1.Department of Rehabilitation Medicine, Dongguan Shilong People’s Hospital Affiliated to Southern Medical University Dongguan Songshan Lake Central Hospital the Third People’s Hospital of Dongguan, Guangdong Province, Dongguan 523326, China;
2.Department of Neurology, Dongguan Shilong People’s Hospital Affiliated to Southern Medical University Dongguan Songshan Lake Central Hospital the Third People’s Hospital of Dongguan, Guangdong Province, Dongguan 523326, China
Abstract：Objective To investigate the effect of transcranial direct current stimulation（tDCS） in the treatment of central post-stroke pain (CPSP). Methods A total of 66 patients with CPSP admitted to Dongguan Songshan Lake Central Hospital, Guangdong Province from March 2019 to March 2022 were selected, and they were divided into control group and tDCS group according to the random number table method, with 33 cases in each group. Control group received conventional drugs and rehabilitation treatment, and tDCS group was treated with tDCS on the basis of control group, the treatment continued for two weeks. The scores of visual analogue scale (VAS), modified Barthel index (MBI), and function independence measure (FIM) of two groups were compared before and after treatment, and the pain efficacy of two groups was compared. Results In the control group, one case fell off due to recurrent stroke during treatment, and a total of 65 cases were included in the final statistics. After treatment, the VAS scores of two groups were lower than those before treatment, and tDCS group was lower than control group, and the differences were statistically significant (P＜0.05). After treatment, MBI score and FIM score of two groups were higher than those before treatment, and tDCS group was higher than control group, and the differences were statistically significant (P＜0.05). The pain effect of tDCS group was better than that of control group, and the difference was statistically significant (P＜0.05). Conclusion tDCS can relieve the degree of CPSP, and improve the pain effect and the ability of daily living of patients.
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