平衡火罐疗法联合重复经颅磁刺激对 脑卒中后疲劳患者疲劳程度的影响

摘 要:目的 观察平衡火罐疗法联合重复经颅磁刺激对脑卒中后疲劳患者疲劳程度的影响。方法 收集我院2020年6月—2021年9月于脑病科、针灸科住院的脑卒中后疲劳患者80例。采用随机数字表法分为对照组和治疗组，每组各40例。对照组给予常规基础治疗及康复训练，每日1次，共治疗4周，治疗组在对照组基础上加平衡火罐疗法（每周 2 次）和重复经颅磁刺激治疗，每日1次，共治疗4周。分别于治疗前和治疗4周后，采用疲劳严重程度量表（FSS）、汉密尔顿抑郁量表（HAMD）、汉密尔顿焦虑量表（HAMA）、匹兹堡睡眠指数（PSQI）对两组患者疲劳程度、情绪状态、睡眠情况进行评估，并比较两组患者治疗前后各评分变化。结果 治疗后，两组患者的FSS、HAMD、HAMA、PSQI评分均较治疗前明显改善（P＜0.05），且治疗组改善幅度明显优于对照组，差异有统计学意义（P＜0.05）。结论 平衡火罐疗法联合重复经颅磁刺激能有效改善脑卒中后疲劳患者的疲劳程度。

Effect of Balanced Cupping Therapy Combined with Repeated Transcranial Magnetic Stimulation on Fatigue Level of Post Stroke Fatigue Patients

Abstract:Objective To explore the effect of balanced cupping therapy combined with repeated transcranial magnetic stimulation on the fatigue level of post stroke fatigue patients.Methods 80 patients with post'stroke fatigue hospitalized in the department of encephalopathy and the department of acupuncture and moxibustion from June 2020 to September 2021 were collected.Divide into a control group and a treatment group using a random number table method,with 40 cases in each group.The control group received routine basic treatment and rehabilitation training once a day for a total of 4 weeks.The treatment group received balanced cupping therapy (twice a week) and repeated transcranial magnetic stimulation therapy on the basis of the control group,once a day for a total of 4 weeks.Before and after 4 weeks of treatment,the fatigue severity scale (FSS),Hamilton Depression Scale (HAMD),Hamilton Anxiety Scale (HAMA),and Pittsburgh Sleep Index (PSQI) were used to evaluate the fatigue,emotional state,and sleep status of the two groups of patients,and the changes in scores before and after treatment were compared.Results After treatment,the FSS,HAMD,HAMA,and PSQI scores of the two groups of patients were significantly improved compared to before treatment (P<0-05),and the improvement amplitude of the treatment group was significantly better than that of the control group,with a statistically significant difference (P<0.05).Conclusion The combination of balanced cupping therapy and repeated transcranial magnetic stimulation can effectively improve the fatigue level of stroke fatigue patients.