1. 郑州大学第一附属医院神经外科,郑州
2. 中国人民解放军92805部队医院,青岛
3. 郑州大学第一附属医院康复医学科,郑州
纸质出版:2025
移动端阅览
刘增进, 曹荣智, 李和平, 等. 经颅直流电刺激联合经口至食管间歇管饲治疗脑梗死后吞咽障碍的疗效观察[J]. 中华物理医学与康复杂志, 2025,47(9):822-826.
刘增进, 曹荣智, 李和平, et al. 经颅直流电刺激联合经口至食管间歇管饲治疗脑梗死后吞咽障碍的疗效观察[J]. 2025, 47(9): 822-826.
目的观察经颅直流电刺激(tDCS)联合间歇经口至食管管饲(IOE)治疗脑梗死后吞咽障碍的疗效。方法采用随机数字表法将84例脑梗死后吞咽障碍患者分为观察组及对照组
每组42例。所有患者均给予常规治疗及吞咽康复训练
且均使用IOE方式进行肠内营养支持;在此基础上观察组患者辅以tDCS治疗。于治疗前、治疗14 d后分别使用渗漏误吸量表(PAS)、功能性经口摄食量表(FOIS)、吞咽障碍指数(DHI)及9条目患者健康问卷(PHQ-9)评估2组患者吞咽功能、生活质量及抑郁情绪改善情况。结果治疗后2组患者PAS、FOIS评级、DHI、PHQ-9评分及抑郁阳性率均较治疗前明显改善(P<0.05)
并且治疗后观察组PAS、FOIS评级、DHI指数[(51.25±6.78) vs (44.78±5.75)]、PHQ-9评分[(4.17±1.15)分vs (6.01±1.93)分]及抑郁阳性率(14.29% vs 42.86%)亦显著优于同期对照组水平(P<0.05)。结论 tDCS联合IOE管饲能进一步改善脑梗死患者吞咽功能、抑郁情绪及生活质量
该治疗模式值得临床推广、应用。
曾泓辑,吴军发,张芳权,郭莉,曾西,王留根.间歇经口至食管管饲治疗脑卒中真性球麻痹患者的疗效观察[J].中华物理医学与康复杂志,2023(12).
中国康复医学会吞咽障碍康复专业委员会.中国吞咽障碍康复管理指南(2023版)[J].中华物理医学与康复杂志,2023(12).
王婷玮,胡瑞萍,邰佳慧,范顺娟,刘佳怡,朱玉连,吴毅,田闪,沈莉,吴军发.经鼻留置胃管与间歇性经口至食管管饲法应用于脑卒中后吞咽障碍患者的临床评价[J].中国康复医学杂志,2022(08).
曾进胜,蒲传强.我国各类主要脑血管病诊断要点演变与更新[J].中华神经科杂志,2019(09).
刘萍,欧翠玲,敖友爱,徐桂红,李慧娟.早期评估与分级管理的康复护理模式对脑卒中后吞咽功能及误吸的影响[J].中华物理医学与康复杂志,2017(12).
Hongji Zeng,Jing Zeng,Weijia Zhao,Siyu Luo,Pengchao Luo,Zhefeng Wang,Qingfeng Tian,Xi Zeng.Reliability and Validity of the Chinese Mandarin Version of the Dysphagia Handicap Index[J].Dysphagia,2024.
Bendix Labeit,Emilia Michou,Michaela Trapl Grundschober,Sonja Suntrup Krueger,Paul Muhle,Philip M Bath,Rainer Dziewas.Dysphagia after stroke: research advances in treatment interventions.[J].The Lancet. Neurology,2024.
Hongji Zeng,Weijia Zhao,Junfa Wu,Jihong Wei,Heping Li,Liugen Wang,Xi Zeng.Effect of Intermittent Oro-Esophageal Tube Feeding in Bulbar Palsy After Ischemic Stroke: A Randomized Controlled Study.[J].Stroke,2024.
Ikenouchi Hajime,Nozue Kei,Yamaguchi Satoru,Miyamoto Tatsuo,Yamamoto Naoki,Endo Kaoru.Geriatric nutrition risk index predicts prolonged post-stroke dysphagia in acute ischemic stroke.[J].Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association,2023.
Wang Lingyan,Shi Aiqun,Xue Hui,Li Qiwei,Wang Jiasheng,Yang Heliang,Hong Hong,Lu Qiaomiao,Cheng Jiaping.Efficacy of Transcranial Direct Current Stimulation Combined with Conventional Swallowing Rehabilitation Training on Post-stroke Dysphagia.[J].Dysphagia,2023.
Cummock Jonathon S,Wong Kelvin K,Volpi John J,Wong Stephen T.Reliability of the National Institutes of Health (NIH) Stroke Scale Between Emergency Room and Neurology Physicians for Initial Stroke Severity Scoring.[J].Cureus,2023.
Li Yi,Li HePing,Wu MingXia,Wang QianYe,Zeng Xi.Effects of transcranial direct current stimulation for post-stroke depression: A systematic review and meta-analysis.[J].Clinical neurophysiology : official journal of the International Federation of Clinical Neurophysiology,2022.
Jia Xiaofang,Wang Zhihong,Huang Feifei,Su Chang,Du Wenwen,Jiang Hongru,Wang Huijun,Wang Jiaqi,Wang Fangjun,Su Weiwu,Xiao Huifang,Wang Yanxin,Zhang Bing.A comparison of the Mini-Mental State Examination (MMSE) with the Montreal Cognitive Assessment (MoCA) for mild cognitive impairment screening in Chinese middle-aged and older population: a cross-sectional study.[J].BMC psychiatry,2021.
Wu Chao,Zhu Xuefang,Zhou Xiaohan,Li Chenxi,Zhang Yijie,Zhang Haiying,Shen Meifen.Intermittent tube feeding for stroke patients with dysphagia: a meta-analysis and systematic review.[J].Annals of palliative medicine,2021.
Kleindorfer O. Dawn,Towfighi Amytis,Chaturvedi Seemant,Cockroft M. Kevin,Gutierrez Jose,Lombardi Hill Debbie,Kamel Hooman,Kernan N. Walter,Kittner J. Steven,Leira C. Enrique,Lennon Olive,Meschia F. James,Nguyen N. Thanh,Pollak M. Peter,Santangeli Pasquale,Sharrief Z. Anjail,Smith C. Sidney,Turan N. Tanya,Williams S. Linda.2021 Guideline for the Prevention of Stroke in Patients With Stroke and Transient Ischemic Attack: A Guideline From the American Heart Association/American Stroke Association[J].Stroke,2021.
Department of Rehabilitation Medicine, Faculty of Medicine Siriraj Hospital, Mahidol University, 9th floor Srisangwal Building, Siriraj Hospital, Wanglang Road, Bangkok Noi, Bangkok, 10700, Thailand. piyapat.daj@mahidol.ac.th.,Department of Psychiatry, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand.,Department of Psychiatry, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand.,Department of Psychiatry, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand.,Department of Rehabilitation Medicine, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand.,Department of Preventive Medicine, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand..The validity and reliability of the PHQ-9 in screening for post-stroke depression.[J].BMC psychiatry,2020.
Greg Kronberg,Asif Rahman,Mahima Sharma,Marom Bikson,Lucas C. Parra.Direct current stimulation boosts hebbian plasticity in vitro[J].Brain Stimulation,2020.
Borders James C,Brates Danielle.Use of the Penetration-Aspiration Scale in Dysphagia Research: A Systematic Review.[J].Dysphagia,2020.
Yuan Ying,Wang Jie,Wu Dongyu,Huang Xiaobo,Song Weiqun.Effect of transcranial direct current stimulation on swallowing apraxia and cortical excitability in stroke patients.[J].Topics in stroke rehabilitation,2017.
Zhou Hongzhen,Zhu Yafang,Zhang Xiaomei.Validation of the Chinese Version of the Functional Oral Intake Scale (FOIS) Score in the Assessment of Acute Stroke Patients with Dysphagia.[J].Studies in health technology and informatics,2017.
Song Myeongseop,Shin Yungjae,Yun Kyongsik.Beta-frequency EEG activity increased during transcranial direct current stimulation.[J].Neuroreport,2014.
Fang Jing,Cheng Qi.Etiological mechanisms of post-stroke depression: a review.[J].Neurological research,2009.
0
浏览量
0
下载量
0
CSCD
关联资源
相关文章
相关作者
相关机构
京公网安备11010802024621