临床误诊误治2025，Vol.38Issue(1)：80-84,5.DOI:10.3969/j.issn.1002-3429.2025.01.018
情景互动呼吸训练联合高频重复经颅磁刺激治疗脑梗死后吞咽障碍的效果观察
Observation on the Therapeutic Effect of Scenario-based Interactive Breathing Training Combined with High-frequency Repetitive Transcranial Magnetic Stimulation on Swallowing Disorders after Cerebral Infarction
摘要
Abstract
Objective To observe the effect of scenario-based interactive breathing training combined with high-frequency repetitive transcranial magnetic stimulation(rTMS)on swallowing dysfunction after cerebral infarction(CI).Meth-ods A total of 84 elderly patients with swallowing disorders after CI treated from June 2021 to June 2023 were selected.Using the random number table method,they were divided into two groups.The control group(n=42)received high-frequency rTMS,while the observation group(n=42)received scenario-based interactive breathing training combined with high-frequency rTMS.Baseline data,efficacy,and improvement in swallowing function before and after treatment were com-pared between two groups.Results There was no significant difference in baseline data between the two groups(P＞0.05).After treatment,degree of aspiration score,the swallowing difficulty score,and Wadian drinking water test grading of the ob-servation group were lower than those in the control group,while the functional food intake scale score and surface electromyo-graphy domain index-root mean square were higher than those in the control group(P＜0.05).After treatment,the observa-tion group showed obvious longer duration and greater degree of esophageal sphincter opening,and duration of pharyngeal con-traction,as compared with the control group(P＜0.05).The total effective rate was 92.86%(39/42)in the observation group and 85.71%(36/42)in the control group,suggesting no significant difference(P＞0.05).Conclusion The combi-nation of scenario-based interactive breathing training and high-frequency rTMS rehabilitation therapy can effectively improve the swallowing function of patients after CI,which have significant implications for the improvement of their condition.关键词
脑梗死/吞咽障碍/情景互动呼吸训练/重复经颅磁刺激/康复/误吸/表面肌电图Key words
Cerebral infarction/Swallowing disorders/scenario-based interactive breathing training/Repetitive tran-scranial magnetic stimulation/Rehabilitation/Aspiration/Surface electromyography分类
医药卫生引用本文复制引用
王笑,魏冰,董晓莹,薛翠萍,代欣,万桂玲..情景互动呼吸训练联合高频重复经颅磁刺激治疗脑梗死后吞咽障碍的效果观察[J].临床误诊误治,2025,38(1):80-84,5.基金项目
首都医科大学附属北京康复医院康复临床研究培育专项青年项目(2021-032) （2021-032）
