger than those in the control group(P<0.05).There was no statistically significant difference in the total incidence of adverse reactions during treatment between the observation group and the control group(P>0.05).Conclusion For patients with lower extremity motor dysfunction caused by stroke,rTMS combined with scalp acupuncture has a significant therapeutic effect.It can effectively improve the patients'balance ability,enhance lower extremity motor function,increase walking time,promote the recovery of patients'neurological function,and does not increase adverse reactions.关键词
脑卒中/下肢运动功能障碍/重复经颅磁刺激/头针Key words
stroke/lower extremity motor dysfunction/repetitive transcranial magnetic stimulation/scalp acupuncture分类
医药卫生引用本文复制引用
Bi Mao-fang,Zhou Rong-qing,Zhang Yu-juan..脑卒中致下肢运动功能障碍患者应用持续重复经颅磁刺激联合头针的疗效观察[J].中国现代医学杂志,2026,36(1):22-27,6.基金项目
安徽省自然科学基金面上项目(No:2208085MH271) （No:2208085MH271）
