现代医药卫生2025，Vol.41Issue(4)：931-934,939,5.DOI:10.3969/j.issn.1009-5519.2025.04.025
重复经颅磁刺激联合吞咽训练在脑梗死后吞咽障碍患者康复中的应用效果
Application effect of repetitive transcranial magnetic stimulation combined with swallowing training in rehabilitation of patients with swallowing disorders after cerebral infarction
陈艳玮 1皮睿 1冯亚琼1
作者信息
- 1. 郑州市中心医院神经康复科,河南 郑州 450000
- 折叠
摘要
Abstract
Objective To explore the application effect of repetitive transcranial magnetic stimulation(rTMS)combined with swallowing training in the rehabilitation of patients with swallowing disorders after cerebral infarction.Methods A prospective study was conducted on 80 patients with swallowing disorders af-ter cerebral infarction in the hospital from March 2021 to March 2024.They were randomly divided into two groups,40 cases in each group.The control group received swallowing training,while the observation group received rTMS intervention in addition to the control group.Both groups were intervened for 4 weeks.The swallowing function[swallowing function assessment scale(SSA)],Kubota drinking water test(WST)grad-ing,quality of life[swallowing disorder specific quality of life scale(SWAL-QOL)]score,at before the inter-vention,2 weeks and 4 weeks after the intervertion,and incidence of aspiration and aspiration pneumonia at 4 weeks after the intervention were compared between the two groups.Results After intervention,SSA scores in both groups were lower than those before intervention,and observation group was lower than that control group(P＜0.05).The proportion of WST grades 1 and 2 in observation group was higher than that in control group(P＜0.05);SWAL-QOL scores in 2 groups were higher than those before intervention,and observation group was higher than control group(P＜0.05).After 4 weeks of intervention,the incidence of aspiration in observation group was lower than that in control group[5.0％(2/40)vs.22.5％(9/40)],and the difference was statistically significant(x2=5.165,P＜0.05).There was no significant difference in the incidence of aspi-ration pneumonia between 2 groups(P＞0.05).Conclusion The combination of rTMS and swallowing train-ing can accelerate the recovery of swallowing function in patients with swallowing disorders after cerebral in-farction,improve their quality of life,reduce aspiration,and has better effects than simple swallowing training.关键词
脑梗死/吞咽障碍/重复经颅磁刺激/吞咽训练/生活质量Key words
Cerebral infarction/Swallowing disorders/Repetitive transcranial magnetic stimulation/Swallowing training/Quality of life分类
临床医学引用本文复制引用
陈艳玮,皮睿,冯亚琼..重复经颅磁刺激联合吞咽训练在脑梗死后吞咽障碍患者康复中的应用效果[J].现代医药卫生,2025,41(4):931-934,939,5.
