摘要
目的探究高频重复经颅磁刺激联合咽部冰刺激训练在急性脑梗死后吞咽功能障碍患者中的临床效果.方法选取南通市第一人民医院2021年3月—2023年8月收治的74例急性脑梗死后吞咽功能障碍患者为研究对象,按照随机数字表法将其分为对照组与观察组,各37例.两组患者均采用高频重复经颅磁刺激治疗,在此基础上,对照组采用常规训练,观察组联合咽部冰刺激训练,两组均治疗4周.对比两组患者的临床效果、吞咽功能、神经功能、营养状况.结果观察组临床效果优于对照组,差异有统计学意义(P<0.05).治疗后,观察组功能性经口摄食评价量表评分为(4.04±0.51)分,高于对照组的(2.81±0.38)分,标准吞咽功能评定量表评分为(21.05±1.11)分,低于对照组的(25.75±4.52)分,组间差异有统计学意义(P<0.05);观察组美国国立卫生研究院卒中量表评分为(7.03±2.31)分,低于对照组的(9.22±2.41)分,差异有统计学意义(P<0.05);观察组血清白蛋白水平为(39.88±5.18)g/L,血红蛋白水平为(135.34±13.13)g/L,体质指数为(20.58±1.25)kg/m^(2),均高于对照组的(36.11±4.12)g/L、(125.85±12.84)g/L、(19.22±1.31)kg/m^(2),组间差异有统计学意义(P<0.05).结论高频重复经颅磁刺激联合咽部冰刺激治疗的临床效果较佳,能够有效提升其吞咽功能、神经功能,促进患者营养状况改善.
Objective To explore the clinical effect of high-frequency repetitive transcranial magnetic stimulation combined with pharyngeal ice stimulation training in patients with swallowing dysfunction after acute cerebral infarction.Methods 74 patients with swallowing dysfunction after acute cerebral infarction admitted to the First People's Hospital of Nantong from March 2021 to August 2023 were selected as the study objects,and were divided into a control group and an observation group according to random number table method,with 37 cases in each group.Both groups were treated with high-frequency repetitive transcranial magnetic stimulation.On this basis,the control group was treated with routine training and the observation group with pharyngeal ice stimulation training.Both groups were treated for 4 weeks.The clinical effect,swallowing function,nerve function and nutritional status of the two groups were compared.Results The clinical effect of observation group was better than that of control group,and the difference was statistically significant(P<0.05).After treatment,the functional oral feeding evaluation scale score(4.04±0.51)points in the observation group was higher than(2.81±0.38)points in the control group,and the standard swallowing function evaluation scale(21.05±1.11)points was lower than(25.75±4.52)points in the control group,with statistical significance between groups(P<0.05);the score of National Institutes of Health Stroke Scale in the observation group was(7.03±2.31)points,which was lower than(9.22±2.41)points in the control group,and the difference was statistically significant(P<0.05);serum albumin level was(39.88±5.18)g/L,hemoglobin level was(135.34±13.13)g/L,body mass index was(20.58±1.25)kg/m^(2)they were higher than(36.11±4.12)g/L,(125.85±12.84)g/L,(19.22±1.31)kg/m^(2)of the control group,and the differences between groups were statistically significant(P<0.05).Conclusion The clinical effect of high-frequency repetitive transcranial magnetic stimulation combined with pharyngeal ice stimulation is better,which can effectively improve swallowing function and neurological function,and promote the improvement of patient nutritional status.
作者
郭冠兰
周三连
翟佳佳
葛春雨
曹月姣
GUO Guanlan;ZHOU Sanlian;ZHAI Jiajia;GE Chunyu;CAO Yuejiao(Department of Rehabilitation,the First People's Hospital of Nantong,Nantong Jiangsu,226006,China)
出处
《反射疗法与康复医学》
2024年第5期50-53,共4页
Reflexology And Rehabilitation Medicine
关键词
急性脑梗死
吞咽功能障碍
高频重复经颅磁刺激
咽部冰刺激训练
神经功能
营养状况
Acute cerebral infarction
Swallowing dysfunction
High-frequency repetitive transcranial magnetic stimulation
Pharyngeal ice stimulation training
Neurological function
Nutritional status
