Abstract:

Objective　To evaluate the effect of rehabilitation training combined with repeated transcranial magnetic stimulation on mental disorders and neurological dysfunction in stroke patients. Methods　A total of 88 stroke patients admitted to The First Affiliated Hospital of Henan University of Science and Technology from April 2019 to March 2021 were selected for the random control trial. According to the random number table method, the patients were divided into a reference group and a combined group, with 44 cases in each group. There were 24 males and 20 females in the reference group who were 49-83 (64.3±5.2) years old. There were 25 males and 19 females in the combined group who were 50-83 (64.7±5.0) years old. The reference group took rehabilitation training. The combined group took rehabilitation training and repeated transcranial magnetic stimulation. The psychological disorders, neurological function, and daily life ability before and after the treatment were compared between the two groups. The data were processed by SPSS 19.0. The data were compared between these two groups by t and χ² tests. Results　There were no statistical differences in the scores of depression and anxiety between the two groups before the treatment (both P>0.05). After the treatment, the scores of depression and anxiety in the combined group were lower than those in the reference group [(53.78±3.33) vs. (57.46±4.29) and (47.67±4.94) vs. (53.05±4.83); t=4.495 and 5.165; both P<0.001]. Before the treatment, there were no statistical differences in the scores of neurological function and activity of daily living between the two groups (both P>0.05).After the treatment, the scores of neurological function and activity of daily living in the combined group were better than those in the reference group [(7.78±1.33) vs. (9.46±1.69) and (67.67±6.94) vs. (58.05±7.83); t=5.182 and 6.099; both P<0.001]. Conclusion　Rehabilitation training combined with repeated transcranial magnetic stimulation is effective in the treatment of stroke patients and is helpful to improve their psychological disorders, nerve function, and daily life ability, so it is worth being clinical generalized.

Key words:

Stroke, Rehabilitation training, Repetitive transcranial magnetic stimulation, Mental disorders, Neurological function, Daily life ability

摘要：

目的　评价康复训练联合重复经颅磁刺激治疗对脑卒中患者心理障碍及神经功能缺损的影响。方法　选取河南科技大学第一附属医院2019年4月至2021年3月接收的脑卒中患者88例进行随机对照试验，按随机数字表法分为参照组与联合组，各44例。参照组中，男24例，女20例，年龄49～83（64.3±5.2）岁，应用康复训练治疗；联合组中，男25例，女19例，年龄50～83（64.7±5.0）岁，应用康复训练联合重复经颅磁刺激治疗。对比两组患者治疗前后心理障碍、神经功能和日常生活能力改善情况，并采用SPSS 19.0处理数据，组间比较采用t检验、χ²检验。结果　治疗前，两组患者抑郁、焦虑等心理障碍评分比较，差异均无统计学意义（均P>0.05）；治疗后，联合组抑郁评分为（53.78±3.33）分、焦虑评分为（47.67±4.94）分，参照组分别为（57.46±4.29）分、（53.05±4.83）分，联合组抑郁、焦虑评分均低于参照组（t=4.495、5.165，均P<0.001）。治疗前，联合组神经功能、日常生活能力评分比较，差异均无统计学意义（均P>0.05）；治疗后，联合组神经功能评分为（7.78±1.33）分，日常生活能力评分为（67.67±6.94）分，参考组分别为（9.46±1.69）分、（58.05±7.83）分，治疗后，联合组神经功能评分低于参照组，日常生活能力评分高于参照组（t=5.182、6.099，均P<0.001）。结论　对脑卒中患者应用康复训练联合重复经颅磁刺激治疗效果确切，有利于改善其心理障碍，促进神经功能恢复，提升其日常生活能力，值得临床广泛应用。

关键词:

脑卒中, 康复训练, 重复经颅磁刺激, 心理障碍, 神经功能, 日常生活能力