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目的观察健侧高频重复经颅磁刺激(rTMS)结合生物反馈下的空吞咽训练对脑卒中后吞咽障碍的影响。方法选取符合入选标准的脑卒中后吞咽障碍患者80例
按照随机数字表法随机分为对照组、生物反馈组、磁刺激组和联合组
每组患者20例。4组患者均予以常规吞咽功能障碍训练
生物反馈组在常规训练的基础上增加生物反馈下的空吞咽训练
磁刺激组在常规训练的基础上增加健侧高频rTMS刺激
联合组则在常规训练的基础上增加健侧高频rTMS刺激联合生物反馈下的空吞咽训练进行干预。治疗频次均为每日1次
每周治疗5 d
连续治疗3周。于治疗前和治疗3周后(治疗后)
采用渗漏-误吸量表(PAS)、功能性经口摄食量表(FOIS)和标准吞咽功能评价量表(SSA)来评价4组患者的吞咽功能
并记录和比较4组患者下颌舌骨肌运动诱发电位(MEP)的潜伏期和波幅。结果治疗后
4组患者的PAS评分、FOIS评分、SSA评分、下颌舌骨肌MEP潜伏期和波幅较组内治疗前均显著改善
差异均有统计学意义(P<0.05)。联合组治疗后的PAS评分[(1.85±0.75)分]、FOIS评分[(5.45±1.05)分]和SSA评分[(22.45±4.45)分]均显著优于对照组、生物反馈组和磁刺激组治疗后(P<0.05)
联合组治疗后的下颌舌骨肌MEP潜伏期均显著短于对照组和生物反馈组治疗后(P<0.05)
联合组治疗后下颌舌骨肌MEP波幅显著高于对照组治疗后(P<0.05)。结论健侧高频rTMS结合生物反馈下的空吞咽训练可显著改善脑卒中后吞咽障碍患者的吞咽功能
及其下颌舌骨肌MEP的潜伏期和波幅。
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