中国康复2025，Vol.40Issue(6)：344-348,5.DOI:10.3870/zgkf.2025.06.004
重复外周磁刺激联合重复经颅磁刺激治疗对脑卒中后吞咽障碍的疗效
Effectiveness of repeated peripheral magnetic stimulation combined with repeated transcranial magnetic stimulation for swallowing disorders after stroke
摘要
Abstract
Objective:To explore the effects of high-frequency repetitive magnetic stimulation(rPMS)on the su-prahyoid muscles and low-frequency rPMS on the motor cortex representation area of the unaffected side's suprahy-oid muscles on swallowing function in patients with swallowing disorders after stroke.Methods:A total of 80 suba-cute stroke patients with swallowing disorders were randomly assigned to four groups:the control group,the repeti-tive transcranial magnetic stimulation(rTMS)group,the rPMS group,and the combined treatment group,with 20 patients in each group.All patients received routine swallowing training.The rTMS group received low-frequency rTMS targeting the motor cortex representation area of the unaffected side's suprahyoid muscles,while the rPMS group received high-frequency rPMS on the suprahyoid muscles.The combined treatment group received rTMS treatment at the first week and rPMS treatment at the second week.Before and two weeks after treatment,Wada drinking water test(WST)and repeated saliva swallowing test(RSST)were performed,and the Murray secretion assessment scale(MSS),Rosenbek Penetration-Aspiration Scale(PAS),and Yale pharyngeal residue assessment scale(YPRS)were evaluated.Results:After two weeks of treatment,there were no significant differences in the Wada drinking test grading and repeated saliva swallowing test scores across the four groups.The Murray secretion assessment,infiltration/aspiration grading,and Yale pharyngeal residue assessment in the rTMS group,rPMS group,and combined group were significantly better than those in the control group(P＜0.05),and the Yale pha-ryngeal residue level in the combined group was significantly lower than that in the rTMS group and rPMS group(P＜0.05).Conclusion:For stroke patients with dysphagia,both rPMS and rTMS treatments can more effectively improve swallowing function than conventional swallowing rehabilitation training.Furthermore,the combination of rPMS and rTMS may yield better results than single magnetic stimulation treatments,significantly reducing secretion and food residue.关键词
重复外周磁刺激/重复经颅磁刺激/脑卒中/吞咽障碍Key words
repetitive peripheral magnetic stimula-tion/repetitive transcranial magnetic stimulation/stroke/swallowing disorders分类
医药卫生引用本文复制引用
张瑜,薛建琴,王俐杰,张抗,朱竹君,丁卓文..重复外周磁刺激联合重复经颅磁刺激治疗对脑卒中后吞咽障碍的疗效[J].中国康复,2025,40(6):344-348,5.基金项目
江苏大学临床医学科技发展(JLY2021094) （JLY2021094）
