摘要
目的:探讨尼麦角林联合高频重复经颅磁刺激(HF-rTMS)对脑卒中后吞咽功能的影响。方法:回顾性选择2022年12月—2024年12月九江市第一人民医院收治的102例脑卒中患者,根据治疗方案不同将其分为对照组51例,观察组51例。对照组给予尼麦角林治疗,观察组在对照组的基础上给予HF-rTMS治疗,比较两组临床疗效、吞咽功能、吞咽时间和不良反应发生率,测定功能性经口摄食评估(function oral intake scale,FOIS)、洼田饮水试验和反复唾液吞咽试验(repeated saliva swallowing test,RSST)评分。结果:治疗后观察组治疗效果、FOIS、RSST高于对照组;洼田饮水试验评分低于对照组,吞咽时间短于对照组(P<0.05)。结论:尼麦角林联合HF-rTMS可有效促进脑卒中患者吞咽障碍的临床疗效,提高吞咽功能,缩短吞咽时间。
Objective:To explore the effect of Nicergoline combined with high-frequency repetitive transcranial magnetic stimulation on swallowing function after stroke.Method:A retrospective analysis was conducted on 102 stroke patients who were admitted to Jiujiang NO.1 People's Hospital from December 2022 to December 2024.These patients were divided into two groups:51 patients in the control group and 51 patients in the observation group,based on the different treatment regimens.The control group received Nicergoline treatment,while the observation group received Nicergoline with HF-rTMS.The clinical efficacy,swallowing function,swallowing time and incidence of adverse reactions of the two groups were compared,the functional oral intake scale(FOIS),Water drinking test and repeated saliva swallowing test(RSST)were measured.Result:After the treatment,the therapeutic effect,FOIS and RSST of the observation group were higher than those of the control group,the score of the water drinking test was lower than the control group,the swallowing time was shorter than that of the control group(P<0.05).Conclusion:Nicergoline combined with HF-rTMS effectively promotes the clinical efficacy of dysphagia,improves swallowing function and shortens swallowing time in stroke patients.
作者
李明屿
LI Mingyu(Department of Neurology,Jiujiang NO.1 People's Hospital,Jiujiang 332000,China)
出处
《中国医学创新》
2025年第22期124-128,共5页
Medical Innovation of China
关键词
尼麦角林
高频重复经颅磁刺激
脑卒中
吞咽功能
Nicergoline
High-frequency repetitive transcranial magnetic stimulation Stroke
Swallowing function
作者简介
通信作者:李明屿。
