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补阳还五汤冰刺激联合rTMS对脑卒中后吞咽障碍疗效研究

钮雪康 林丽丽 王亚青 杜宇鹏 赵君

哈尔滨医药2024,Vol.44Issue(2):115-118,4.
哈尔滨医药2024,Vol.44Issue(2):115-118,4.DOI:10.3969/j.issn.1001-8131.2024.02.040

补阳还五汤冰刺激联合rTMS对脑卒中后吞咽障碍疗效研究

Effect of Yanghuanwu Decoction Ice Stimulation Combined with RTMS onDysphagia after Stroke

钮雪康 1林丽丽 1王亚青 1杜宇鹏 1赵君1

作者信息

  • 1. 浙江中医药大学附属第三医院康复医学科,浙江 杭州 310053
  • 折叠

摘要

Abstract

Objective To evaluate the effect of Buyang Huanwu decoction ice stimulation combined with repetitive transcranial magnetic stimulation(rTMS)on dysphagia after stroke.Methods 45 stroke patients with dysphagia were selected from the De-partment of Rehabilitation and Department of Neurology.The patients were randomly divided into control group(sham tran-scranial magnetic stimulation+routine ice stimulation+routine treatment),traditional Chinese medicine group(Buyang Huanwu decoction ice stimulation+sham transcranial magnetic stimulation+routine treatment)and combination group(Buyang Huanwu de-coction ice stimulation+high frequency rTMS+routine treatment).The deglutition function before and after treatment was evalu-ated by means of standardized swallowing assessment(SSA)and videofluoroscopic swallowing study(VFSS).Results after treat-ment,the curative effect of the combined group was better than that of the traditional Chinese medicine group and the con-trol group(P<0.05),and that of the three groups was better than that before treatment(P<0.05).There was no significant difference in the curative effect between the traditional Chinese medicine group and the control group.Conclusion Chinese medicine ice stimulation combined with high frequency(5Hz)repetitive transcranial magnetic stimulation can effectively im-prove dysphagia after stroke,and the effect of chinese medicine ice stimulation alone is better than that of ice stimulation alone.

关键词

中药/经颅磁刺激/脑卒中/吞咽障碍

Key words

Traditional Chinese medicine/transcranial magnetic stimulation/stroke/dysphagia

分类

医药卫生

引用本文复制引用

钮雪康,林丽丽,王亚青,杜宇鹏,赵君..补阳还五汤冰刺激联合rTMS对脑卒中后吞咽障碍疗效研究[J].哈尔滨医药,2024,44(2):115-118,4.

基金项目

浙江省教育厅一般科研项目(Y202146949) (Y202146949)

哈尔滨医药

1001-8131

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