山东省立第三医院康复护理院康复治疗中心,济南
纸质出版:2025
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孟阳, 胡川, 王珊珊, 等. 基于"中枢-外周-中枢"理念的咽喉上升强化训练联合重复经颅磁刺激对脑卒中恢复期患者吞咽障碍的影响[J]. 中华物理医学与康复杂志, 2025,47(4):295-299.
孟阳, 胡川, 王珊珊, et al. 基于"中枢-外周-中枢"理念的咽喉上升强化训练联合重复经颅磁刺激对脑卒中恢复期患者吞咽障碍的影响[J]. 2025, 47(4): 295-299.
目的探讨基于"中枢-外周-中枢(CPC)"理念的咽喉上升强化训练联合重复经颅磁刺激(rTMS)对脑卒中恢复期患者吞咽障碍的影响。方法选取脑卒中恢复期吞咽障碍患者80例
按照随机数字表法将其分为对照组、抬升组、rTMS组和联合组
每组20例。4组患者均给予神经科药物治疗和常规吞咽功能训练
在此基础上
抬升组进行咽喉上升强化训练
rTMS组给予rTMS治疗
联合组采用咽喉上升强化训练和rTMS治疗。治疗前、治疗4周后
采用视频吞咽造影检查(VFSS)、渗漏-误吸量表(PAS)、功能性经口摄食量表(FOIS)评定4组患者的吞咽情况。结果治疗4周后
4组患者的VFSS、PAS、FOIS评分均较组内治疗前改善(P<0.05)。治疗4周后
抬升组、rTMS组、联合组的VFSS、PAS、FOIS评分均优于对照组(P<0.05)
联合组的VFSS评分、PAS评分、FOIS评分均优于其它3组(P<0.05)
抬升组与rTMS组的上述指标比较
差异无统计学意义(P>0.05)。结论基于CPC理论的咽喉上升强化训练联合rTMS可显著改善脑卒中恢复期吞咽障碍患者的吞咽功能。
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