Observation of the clinical effect of repeated transcranial stimulation intervention in post-stroke epilepsy patients
脑卒中后癫痫患者采用重复经颅刺激干预的临床效果观察

摘要

目的 研究脑卒中后癫痫患者采用重复经颅刺激干预的临床效果。方法 观察对象为60例脑卒中后癫痫患者，收治时间为2024年8月至2025年6月，随机分组，T组患者（n=30）接受重复经颅刺激干预，J组患者（n=30）接受基础干预，比较T组与J组患者的癫痫发作情况、神经功能、认知力、静息运动阈值。结果 干预前，T组与J组的癫痫发作次数、持续时间、改良Rankin量表（mRS）、简易精神状态检查量表（MMSE）及静息运动阈值（rMT）评分均无显著差异（P>0.05）。干预后，两组各项指标均有改善，但T组的癫痫发作次数更少、持续时间更短，mRS更低、MMSE更高，rMT评分更高，差异具有统计学意义（P<0.05）。结论 脑卒中后癫痫患者采用重复经颅刺激干预的临床效果更突出，可推广。

Abstract

Objective To investigate the clinical efficacy of repeated transcranial stimulation intervention in post-stroke epilepsy patients.
Methods Sixty patients with post-stroke epilepsy were observed and treated from August 2024 to June 2025. They were randomly divided into two groups: Group T (n=30) received repeated transcranial stimulation intervention, while Group J (n=30) received basic intervention. The seizure status, neurological function, cognitive ability, and resting motor threshold of patients in Group T and Group J were compared.
Results Prior to this, there were no significant differences (P>0.05) in the number, duration, modified Rankin Scale (mRS), Mini-Mental State Examination (MMSE) and resting motor threshold (rMT) scores of epileptic seizures between group T and group J. In terms of prognosis, both groups showed improvement in various indicators, but the T group had fewer seizures, shorter duration, lower mRS, higher MMSE score, and higher rMT score, with statistically significant differences (P<0.05).
Conclusion   The clinical effect of repeated transcranial stimulation intervention in post-stroke epilepsy patients is more prominent and can be promoted.