[1]包娜娜,刘 超.高频重复经颅磁刺激对后遗症期脑卒中后吞咽功能障碍的疗效观察[J].医学信息,2018,31(22):104-106.[doi:10.3969/j.issn.1006-1959.2018.22.028]
 BAO Na-na,LIU Chao.Therapeutic Effect of High Frequency Repetitive Transcranial Magnetic Stimulation on Deglutition Disorders after Sequelae Stroke[J].Journal of Medical Information,2018,31(22):104-106.[doi:10.3969/j.issn.1006-1959.2018.22.028]
点击复制

高频重复经颅磁刺激对后遗症期脑卒中后吞咽功能障碍的疗效观察()
分享到:

医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
31卷
期数:
2018年22期
页码:
104-106
栏目:
临床研究
出版日期:
2018-11-15

文章信息/Info

Title:
Therapeutic Effect of High Frequency Repetitive Transcranial Magnetic Stimulation on Deglutition Disorders after Sequelae Stroke
文章编号:
1006-1959(2018)22-0104-03
作者:
包娜娜1刘 超2
(1.川北医学院神经疾病研究所,四川 南充 637000;2.川北医学院附属医院神经内科,四川 南充 637000)
Author(s):
BAO Na-na1LIU Chao2
(1.Institute of Neurological Diseases,North Sichuan Medical College,Nanchong 637000,Sichuan,China;2.Department of Neurology,Affiliated Hospital of North Sichuan Medical College,Nanchong 637000,Sichuan,China)
关键词:
重复经颅磁刺激脑卒中吞咽功能障碍表面肌电图
Keywords:
Repetitive transcranial magnetic stimulationStrokeDeglutition disordersSurface electromyography
分类号:
R743.3
DOI:
10.3969/j.issn.1006-1959.2018.22.028
文献标志码:
A
摘要:
目的 探讨高频重复经颅磁刺激对后遗症期脑卒中后吞咽功能障碍患者疗效。方法 选取2017年1月~2018年6月本院收治的40例后遗症期脑卒中后吞咽功能障碍患者为研究对象,采用电脑产生随机数字法将患者分为观察组和对照组,各20例。两组患者均接受常规吞咽功能训练,观察组患者在此基础上加用经颅磁刺激治疗,对照组患者接受同样刺激参数的假刺激线圈给予的治疗,比较两组患者吞咽功能评分及环咽肌表面肌电图最大波幅变化情况。结果 治疗后,对照组、观察组患者吞咽功能评分分别为(4.10±0.59)分、(4.65±0.64)分,差异无统计学意义(P>0.05);环咽肌表面肌电图最大波幅值分别为(668.00±39.33)μV、(761.00±43.61)μV,组间比较,差异无统计学意义(P>0.05)。结论 高频重复经颅磁刺激对后遗症期脑卒中后吞咽功能障碍患者的吞咽功能无明显改善。
Abstract:
Objective To investigate the efficacy of high-frequency repetitive transcranial magnetic stimulation in patients with deglutition disorders after stroke in sequelae.Methods 40 patients with deglutition disordersafter stroke in our hospital from January 2017 to June 2018 were enrolled. The patients were divided into observation group and control group by computer-generated random number method.20 cases each. Both groups of patients received routine swallowing function training.The patients in the observation group were treated with transcranial magnetic stimulation. The patients in the control group received the same stimulation parameters and the stimulation was given. The swallow function scores and the maximal amplitude of the surface electromyogram of the pharyngeal muscle were compared between the two groups. Results After treatment, the swallowing function scores of the control group and the observation group were(4.10±0.59)score and (4.65±0.64)score, respectively,the difference was not statistically significant (P>0.05).The maximum amplitude of the surface electromyogram of the pharyngeal muscle was (668.00±39.33)μV, (761.00±43.61)μV, and there was no significant difference between the groups(P>0.05). Conclusion High-frequency repetitive transcranial magnetic stimulation has no significant improvement in swallowing function in patients with deglutition disorders after sequelae.

参考文献/References:


[1]Chenq IKY,Chan KMK,Wong CS,et al.Neuronavigated high-frequency repetitive transcranial magnetic stimulation for chronic post-stroke dysphagia: a randomized controlled study[J].J Rehabil Med,2017,49(6):475-481.
[2]王寅旭,王晓明.重复经颅磁刺激在临床神经病学领域治疗方面的研究进展[J].实用医院临床杂志,2013,10(5):25-28.
[3]Michou E,Mistry S,Jefferson S,et al.Characterizing the mechanisms of central and peripheral forms of neurostimulation in chronic dysphagic stroke patients[J].Brain Stimul,2014(7):66-73.
[4]Lee JH,Kim SB,Lee KW,et al.Effect of repetitive transcranial magnetic stimulation according to the stimulation site in stroke patients with dysphagia[J].Ann Rehabil Med,2015,39(3):432-439.
[5]陈芳,王晓明,詹成,等.重复经颅磁刺激治疗脑梗死失语及其对脑血流的影响[J].川北医学院学报,2012,17(4):323-326.
[6]Khedr EM,Abo-Elfetoh N.Therapeutic role of rTMS on recovery of dysphagia in patients with lateral medullary syndrome and brainstem infarction[J].J Neurol Neurosurg Psychiatry,2010(81):495-499.
[7]Pisegna JM,Kaneoke A,Pearson WG,et al.Effects of non-invasive brain stimulation on post-stroke dysphagia: A systematic review and meta-analysis of randomized controlled trials[J].Clin Neurophysiol,2016(127):956-968.
[8]Lin WS,Chou CL,Chanq MH,et al.Vagus nerve magnetic modulation facilitates dysphagia recovery in patients with stroke involving the brainstem-A proof of concept study[J].Brain Stimul,2018,11(2):264-270.
[9]Yang SN,Pyun SB,Kim HJ,et al.Effectiveness of non-invasive brain stimulation in dysphagia subsequent to stroke: a systemic review and meta analysis[J].Dysphagia,2015(30):383-391.
[10]Park E,Kim MS,Chanq WH,et al.Effects of bilateral repetitive transcranial magnetic stimulation on post-stroke dysphagia[J].Brain Stimul,2017,10(1):75-82.
[11]Dawson J,Pierce D,Dixit A,et al.Safety, feasibility, and efficacy of vagus nerve stimulation paired with upper-limb rehabilitation after ischemic stroke[J].Stroke,2016(47):143-150.

相似文献/References:

[1]尹美丽.早期康复护理对脑卒中临床疗效及偏瘫肢体功能的影响分析[J].医学信息,2018,31(05):167.[doi:10.3969/j.issn.1006-1959.2018.05.061]
 YIN Mei-li.Effect of Early Rehabilitation Nursing on Clinical Effect of Stroke and Limb Function of Hemiplegia[J].Journal of Medical Information,2018,31(22):167.[doi:10.3969/j.issn.1006-1959.2018.05.061]
[2]杨立丹,吴 敬,王学军.调神益髓针刺法结合康复训练治疗脑卒中后 平衡功能障碍的临床分析[J].医学信息,2018,31(07):143.[doi:10.3969/j.issn.1006-1959.2018.07.049]
 YANG Li-dan,WU Jing,WANG Xue-jun.Clinical Analysis of Treatment of Balance Dysfunction after Stroke by Acupuncture of Regulating Spirit and Supplementing Pulp Combined with Rehabilitation Training[J].Journal of Medical Information,2018,31(22):143.[doi:10.3969/j.issn.1006-1959.2018.07.049]
[3]王晓强,张艳军,贾 琎,等.早期康复介入与脑卒中合并代谢综合征患者并发症的关系[J].医学信息,2018,31(08):96.[doi:10.3969/j.issn.1006-1959.2018.08.030]
 WANG Xiao-qiang,ZHANG Yan-jun,JIA Jin,et al.Relationship between Early Rehabilitation Intervention and Complications in Stroke Patients with Metabolic Syndrome[J].Journal of Medical Information,2018,31(22):96.[doi:10.3969/j.issn.1006-1959.2018.08.030]
[4]李娅娜,曹 岚,徐 影,等.四肢联动联合虚拟现实训练对脑卒中恢复期患者 下肢功能与平衡功能的影响[J].医学信息,2018,31(14):107.[doi:10.3969/j.issn.1006-1959.2018.14.031]
 LI Ya-na,CAO Lan,XU Ying,et al.Effects of Limb Linkage and Virtual Reality Training on Lower Limb Function and Balance Function in Stroke Patients during Convalescence[J].Journal of Medical Information,2018,31(22):107.[doi:10.3969/j.issn.1006-1959.2018.14.031]
[5]张春兰,谢 筠,李美娟.重复经颅磁刺激在酒依赖患者精神依赖治疗中的应用[J].医学信息,2018,31(15):37.[doi:10.3969/j.issn.1006-1959.2018.15.013]
 ZHANG Chun-lan,XIE Yun,Li Mei-juan.Application of Repetitive Transcranial Magnetic Stimulation in the Treatment of Mental Dependence in Patients with Alcohol Dependence[J].Journal of Medical Information,2018,31(22):37.[doi:10.3969/j.issn.1006-1959.2018.15.013]
[6]邵俊丽.静息心率与脑卒中关系的研究[J].医学信息,2018,31(16):16.[doi:10.3969/j.issn.1006-1959.2018.16.006]
 SHAO Jun-li.Research on Relationship between Resting Heart Rate and Stroke[J].Journal of Medical Information,2018,31(22):16.[doi:10.3969/j.issn.1006-1959.2018.16.006]
[7]张怀祥,段晓宇.脑梗死后认知障碍的病理学机制、相关危险因素及治疗[J].医学信息,2018,31(16):21.[doi:10.3969/j.issn.1006-1959.2018.16.007]
 ZHANG Huai-xiang,DUAN Xiao-yu.Pathological Mechanism,Related Risk Factors and Treatment of Cognitive Impairment after Cerebral Infarction[J].Journal of Medical Information,2018,31(22):21.[doi:10.3969/j.issn.1006-1959.2018.16.007]
[8]平兴团,赵富强,杨 飞,等.家庭康复管理对卒中患者运动功能恢复的远期影响[J].医学信息,2018,31(16):66.[doi:10.3969/j.issn.1006-1959.2018.16.018]
 PING Xing-tuan,ZHAO Fu-qiang,YANG Fei,et al.Long-term Effects of Family Rehabilitation Management on Recovery of Motor Function in Stroke Patients[J].Journal of Medical Information,2018,31(22):66.[doi:10.3969/j.issn.1006-1959.2018.16.018]
[9]刘 萍,傅继红.30°斜坡式自动充气枕在鼻饲脑卒中 患者体位管理的可行性研究[J].医学信息,2018,31(17):170.[doi:10.3969/j.issn.1006-1959.2018.17.054]
 LIU Ping,FU Ji-hong.Feasibility Study on the Position Management of 30°Slope Automatic Inflatable Pillow in Patients with Nasal Feeding Stroke[J].Journal of Medical Information,2018,31(22):170.[doi:10.3969/j.issn.1006-1959.2018.17.054]
[10]赵富强,平兴团,杨 飞,等.重心重塑训练对Pusher综合征的疗效观察[J].医学信息,2018,31(20):94.[doi:10.3969/j.issn.1006-1959.2018.20.027]
 ZHAO Fu-qiang,PING Xing-tuan,YANG Fei,et al.Therapeutic Effect of Center of Gravity Remodeling Training on Pusher Syndrome[J].Journal of Medical Information,2018,31(22):94.[doi:10.3969/j.issn.1006-1959.2018.20.027]
[11]张智芳.重复经颅磁刺激治疗脑卒中后认知障碍的效果及对认知功能的影响[J].医学信息,2021,34(10):119.[doi:10.3969/j.issn.1006-1959.2021.10.033]
 ZHANG Zhi-fang.The Effect of Repeated Transcranial Magnetic Stimulation on Cognitive Impairment After Stroke and Its Influence on Cognitive Function[J].Journal of Medical Information,2021,34(22):119.[doi:10.3969/j.issn.1006-1959.2021.10.033]
[12]李 雯,周美彤,王婧婷,等.基于Web of Science数据库近十年重复经颅磁刺激治疗脑卒中的文献计量学和可视化分析[J].医学信息,2022,35(06):10.[doi:10.3969/j.issn.1006-1959.2022.06.003]
 LI Wen,ZHOU Mei-tong,WANG Jing-ting,et al.Bibliometrics and Visual Analysis of Repetitive Transcranial Magnetic Stimulation in the Treatment of Stroke in the Past Decade Based on Web of Science Database[J].Journal of Medical Information,2022,35(22):10.[doi:10.3969/j.issn.1006-1959.2022.06.003]
[13]侯艳雁,王 杰,邓丛磊.重复经颅磁刺激联合步态适应性训练对脑卒中患者运动康复及生活质量的影响[J].医学信息,2022,35(09):157.[doi:10.3969/j.issn.1006-1959.2022.09.040]
 HOU Yan-yan,WANG Jie,DENG Cong-lei.Effects of Repetitive Transcranial Magnetic Stimulation Combined with Gait Adaptive Training on Motor Rehabilitation and Quality of Life in Patients with Stroke[J].Journal of Medical Information,2022,35(22):157.[doi:10.3969/j.issn.1006-1959.2022.09.040]

更新日期/Last Update: 2018-12-03