耳穴刺激结合高频重复经颅磁刺激及吞咽训练改善脑卒中后吞咽障碍的研究  

Study of auricular point stimulation combined with high frequency repetitive transcranial magnetic stimulation and swallowing training to improve swallowing disorder after stroke

作　　者：杨小雯 苏辉 李少雄 陈志标 杜道兵 石冰 梁少霞 YANG Xiao-wen;SU Hui;LI Shao-xiong(Rehabilitation department,Zhongshan Shiqi Suhuazan Hospital,Zhongshan 528400,China.)

机构地区：[1]中山市石岐苏华赞医院康复科,广东中山528400

出　　处：《中国处方药》2024年第1期179-182,共4页Journal of China Prescription Drug

摘　　要：目的探讨耳穴刺激结合高频重复经颅磁刺激(rTMS)及吞咽训练改善脑卒中后吞咽障碍的临床效果。方法选取2021年1月~2022年2月收治的76例脑卒中后吞咽障碍患者,随机数字表法分为试验组(耳穴刺激+高频rTMS+吞咽训练,38例)和对照组(单纯吞咽训练,38例)。干预前后,以标准吞咽功能评价量表(SSA)评价两组吞咽功能,予以两组电视透视吞咽功能检查(VFSS),评价干预效果。结果试验组干预后SSA得分低于本组干预前与对照组干预后,VFSS得分高于本组干预前与对照组干预后,差异有统计学意义(P<0.05)。对照组干预后SSA低于干预前,VFSS评分高于干预前,差异有统计学意义(P<0.05)。试验组治疗总有效率高于对照组,差异有统计学意义(P<0.05)。结论脑卒中后吞咽障碍患者在吞咽训练基础上联合高频rTMS和耳穴刺激治疗,三者联用可以发挥协同作用,能够进一步强化临床疗效,更好地促进患者吞咽功能恢复。Objective To investigate the clinical effect of auricular stimulation combined with high frequency repetitive transcranial magnetic stimulation and swallowing training to improve swallowing disorder after stroke.Methods Seventy-six patients with post-stroke swallowing disorder admitted to our hospital from January 2021 to February 2022 were selected and divided into test group(auricular stimulation+high frequency rTMS+swallowing training,38 cases)and control group(swallowing training alone,38 cases)by random number table method.Before and after the intervention,the swallowing function of both groups was evaluated by the standard swallowing function assessment scale(SSA),and the television fluoroscopic swallowing function test(VFSS)was given to both groups to evaluate the intervention effect.Results The SSA score after the intervention was lower in the test group than before the intervention in this group and after the intervention in the control group,and the VFSS score was higher than before the intervention in this group and after the intervention in the control group,and the difference was statistically significant(P<0.05).The SSA in the control group was lower than that before the intervention,and the VFSS score was higher than that before the intervention,and the difference was statistically significant(P<0.05).The total effective rate of treatment in the test group was higher than that in the control group,and the difference was statistically significant(P<0.05).Conclusion On the basis of swallowing training,combined with high frequency rTMS and auricular stimulation,the combination of the three can play a synergistic role,further strengthen the clinical efficacy and better promote the recovery of swallowing function in patients.

关 键 词：脑卒中 吞咽障碍 耳穴刺激 高频重复经颅磁刺激 吞咽训练 

分 类 号：R743.3[医药卫生—神经病学与精神病学]