【摘 要】
：
目的:探讨重复经颅磁刺激（rTMS）治疗脊髓损伤患者的神经病理性疼痛的效果。方法:选取2020年8月至2021年7月期间在威海市中心医院住院治疗的脊髓损伤患者86例展开对比试验研究，按照电脑随机法均分为对照组与试验组，各43例。对照组男25例、女18例，年龄（40.49±8.46）岁；试验组男26例、女17例，年龄（40.75±8.39）岁。对照组实施常规康复治疗，试验组在对照组基础上实施rTMS治疗。对两组患者疼痛评分，汉密尔顿抑郁量表（HAMD）、焦虑自评量表（SAS）及生活质量评定问卷（GQOLI-
【机 构】
：
山东省威海市中心医院康复医学科 264400
论文部分内容阅读
目的:探讨重复经颅磁刺激（rTMS）治疗脊髓损伤患者的神经病理性疼痛的效果。方法:选取2020年8月至2021年7月期间在威海市中心医院住院治疗的脊髓损伤患者86例展开对比试验研究，按照电脑随机法均分为对照组与试验组，各43例。对照组男25例、女18例，年龄（40.49±8.46）岁；试验组男26例、女17例，年龄（40.75±8.39）岁。对照组实施常规康复治疗，试验组在对照组基础上实施rTMS治疗。对两组患者疼痛评分，汉密尔顿抑郁量表（HAMD）、焦虑自评量表（SAS）及生活质量评定问卷（GQOLI-74）评分进行比较。结果:治疗前，两组脊髓损伤患者视觉模拟评分量表（VAS）、HAMD、SAS、GQOLI-74评分比较，差异均无统计学意义（均n P＞0.05）；治疗3周、6周后，两组患者VAS评分均较治疗前明显降低，且试验组治疗3周、6周后的VAS评分分别为（5.67±0.56）分、（3.55±0.83）分，均低于对照组（6.08±0.77）分、（4.13±0.59）分，差异均有统计学意义（均n P＜0.05）。治疗6周后，试验组HAMD、SAS评分分别为（13.80±1.89）分、（40.13±7.66）分，均低于对照组（15.50±3.01）分、（44.81±6.63）分，差异均有统计学意义（均n P＜0.05）。治疗后，试验组躯体功能、心理功能、社会功能及精神状况评分分别为（22.98±2.35）分、（19.61±3.25）分、（22.314±1.57）分、（21.52±2.43）分，均高于对照组（21.35±2.41）分、（17.34±3.52）分、（20.68±3.64）分、（19.96±3.52）分，差异均有统计学意义（均n P＜0.05）。两组均无不良反应发生。n 结论:rTMS能够充分缓解脊髓损伤患者神经病理性疼痛，并能改善患者抑郁、焦虑负性情绪，提高生活质量，建议推广应用。
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