摘要
目的观察经颅磁刺激联合针刺治疗脑卒中后吞咽功能障碍患者的临床疗效。方法将患者60例按随机数字表法分为对照组和观察组,各30例,对照组给予吞咽功能训练,观察组在对照组基础上给予经颅磁刺激和针刺治疗。观察两组临床疗效、洼田饮水试验和吞咽功能评分(SSA)变化情况。结果治疗后观察组总有效率为93.33%,高于对照组的76.67%(P<0.05)。与治疗前比较,治疗1周、2周时两组洼田饮水试验和SSA评分均降低(P<0.05)。与治疗1周比较,治疗2周两组洼田饮水试验和SSA评分均下降(P<0.05);与对照组同期比较,观察组洼田饮水试验和SSA评分下降明显(P<0.05)。结论经颅磁刺激联合针刺治疗能提高脑卒中后吞咽功能障碍患者的吞咽功能,提高生活质量。
Objective：To observe the clinical application of transcranial magnetic stimulation （TMS） in treating post-stroke dyspnoistas after stroke. Methods： 60 patients were randomly divided into the control group and the observation group. 30 cases in the control group were given swallowing function training;the observation group on the basis of TMS added acupuncture treatment. The clinical results of the two groups were observed as well as the study of the low-lying water and the variation of the swallowing function. Results： The effective rate of the obser-vation group was 93.33% and the control group was 76.67%,and the difference was statistically significant （P〈0.05）. Compared with the treatment of 1st week,low-lying water and the SSA of the treatment of the two weeks were decreased,and the difference was statistically significant（P〈0.05）. In comparison with the control group,the depression water test and the SSA score of the observation group decreased significantly;the difference was sta-tistically significant（P〈0.05）. Conclusions：TMS can improve the function of swallowing and improve the quality of life after stroke.
出处
《中国中医急症》
2017年第6期1031-1033,共3页
Journal of Emergency in Traditional Chinese Medicine
基金
国家中医药管理局中医药重点学科(中医康复学)建设经费资助(国中医药发[2012]32号)
浙江省医药卫生科技计划项目(No.2015KYB279)
浙江省自然科学基金项目(No.LQ16H170001)
关键词
经颅磁刺激
针刺
脑卒中
吞咽功能障碍
急症
Transcranial magnetic stimulation
Acupuncture
Stroke
Dysprea
Emergency
