摘要
目的 分析重复经颅磁刺激(repetitive transcranial magnetic stimulation,rTMS)治疗脑卒中后吞咽障碍患者的临床疗效.方法 选取该院2019年1月—2021年1月收治的80例脑卒中后吞咽障碍患者为研究对象,根据治疗方法的不同分组,对照组40例患者采用常规吞咽康复训练,研究组40例患者在对照组基础上采用rTMS治疗.比较两组的临床疗效、吞咽时咽腔压参数、美国国立卫生研究院卒中量表(National Institute of Health stroke scale,NIHSS)评分、吞咽障碍特异性生活质量量表(swallowing quality of life,SWAL-QOL)评分.结果 研究组临床治疗总有效率为95.00%,高于对照组的72.50%,差异有统计学意义(P<0.05).研究组治疗后吞咽时下咽部、舌根部的压力峰值、压力上升速率均高于对照组,下咽部、舌根部的压力持续时间均短于对照组,组间差异有统计学意义(P<0.05).研究组治疗后的NIHSS评分低于对照组,SWAL-QOL评分高于对照组,组间差异有统计学意义(P<0.05).结论 rTMS可有效改善脑卒中后吞咽障碍患者的吞咽功能及吞咽时咽腔压参数,加快其受损神经功能恢复,提高其生存质量.
Objective To analyze the clinical efficacy of repetitive transcranial magnetic stimulation(rTMS)in the treatment of patients with dysphagia after stroke.Methods 80 patients with dysphagia after stroke were selected as the research objects in this hospital from January 2019 to January 2021,and they were grouped according to different treatment methods.40 patients in the control group received conventional swallowing rehabilitation training,and 40 patients in the study group were treated with rTMS on the basis of the control group.The clinical efficacy,pharyngeal cavity pressure parameters during swallowing,National Institute of Health stroke scale(NIHSS)score,and swallowing quality of life(SWAL-QOL)score were compared between the two groups.Results The total effective rate of clinical treatment in the study group was 95.00%,which was higher than 72.50%in the control group,and the difference was statistically significant(P<0.05).The pressure peak and pressure rise rate of the hypopharynx and tongue base of the study group were higher than those of the control group when swallowing after treatment,and the pressure duration of the hypopharynx and tongue base were shorter than that of the control group,the differences between the groups were statistically significant(P<0.05).After treatment,the NIHSS score of the study group was lower than that of the control group,and the SWAL-QOL score was higher than that of the control group,the differences between the groups were statistically significant(P<0.05).Conclusion rTMS can effectively improve the swallowing function and pharyngeal cavity pressure parameter during swallowing of patients with dysphagia after stroke,speed up the recovery of damaged nerve function,and improve their quality of life.
作者
赵凤珠
曹迪
辛春辉
ZHAO Fengzhu;CAO Di;XIN Chunhui(Graduate School of Heilongjiang University of Traditional Chinese Medicine,Harbin Heilongjiang,150000,China;Department of Rehabilitation Qiqihar City First Hospital,Harbin Heilongjiang,150020,China)
出处
《反射疗法与康复医学》
2021年第14期146-149,共4页
Reflexology And Rehabilitation Medicine
关键词
脑卒中
吞咽障碍
吞咽康复训练
重复经颅磁刺激
咽腔测压
Stroke
Dysphagia
Rehabilitation training for swallowing
Repetitive transcranial magnetic stimulation
Pharyngeal cavity pressure measurement
作者简介
赵凤珠(1981-),女,黑龙江哈尔滨人,本科,副主任医师,研究方向:康复医学与理疗学。
