张晓凌,唐志明,毛立亚,等.针刺联合重复经颅磁刺激对脑卒中后口腔期吞咽障碍的影响[J].中华物理医学与康复杂志,2019,41(4):257-260
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| 针刺联合重复经颅磁刺激对脑卒中后口腔期吞咽障碍的影响 |
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| DOI：DOI:10.3760/cma.j.issn.0254-1424.2019.04.004 |
| 中文关键词: 脑卒中 吞咽障碍 针刺 重复经颅磁刺激 |
| 英文关键词: Stroke Dysphagia Acupuncture Repetitive transcranial magnetic stimulation |
| 基金项目:甘肃省科技厅2017自然科学基金B类计划(1610RJZA078)；国家自然科学基金青年科学基金项目（81401872） |
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| 中文摘要: |
| 目的 观察针刺联合重复经颅磁刺激（rTMS）对脑卒中后口腔期吞咽障碍的影响。 方法 采用随机数字表法将39例脑卒中后口腔期吞咽障碍患者分为观察组19例、对照组20例。2组患者均接受基础康复训练和rTMS，观察组在此基础上配合针刺。治疗前、治疗4周后（治疗后），分别采用标准化吞钡造影功能障碍评价量表(MBSImP)和口腔推送时间(OTT)对2组患者进行评定。 结果 治疗前，2组患者口腔期MBSImP评分、OTT时间参数比较，差异无统计学意义（P>0.05）。与组内治疗前比较，观察组治疗后MBSImP评分［（8.26±2.92）分］、OTT时间参数［（12.79±2.54）s］显著改善（P<0.05），对照组治疗后仅MBSImP评分［（10.60±4.09）分］优于组内治疗前。治疗后，观察组MBSImP评分、OTT时间参数优于对照组（P<0.05）。 结论 针刺联合rTMS可改善脑卒中后口腔期吞咽障碍，值得进一步应用、推广。 |
| 英文摘要: |
| Objective To observe the effect of combining acupuncture with transcranial magnetic stimulation (rTMS) in treating post-stroke dysphagia of oral stage. Methods Thirty-nine stroke survivors with dysphagia of oral stage were randomly divided into an experimental group (n=19) and a control group (n=20). Both groups were given basic supportive treatment and rehabilitation, including rTMS for 4 weeks. The experimental group additionally received acupuncture. Modified barium swallowing impairment profiles (MBSImPs) and oral transit time (OTT) were used to assess both groups after the intervention. Results There were no significant differences between the two groups before the treatment. After the treatment the average MBSImP score (8.26±2.92) and OTT (12.79±2.54)s were significantly better in the experimental group compared to before the treatment and compared to the control group′s averages. In the control group a significant improvement was observed only in the average MBSImP score (10.60±4.09), but not in the average OTT. Conclusions Acupuncture combined with repetitive transcranial magnetic stimulation has positive effects on poststroke dysphagia of the oral stage. It is worthy of application and popularization. |
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