经颅磁刺激联合表面肌电治疗卒中后吞咽困难的效果

doi:10.20047/j.issn1673-7210.2023.17.20

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Abstract Objective To observe the effect of transcranial magnetic stimulation (TMS) combined with surface electromyography in the treatment of dysphagia after stroke. Methods A total of 86 patients with dysphagia after stroke admitted to Wenzhou Hospital of Traditional Chinese Medicine Affiliated to Zhejiang Chinese Medical University from September 2021 to November 2022 were selected. The patients were divided into control group and combined group by random number table method, with 43 cases in each group. The control group was treated with TMS, and the combined group was treated with surface electromyography combined with TMS on the basis of the control group. The course of treatment in both groups was one month. The swallowing function, nutritional status (albumin [ALB], prealbumin [PA], total cholesterol [TC]), and quality of life were compared between the two groups before and after treatment. Results After treatment, the swallowing function grading of the two groups were better than those before treatment, and the combined group was better than the control group, and the differences were statistically significant (P＜0.05). After treatment, the TC levels of the two groups were lower than those before treatment, and the differences were statistically significant (P＜0.05). After treatment, the levels of ALB, PA, and each dimension scores of 36-item short form health survey in the two groups were higher than those before treatment, and the levels of ALB, PA, and scores of health status, life vitality, mental health in the combined group were higher than those in the control group, and the differences were statistically significant (P＜0.05). Conclusion TMS combined with surface electromyography is effective in the treatment of dysphagia after stroke, which is worthy of promotion and application.

Key words： Transcranial magnetic stimulation Surface electromyography Stroke Dysphagia Curative effect

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	ZHANG Yuan1 TANG Liying1 ZHU Lili1 ZHENG Xuelun1 DU Qian1 HE Ruoqi1 CHEN Miao2▲

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ZHANG Yuan1 TANG Liying1 ZHU Lili1 ZHENG Xuelun1 DU Qian1 HE Ruoqi1 CHEN Miao2▲. Effect of transcranial magnetic stimulation combined with surface electromyography in the treatment of dysphagia after stroke[J]. 中国医药导报, 2023, 20(17): 90-93.

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[1] 李映彩，冷军，孟祥志，等.近5年脑卒中吞咽障碍研究进展的可视化分析[J].中国康复理论与实践，2022，28（9）：1049-1059.
[2] 贺涓涓，许自阳，史静，等.脑卒中后吞咽障碍患者咀嚼效率的特征分析及其与健康受试者的比较[J].中华物理医学与康复杂志，2022，44（9）：779-783.
[3] 郭园丽，马珂珂，郭丽娜，等.脑卒中吞咽障碍患者护理质量评价指标的构建[J].中华护理杂志，2022，57（13）：1599-1605.
[4] 华锋凯，玉铭，龚献莲，等.脑卒中吞咽障碍评估及进食护理研究进展[J].护理研究，2022，36（4）：691-694.
[5] 李艳芳，陈蔚，周晓香，等.卒中后并发误吸危险因素及吞咽造影对其吞咽功能的评估[J].影像科学与光化学，2021，39（6）：892-895.
[6] 田楠，周静.脑卒中吞咽障碍康复干预现状的田野调查[J].护理学杂志，2021，36（20）：84-87.
[7] 王曈，董凌辉，孟萍萍，等.重复经颅磁刺激治疗卒中后吞咽困难的相关临床研究进展[J].中华物理医学与康复杂志，2022，44（10）：931-934.
[8] 杨玺，蔡倩，徐亮，等.重复经颅磁刺激联合表面肌电生物反馈对脑卒中后吞咽障碍患者吞咽功能的影响[J].中华物理医学与康复杂志，2022，44（7）：603-606.
[9] 杨晨，窦祖林.非侵入性脑刺激技术治疗卒中后吞咽障碍疗效的meta分析[J].中国康复医学杂志，2022，37（7）：948-954.
[10] 张玉鹏，曹常娥，黄军军.经颅磁刺激对脑卒中后吞咽困难患者咽运动皮质的影响研究[J].中国卫生统计，2022，39（3）：456-458.
[11] 黄军军，曹常娥，张雷，等.综合康复训练对脑卒中后吞咽功能障碍患者的治疗效果研究[J].中国卫生统计，2021，38（4）：563-565，571.
[12] 王冉，胡川，王欣，等.基于虚拟现实的生物反馈联合重复经颅磁刺激对脑卒中恢复期患者吞咽障碍的影响[J].中华物理医学与康复杂志，2022，44（5）：407-411.
[13] 彭斌，吴波.中国急性缺血性脑卒中诊治指南2018[J].中华神经科杂志，2018，51（9）：666-682.
[14] 王剑，李五一，张竹花，等.吞咽障碍的临床评估[J].中华耳鼻喉头颈外科杂志，2012，47（11）：889.
[15] 汪洁.神经源性吞咽功能障碍的评价[J].中国康复学杂志，1996，11（1）：38-41
[16] Ware JE Jr，Gandek B. Overview of the SF-36 Health Survey and the International Quality of Life Assessment （IQOLA）Project [J]. J Clin Epidemiol，1998，51（11）：903-912.
[17] 张谦，吴霜，周腾飞，等.摄食训练同步神经肌肉电刺激对脑卒中后吞咽障碍患者的影响[J].中华物理医学与康复杂志，2022，44（5）：415-418.
[18] 刘华宁.肌电生物反馈联合针刺可以改善脑梗死恢复期患者的吞咽功能——评《脑梗死治疗学》[J].中国实验方剂学杂志，2022，28（3）：67.
[19] 陈栩铤，顾旭东，姚云海，等.单侧高频重复经颅磁刺激对脑卒中吞咽障碍及功能性磁共振成像的影响[J].中华物理医学与康复杂志，2021，43（12）：1105-1109.
[20] 邰佳慧，吴军发，王婷玮，等.不同模式经颅磁刺激在脑卒中后吞咽障碍的康复研究进展[J].康复学报，2021， 31（3）：252-257，264.
[21] 王曈，孟萍萍，董凌辉，等.双侧大脑半球高频重复经颅磁刺激对脑卒中后吞咽障碍的影响[J].中华物理医学与康复杂志，2021，43（4）：306-310.
[22] 欧秀君，王璇，陈艳，等.重复经颅磁刺激结合舌三针治疗脑卒中后吞咽障碍的临床观察[J].中国康复医学杂志，2021，36（10）：1264-1267.
[23] 龙瑞菊，石国凤，赵金菊，等.脑卒中后吞咽障碍中西医康复治疗的研究进展[J].中国当代医药，2022，29（3）：25-29.
[24] 伍祥容，代秋蓉，孙霞.针灸联合神经肌肉电刺激、导管球囊扩张术对脑卒中后吞咽障碍病人舌骨喉复合体动度、营养状况的影响[J].中西医结合心脑血管病杂志，2023，21（1）：157-160.
[25] 王方舟，胡广璇，王洪丹.脑卒中后吞咽困难的康复治疗方法研究进展[J].中国医药科学，2021，11（19）：66-70.
[26] 杨永超，詹祯.重复经颅磁刺激联合吞咽训练对脑卒中后吞咽障碍患者营养状态、神经功能的影响[J].海南医学院学报，2017，23（23）：3302-3305.