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重复经颅磁刺激联合吞咽训练对脑卒中后吞咽障碍患者营养状态、神经功能的影响

杨永超 詹祯

海南医学院学报2017,Vol.23Issue(23):3302-3305,4.
海南医学院学报2017,Vol.23Issue(23):3302-3305,4.DOI:10.13210/j.cnki.jhmu.20171101.002

重复经颅磁刺激联合吞咽训练对脑卒中后吞咽障碍患者营养状态、神经功能的影响

Effect of repetitive transcranial magnetic stimulation combined with swallowing training on the nutritional status and neurological function of patients with dysphigin after stroke

杨永超 1詹祯2

作者信息

  • 1. 江苏省南京医科大学附属脑科医院康复医学科,江苏南京210029
  • 2. 江苏省南京集庆门医院康复科,江苏南京210000
  • 折叠

摘要

Abstract

Objective:To study the effect of repetitive transcranial magnetic stimulation combined with swallowing training on the nutritional status and neurological function of patients with dysphigin after stroke.Methods:Patients with dys-phagia after stroke who received rehabilitation in Nanjing Brain Hospital between June 2014 and September 2016 were selected and randomly divided into magnetic stimulation + training group and training group who received repetitive transcranial mag-netic stimulation combined with swallowing training and swallowing training alone respectively.The nutritional status indexes, nerve injury indexes and neurotrophy indexes in serum were determined before treatment and 28 days after treatment.Results:28 days after treatment,serum ALB,Hb,PAB,TRF,IGF-1,BDNF,NGF and VEGF contents of both groups of patients were higher than those before treatment while VILIP-1,NSE,Fibulin-5,NPY and Nogo-A contents were lower than those be-fore treatment,and serum ALB,Hb,PAB,TRF,IGF-1,BDNF,NGF and VEGF contents of magnetic stimulation + train-ing group were higher than those of training group while VILIP-1,NSE,Fibulin-5,NPY and Nogo-A contents were lower than those of training group.Conclusion:Repetitive transcranial magnetic stimulation combined with swallowing training for dysphigin after stroke can improve the nutritional status and improve the neurological function.

关键词

脑卒中/吞咽障碍/重复经颅磁刺激/营养状态/神经功能

Key words

stroke/dysphigin/repetitive transcranial magnetic stimulation/nutritional status/neurological function

分类

医药卫生

引用本文复制引用

杨永超,詹祯..重复经颅磁刺激联合吞咽训练对脑卒中后吞咽障碍患者营养状态、神经功能的影响[J].海南医学院学报,2017,23(23):3302-3305,4.

基金项目

江苏省卫生厅预防医学资助项目(Y2013028)Health Department of Jiangsu Province Preventive Medicine funded projects(Y2013028) (Y2013028)

海南医学院学报

OACSTPCD

1007-1237

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