重复经颅磁cTBS和rTMS模式治疗复杂区域性疼痛的疗效观察
Observation of Therapeutic Effects of Repeated Transcranial Magnetic cTBS and rTMS Pattern in the Treatment of Complex Regional Pain
DOI: 10.12677/ACM.2022.12121713, PDF,   
作者: 何利娟, 韩志成, 张继洲*：西安市第一医院/西北大学附属第一医院，陕西 西安
关键词: 重复经颅磁刺激；复杂区域性疼痛；cTBS；rTMS；Repeated Transcranial Magnetic Stimulation； Complex Regional Pain； cTBS； rTMS
摘要: 目的：探讨重复经颅磁刺激两种不同模式对复杂区域性疼痛的疗效及两种模式之间疗效差异。方法：选取2020年~2021年就诊于西安市第一医院康复医学科诊断为复杂区域性疼痛的患者30例，按照随机数字表将上述患者随机分为cTBS组及rTMS组，其中cTBS组15人，男性8人，女性7人，年龄(56.67 ± 17.58)；rTMS组15人，男性6人，女性9人，年龄(61.93 ± 13.21)；比较两者对复杂区域性疼痛的麦吉尔疼痛量表(MPQ)、VSA疼痛评分差异，探讨两种不同模式对复杂区域性疼痛的疗效及两种模式之间疗效差异。结果：比较cTBS模式及rTMS刺激模式治疗前后的麦吉尔疼痛量表发现，两者均可降低复杂区域性疼痛的麦吉尔评分及VAS疼痛评分，差异均有统计学意义(P < 0.05)；cTBS模式相较rTMS刺激模式在降低复杂区域性疼痛的麦吉尔评分及VAS疼痛评分差异无统计学意义(P > 0.05)。结论：1) cTBS模式及rTMS刺激模式均对复杂区域性疼痛有疗效；2) cTBS模式及rTMS刺激模式对复杂区域性疼痛疗效无明显差异。
Abstract: Objective: To investigate the effect of two different modes of repetitive transcranial magnetic stim-ulation (RTMS) on complex regional pain and the difference between the two modes. Methods: Thirty patients with complex regional pain diagnosed in the Rehabilitation Medicine Department of Xi’an First Hospital from 2020 to 2021 were selected and randomly divided into cTBS group and rTMS group according to the random number table. There were 15 patients in cTBS group, 8 men and 7 women, age (56.67 ± 17.58); There were 15 patients in rTMS group, 6 males and 9 females, age (61.93 ± 13.21); To compare the differences of McGill Pain Scale (MPQ) and VSA pain scores be-tween the two models for complex regional pain, and to explore the efficacy of the two models for complex regional pain and the difference between the two models. Results: Comparing the McGill pain scale before and after treatment with cTBS mode and rTMS stimulation mode, it was found that both of them could reduce the McGill score and VAS score of complex regional pain, and the differ-ence was statistically significant (P < 0.05); Compared with rTMS stimulation mode, cTBS mode had no significant difference in reducing McGill score and VAS score of complex regional pain (P > 0.05). Conclusion: 1) Both cTBS mode and rTMS stimulation mode are effective for complex regional pain; 2) There was no significant difference between cTBS mode and rTMS stimulation mode in the treatment of complex regional pain.
文章引用：何利娟, 韩志成, 张继洲. 重复经颅磁cTBS和rTMS模式治疗复杂区域性疼痛的疗效观察[J]. 临床医学进展, 2022, 12(12): 11889-11893. https://doi.org/10.12677/ACM.2022.12121713

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