Clinical application of repetitive transcranial magnetic stimulation assisted conventional rehabilitation therapy in the treatment of traumatic spinal cord injury
重复经颅磁刺激辅助常规康复疗法在外伤性脊髓损伤治疗中的临床应用研究

摘要

目的 研究治疗外伤性脊髓损伤时在常规康复疗法的基础上施行重复经颅磁刺激的效果。方法 选择2020年12月~2021年12月之间入院并接受外伤性脊髓损伤治疗的60例患者开展研究，其中30例患者经施行常规康复治疗视为对照组，另外30例患者在常规康复治疗形势下联合重复经颅磁刺激（刺激部位为大脑皮层M1区）治疗视为观察组，60例患者均周期性治疗4周，对比患者在生存质量测定量表简表QOL-BREF下的指数，分别对比患者生理领域、心理领域、社会关系领域、环境领域的平均分；统计患者Fugl-Meyer评定量表下的肢体运动功能，统计患者在治疗后仍有运动轻度、中度、重度障碍的例数与占比。结果 观察组QOL-BREF量表中生理领域、心理领域、社会关系领域、环境领域四项评分偏高，Fugl-Meyer评定量表中观察组肢体障碍率偏低，（P<0.05）。结论 重复经颅磁刺激形式，可与常规疗法产生联合作用，针对外伤性脊髓损伤的治疗，既有助于提高患者的生存质量，又有利于患者肢体功能的恢复。

Abstract

Objective: To study the effect of repetitive transcranial magnetic stimulation on the basis of conventional rehabilitation therapy in the treatment of traumatic spinal cord injury.
Methods: A total of 60 patients who were admitted to the hospital and received treatment for traumatic spinal cord injury between December 2020 and December 2021 were selected for the study. Among them, 30 patients were treated as the control group after conventional rehabilitation therapy, and the other 30 patients were treated with conventional rehabilitation therapy. Combined with repeated transcranial magnetic stimulation (the stimulation site is the M1 area of the cerebral cortex) under the treatment situation was regarded as the observation group, and 60 patients were treated periodically for 4 weeks. , and compare the average scores of the patients in the physical domain, psychological domain, social relationship domain, and environmental domain respectively; count the patient's limb motor function under the Fugl-Meyer rating scale, and count the patients who still have mild, moderate, and severe movement disorders after treatment. The number and proportion of cases.
Results: The four items of the QOL-BREF scale in the observation group were relatively high in the physical domain, psychological domain, social relationship domain, and environmental domain, and the observation group had a low rate of physical impairment in the Fugl-Meyer rating scale (P<0.05).
Conclusion  : Repeated transcranial magnetic stimulation can have a combined effect with conventional therapy. The treatment of traumatic spinal cord injury can not only help improve the quality of life of patients, but also help the recovery of limb function of patients.