摘要
目的:研究脑半球卒中后吞咽障碍患者应用经颅直流电刺激(tDCS)治疗的效果。方法:选取福建医科大学附属龙岩第一医院2019年3月至2022年2月收治的86例脑半球卒中后吞咽障碍患者,按随机数字表法分两组,各43例。对照组行常规吞咽康复训练,观察组在对照组基础上加用tDCS治疗,比较两组患者治疗效果、吞咽功能及生活质量。结果:观察组患者的总有效率(93.02%)高于对照组(72.09%),差异具有统计学意义(P<0.05);观察组患者干预后改良曼恩吞咽能力评估量表(MASA)、电视透视吞咽功能检查(VFSS)评分高于对照组,标准吞咽功能评价量表(SSA)评分低于对照组,差异具有统计学意义(P<0.05);观察组患者干预后躯体疼痛、生理职能、社会功能、生理功能、总体健康、活力、情感职能及精神健康评分均高于对照组,差异具有统计学意义(P<0.05)。结论:脑半球卒中后吞咽障碍患者应用tDCS治疗,可促进疗效提高,有利于吞咽功能恢复,提高患者生活质量。
Objective To study the effect of transcranial direct current stimulation(tDCS)on patients with dysphagia after cerebral hemisphere stroke.Methods A total of 86 patients with dysphagia after cerebral hemisphere stroke admitted to Longyan First Hospital Affiliated to Fujian Medical University from March 2019 to February 2022 were selected and divided into two groups according to the random number table method,with 43 cases in each group.The control group was given routine swallowing rehabilitation training,and the observation group was treated with tDCS on the basis of the control group.The therapeutic effect,swallowing function and quality of life were compared between the two groups.Results The total effective rate of the observation group was 93.02%,which was higher than 72.09%of the control group,and the difference was statistically significant(P<0.05).After intervention,the scores of Mann assessment of swallowing ability(MASA)and videofluoroscopy swallowing study(VFSS)in the observation group were higher than those in the control group,and the score of standard swallowing assessment(SSA)was lower than that in the control group,and the differences were statistically significant(P<0.05).The scores of body pain,physical function,social function,physical function,general health,vitality,emotional function and mental health in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).Conclusion The application of tDCS in the treatment of dysphagia after cerebral hemisphere stroke can promote the improvement of curative effect,facilitate the recovery of swallowing function,and improve the quality of life of patients.
作者
华何柳
刘娟
赖梦婷
陈宁华
王秀玲
HUA He-liu;LIU Juan;LAI Meng-ting;CHEN Ning-hua;WANG Xiu-ling(Longyan First Hospital Affiliated to Fujian Medical University,Fujian Longyan 364000)
出处
《深圳中西医结合杂志》
2022年第18期96-99,共4页
Shenzhen Journal of Integrated Traditional Chinese and Western Medicine
关键词
脑半球卒中后吞咽障碍
经颅直流电刺激
吞咽功能
生活质量
Dysphagia after hemispheric stroke
Transcranial direct current stimulation
Dysphagia function
Life quality
作者简介
华何柳,男,副主任医师,主要研究方向是神经康复、骨科康复。
