高频重复经颅磁刺激联合 Brunnstrom 分期训练对脑卒中恢复期患者 康复效果的影响.

Objective: To investigate the effect of high frequency repetitive transcranial magnetic stimulation（r TMS) combined with Brunnstrom staging training on the rehabilitation effect of stroke patients in convalescent stage. Methods: According to the random number table method, 80 cases of stroke patients in convalescent stage who were admitted to The First Affiliated Hospital of Xinjiang Medical University from January 2020 to February 2022 were divided into control group（40 cases, Brunnstrom staging training) and study group(40 cases, high frequency r TMS combined with Brunnstrom staging training. The efficacy, National Institutes of Health Stroke Scale（NIHSS) score, Functional Independence Scale（FIM) score, quality of life score, serum neurological indexes [myelin basic protein（MBP),neuron-specific enolase（NSE), nerve growth factor-1（NGF-1)] were compared between the two groups. Results: The total effective rate of the study group（92.50%) was significantly higher than that of the control group（70.00%)（P＜0.05). 4 weeks after treatment, MBP and NSE of the study group were lower than those of the control group, and NGF-1 was higher than that of the control group（P＜0.05). Compared with the control group, the NIHSS score of the study group at 4 weeks after treatment decreased and the FIM score increased（P＜0.05). 4 weeks after treatment, the psychological/physical/material/social function score of the study group were higher than those of the control group（P＜0.05). Conclusion: High frequency r TMS combined with Brunnstrom staging training is helpful to improve the rehabilitation effect of stroke patients in convalescent stage, and can also adjust the serum neurological indexes, and improve the quality of life. [ABSTRACT FROM AUTHOR]