目的：探讨重复经颅磁刺激（rTMS）联合悬吊运动训练对脑卒中后偏瘫患者平衡能力及运动功能的影
响。方法：选取82例脑卒中后偏瘫患者，按照随机数字表法，将患者分为悬吊运动组和联合组，各41例。悬
吊运动组患者给予悬吊运动训练治疗，联合组在此基础上给予rTMS治疗。观察治疗前（T
0
）和治疗2周后
（T
1
），2组患者的平衡能力、运动功能、日常生活活动能力以及步行能力。结果：T
1
时刻，悬吊运动组和联合
组患者睁眼、闭眼状态运动椭圆面积和运动距离以及 10 m 步行测试（10 MWT）显著降低，Berg 平衡量表
（BBS）、上肢运动功能评定量表（FMA-UE）、下肢运动功能评定量表（FMA-LE）、改良Barthel指数（MBI）、
Holden 步行功能分级（Holden）水平显著升高（P＜0.05），且两组患者之间上述指标差异均有统计学意义
（P＜0.05）。结论：rTMS联合悬吊运动训练可有效改善脑卒中后偏瘫患者平衡能力及运动功能。
To investigate the effects of repetitive transcranial magnetic stimulation (rTMS)
combined with suspension exercise training on balance ability and motor function in patients with hemiplegia
after stroke. Methods: A total of 82 patients with hemiplegia after stroke were selected and randomly divided
into a suspension exercise group and a combined treatment group, with 41 patients in each group, using a random
number table method. Patients in the suspension exercise group received suspension exercise training, while
those in the combined treatment group received rTMS therapy in addition to suspension exercise training.
Balance ability, motor function, activities of daily living (ADL), and walking ability were evaluated before
treatment (T
0
) and after 2 weeks of treatment (T
1
) in both groups. Results: At T
1
, both the suspension exercise
group and the combined treatment group showed significant reductions in motion ellipse area, motion distance
under open-eye and closed-eye conditions, and the 10-meter walk test (10 MWT). Additionally, significant
improvements were observed in Berg Balance Scale (BBS) scores, Upper Extremity Motor Function Assessment
Scale (FMA-UE) scores, Lower Extremity Motor Function Assessment Scale (FMA-LE) scores, Modified
Barthel Index (MBI) scores, and Holden Walking Function Classification (Holden) levels (P<0.05). Moreover,
statistically significant differences in these indicators were found between the two groups (P<0.05).
Conclusion: rTMS combined with suspension exercise training can effectively improve balance ability and
motor function in patients with hemiplegia after stroke.
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