头穴丛刺联合重复经颅磁刺激治疗小脑梗死后平衡障碍的临床观察

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Abstract Objective To discuss clinical effect of cluster needling of scalp points combined with repeated transcranial magnetic stimulation (rTMS) in treating balance disorder after cerebellar infarction. Methods Ninety patients with balance disorder after cerebellar infarction treated in outpatient and ward of Department of Acupuncture and Moxibustion, Shenzhen Baoan Hospital of Traditional Chinese Medicine (Group) from December 2019 to June 2020 were selected and they were divided into group A, group B, and group C according to the random number table method, with 30 cases in each group. Group A was treated with cluster needling of scalp points combined with low-frequency rTMS, group B was treated with pseudo cluster needling of scalp points combined with low-frequency rTMS, and group C was treated with cluster needling of scalp points combined with pseudo low-frequency rTMS. Berg balance scale (BBS) scores, Fugl-Meyer balance scale (FM-B) scores and motor evoked potential (MEP) threshold were observed before treatment and four weeks after treatment in each group. The curative effect of each group was compared. Results After treatment, BBS scores, FM-B scores and MEP threshold of each group were higher than those before treatment, and group A was higher than that of group B and group C (P ＜ 0.05). Four weeks after treatment, the overall efficacy of group A was higher than that of group B and group C (P ＜ 0.05). Conclusion The effect of cluster needling of scalp points combined with low-frequency rTMS in treating patients with balance disorder after cerebellar infarction is better than that of simple cluster needling of scalp points and simple low-frequency rTMS. It can effectively improve clinical effect of balance disorder after cerebellar infarction.

Key words： Cluster needling of scalp points Low-frequency repeated transcranial magnetic stimulation Cerebellar infarction Balance disorder

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	SHAN Xiaochun ZHOU Peng ZHANG Yu WU Miao LIANG Xuesong

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SHAN Xiaochun ZHOU Peng ZHANG Yu WU Miao LIANG Xuesong. Clinical observation on cluster needling of scalp points combined with repeated transcranial magnetic stimulation in treating balance disorder after cerebellar infarction[J]. 中国医药导报, 2022, 19(20): 119-122.

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https://www.yiyaodaobao.com.cn/EN/ OR https://www.yiyaodaobao.com.cn/EN/Y2022/V19/I20/119

[1] 倪建俐，麻志恒，吴冬梅，等.中医综合疗法治疗缺血性脑卒中后肢体功能障碍临床研究[J].国际中医中药杂志，2021，43（2）：128-132.
[2] 刘卫星.针刺联合康复训练治疗脑卒中后遗症的临床研究进展[J].国际中医中药杂志，2020，42（7）：712-715.
[3] 刘晶.经颅磁刺激对脑梗死大鼠神经功能及脑可塑性物质、结构的影响[D].苏州：苏州大学，2007.
[4] Schmid AA，Van Puymbroeck M，Altenburger PA，et al. Balanc is associated with quality of life in chronic stroke [J]. Top Strok Rehabil，2013，20（4）：340-346.
[5] 中风病诊断与疗效评定标准[J].北京中医药大学学报，1996（1）：55-56.
[6] 钟迪，张舒婷，吴波.《中国急性缺血性脑卒中诊治指南2018》解读[J].中国现代神经疾病杂志，2019，19（11）：897-901.
[7] 田辉，王树东，张淑慧，等.PBL教学法在《康复评定学》教学中实践与探讨[J].按摩与康复医学，2018，9（20）：78-79.
[8] Berg KO，Wood-Dauphinee S，Williams JT，et al. Measuring balance in the elderly：preliminary development of an instrument [J]. Physiother Can，1989，41（6）：304-311.
[9] Fugl-Meyer AR，J?覿?覿sk?觟 L，Leyman I，et al. The post-stroke hemiplegic patient：a method for evaluation of physical performance [J]. Scand J Rehabil Med，1975，7（1）：13-31.
[10] 高文良.新编脑血管的诊疗与康复[M].昆明：云南科技出版社，2010.
[11] 索云峰，陈红霞，周元，等.等速躯干肌力训练在脑卒中偏瘫患者步行能力及平衡功能康复中的作用[J].广东医学，2013，34（24）：3771-3773.
[12] 韩倩，王洪新，陈启东.小脑梗死的临床特征分析[J].中国全科医学，2010，13（23）：2631-2632.
[13] 隆星洲，雷进，罗丽华，等.小脑顶核电刺激对脑梗死患者认知功能的影响[J].实用医学杂志，2013，29（3）：381-383.
[14] 高婷，潘婕，刘婧斐，等.针刺治疗脑卒中后平衡功能障碍研究进展[J].陕西中医，2021，42（5）：677-680.
[15] 侯雪民.电针对脑缺血后模型大鼠突触可塑性干预作用的研究[D].广州：广州中医药大学，2008.
[16] 赵文秀.于氏头穴丛剌治疗卒中后平衡障碍的临床疗效观察[D].哈尔滨：黑龙江中医药大学，2013.
[17] 胡晓辉，杨伟毅，郭睿，等.低频重复经颅磁刺激治疗小脑梗死后平衡障碍的疗效分析[J].中西医结合心脑血管病杂志，2017，15（17）：2107-2109.
[18] 陆操，金丹丹，傅晓倩，等.低频重复经颅磁刺激联合小组模式康复训练对脑卒中偏瘫患者上肢及手功能的影响[J].中国康复，2018，33（5）：369-372.
[19] 戴旻珺，卞荣，曹丽华，等.经颅磁刺激联合康复训练对脑卒中患者运动功能影响研究进展[J].社区医学杂志，2021，19（13）：835-838.
[20] 杨娅婕，赵宁，曹玉婷，等.重复经颅磁刺激干预中枢神经系统疾病的生物标志物研究进展[J].湖南中医药大学学报，2021，41（3）：472-478.
[21] 贾晋瑄，吴毅.半球内成对经颅磁刺激技术的评定机制及临床应用[J].中国康复医学杂志，2020，35（10）：1269-1273.
[22] Groiss SJ，Ugawa Y. Cerebellar stimulation in ataxia [J]. Cerebellum，2012，11（2）：440-442.
[23] 杨轩，黎鸣，王韵喃，等.重复经颅磁刺激治疗早期特发性面神经麻痹的疗效观察[J].中国医药科学，2020，10（9）：209-211.
[24] 陈伟强.基于经颅磁刺激的轮廓检测神经机制研究[D].成都：电子科技大学，2017.
[25] Kim WS，Jung SH，Oh MK，et al. Effect of repetitive transcranial magnetic stimulation over the cerebellum on patients with ataxia after posterior circulation stroke [J]. J Rehabil Med，2014，46（5）：418-423.