经颅直流电刺激调节迷走神经兴奋性对脑卒中后吞咽障碍的效果  

Effects of Transcranial Direct Current Stimulation over Vagus Nerve on Dysphagia after Stroke

作　　者：陈佳君 吴登宠[1] 邵湘芝 蒲新宇 毛燕舞[1] 陈炳[1] CHEN Jia-jun;WU Deng-chong;SHAO Xiang-zhi;PU Xin-yu;MAO Yan-wu;CHEN Bing(Wenzhou Chinese Medicine Hospital,Wenzhou,Zhejiang 325000,China)

机构地区：[1]温州市中医院,浙江温州市325000

出　　处：《中国康复理论与实践》2021年第9期1078-1081,共4页Chinese Journal of Rehabilitation Theory and Practice

基　　金：温州市基础性科研项目(No.Y2020558)。

摘　　要：目的研究经颅直流电刺激(tDCS)调节迷走神经兴奋性对卒中后吞咽功能障碍的疗效。方法2020年9月至2021年2月,本院康复科卒中后吞咽障碍患者28例随机分为对照组和tDCS组,各14例。两组均行吞咽功能训练,tDCS组行迷走神经tDCS,对照组行迷走神经假刺激。治疗前后,采用改良曼恩吞咽能力评估量表(MMASA)和澳大利亚治疗结局量表(AusTOMs)吞咽功能评分进行评定。结果治疗后,两组MMASA评分(|t|>5.593,P<0.001)和AusTOMs吞咽功能评分(|Z|>2.121,P<0.05)均提高,tDCS组优于对照组(|t|=2.439,|Z|=2.079,P<0.05)。结论tDCS调节迷走神经兴奋性可促进卒中后吞咽功能障碍恢复。Objective To study the effect of transcranial direct current stimulation(tDCS)regulating excitability of the vagus nerve on dysphagia after stroke.Methods From September,2020 to February,2021,28 patients with dysphagia after stroke were randomly divided into control group(n=14)and tDCS group(n=14).Both groups accepted swallowing function training,and tDCS group received anodal tDCS over vagus nerve,while the control group received sham tDCS.They were assessed with modified Mann Assessment of Swallowing Ability(MMASA)and Australian Therapy Outcome Measures(AusTOMs)-swallowing scale before and after treatment.Results The scores of MMASA(|t|>5.593,P<0.001)and AusTOMs swallowing scale(|Z|>2.121,P<0.05)increased in both groups after treatment,and were higher in tDCS group than in the control group(|t|=2.439,|Z|=2.079,P<0.05).Conclusion Anodal tDCS over vagus nerve may further release dysphagia after stroke.

关 键 词：脑卒中 吞咽障碍 经颅直流电刺激 迷走神经 

分 类 号：R743.3[医药卫生—神经病学与精神病学]