双侧重复经颅磁刺激联合基于容积黏度吞咽试验测试的摄食训练在脑卒中后吞咽障碍患者中的应用价值  

Application Value of Bilateral Repetitive Transcranial Magnetic Stimulation Combined with Volumetric Viscosity Swallowing Test Based Feeding Training in Patients with Swallowing Disorders after Stroke

作　　者：朱越 侯依佳 ZHU Yue;HOU Yijia(Department of Rehabilitation,Beijing Huimin Hospital,Beijing 100000,China;Department of Rehabilitatio,Beijing Niujie Community Health Service center,Beijing 100000,China)

机构地区：[1]北京市回民医院康复科,北京100000 [2]北京市牛街社区卫生服务中心康复科,北京100000

出　　处：《反射疗法与康复医学》2025年第7期54-57,共4页Reflexology And Rehabilitation Medicine

摘　　要：目的探讨双侧重复经颅磁刺激联合基于容积黏度吞咽试验(V-VST)测试的摄食训练在脑卒中后吞咽障碍患者中的应用价值。方法选取2022年7月—2024年7月北京市回民医院收治的102例脑卒中后吞咽障碍患者为研究对象,按随机数字表法将其分为对照组和观察组,各51例。对照组采用基于V-VST测试的摄食训练干预,观察组在对照组基础上采用双侧重复经颅磁刺激干预,两组均持续干预8周。对比两组患者的吞咽障碍程度、摄食功能、吞咽功能及生活质量。结果干预后,观察组吞咽障碍程度、摄食功能均优于对照组,组间差异有统计学意义(P<0.05);观察组标准吞咽功能评价量表评分为(24.45±2.28)分,低于对照组的(30.44±3.66)分,吞咽障碍特异性生活质量量表评分为(195.77±8.25)分,高于对照组的(171.52±6.58)分,组间差异有统计学意义(P<0.05)。结论双侧重复经颅磁刺激联合基于V-VST测试的摄食训练干预可减轻患者的吞咽障碍程度,提升吞咽功能和摄食功能,且可提高生活质量。Objective To investigate the application value of bilateral repetitive transcranial magnetic stimulation combined with Volumetric Viscosity Swallowing Test(V-VST)based feeding training in patients with swallowing disorder after stroke.Methods A total of 102 patients with dysphagia after stroke treated in Beijing Huimin Hospital from July 2022 to July 2024 were selected as the research objects,and were divided into a control group and an observation group according to random number table method,with 51 cases in each group.The control group received feeding training intervention based on V-VST test,and the observation group received bilateral repeated transcranial magnetic stimulation intervention on the basis of the control group,the intervention lasted for 8 weeks in both groups.The degree of dysphagia,feeding function,swallowing function and quality of life were compared between the two groups.Results After intervention,the degree of dysphagia and feeding function in the observation group were better than those in the control group,and differences between the groups were statistically significant(P<0.05);the Standardized Swallowing Assessment Scale score of the observation group was(24.45±2.28)points,which was lower than(30.44±3.66)points of the control group,and the Swallowing Dysphagia Specific Quality of Life Scale score was(195.77±8.25)points,which was higher than(171.52±6.58)points of the control group,and the differences between the two groups were statistically significant(P<0.05).Conclusion Bilateral repetitive transcranial magnetic stimulation combined with V-VST test-based feeding training intervention can reduce the degree of swallowing disorder,improve swallowing function and feeding function,and improve quality of life.

关 键 词：脑卒中 吞咽障碍 双侧重复经颅磁刺激 容积黏度吞咽试验 摄食训练 吞咽功能 

分 类 号：R743.3[医药卫生—神经病学与精神病学]