| 张薛,周敬杰,聂鹏瞩,等.不同频率重复经颅磁刺激对脑梗死后吞咽障碍的影响[J].安徽医药,2025,29(9):1778-1782. |
| 不同频率重复经颅磁刺激对脑梗死后吞咽障碍的影响 |
| Effect of repeated transcranial magnetic stimulation at different frequencies in patients with swallowing disorders after cerebral infarction |
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| DOI：10.3969/j.issn.1009-6469.2025.09.016 |
| 中文关键词: 经颅磁刺激 频率 脑梗死 吞咽障碍 效果 |
| 英文关键词: Transcranial magnetic stimulation Frequency Cerebral infarction Swallowing disorder Effectiveness |
| 基金项目:彭城英才医学青年后备人才培养项目( XWRCHT20220007)；徐州市科技项目( KC23191) |
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| 中文摘要: |
| 目的比较低频、高频重复经颅磁刺激( rTMS)对脑梗死后吞咽障碍的疗效。方法纳入 2022年 3月至 2023年 3月徐州医科大学附属徐州市立医院收治的脑梗死后吞咽障碍病人 86例，采用随机数字表法分为观察组 43例，接受低频重复 rTMS治疗，对照组 43例，接受高频重复 rTMS治疗。对比总有效率、洼田饮水试验分级、进食评估问卷调查工具 -10(EAT-10)、吞咽功能性交流测试( FCM)、改良曼恩吞咽能力评估量表( MMASA)、颏下肌群表面肌电图( sEMG)最大振幅和吞咽时限。结果观察组疗效( 90.70%比 72.09%)、治疗后洼田饮水试验分级( 1、2、3、4、5级)更优( 39.53%、30.23%、20.93%、9.30%、0比 13.95%、32.56%、20.93%、23.26%、9.30%)(P<0.05)；治疗后两组 FCM、MMASA、颏下肌群 sEMG最大振幅水平均高于治疗前， EAT-10、颏下肌群 sEMG吞咽时限均低于治疗前，且观察组优于对照组［EAT-10(18.35±2.75)分比(23.83±3.77)分、 FCM(6.23±0.84)级比(4.19±0.55)级、 MMASA(90.28±6.83)分比( 81.16±5.19)分、 sEMG最大振幅( 725.36±81.33)μV比( 681.17±65.47)μV、sEMG吞咽时限(1.02±0.15)s比(1.28±0.45)s］(P<0.05)。结论低频重复 rTMS治疗脑梗死后吞咽障碍有利于改善吞咽功能障碍。 |
| 英文摘要: |
| Objective To compare the difference in clinical efficacy between low-frequency and high-frequency repetitive transcrani-al magnetic stimulation (rTMS) in patients with dysphagia after cerebral infarction.Methods Eighty-six patients with post-cerebral in-farction dysphagia admitted to Xuzhou Municipal Hospital of Xuzhou Medical University between March 2022 and March 2023 were in-cluded, and were divided into 2 groups using a randomized numerical table method: the observation group (n=43) was treated with low-frequency repetitive transcranial magnetic stimulation (rTMS), and the control group (n=43) was treated with high-frequency rTMS. The total effective rate, Kubota drinking test grading, Eating Assessment Questionnaire Tool-10 (EAT-10), Functional Communication Testfor Swallowing (FCM), Modified Mann Assessment Scale for Swallowing Ability (MMASA), maximum amplitude of the sub-chin muscle group sEMG, and the time limit for swallowing were compared.Results The efficacy of the observation group (90.70 % vs. 72.09 %), and the grading of the Pudding Drinking Test after treatment were better (39.53%/30.23%/20.93%/9.30%/0 vs. 13.95%/32.56%/ 20.93%/23.26%/9.30%) (P<0.05); the FCM, MMASA, chin submuscular group sEMG maximum amplitude levels were higher than be-fore treatment, and EAT-10 and submuscular group sEMG swallowing time limit were lower than the comparison before treatment, andthe observation group was better than the control group [(18.35±2.75) points vs. (23.83±3.77) points, (6.23±0.84) points vs. (4.19±0.55) points, (90.28±6.83) points vs. (81.16±5.19) points, (725.36±81.33) μV vs. (681.17±65.47) μV, (1.02±0.15) s vs. (1.28±0.45) s] (P< 0.05).Conclusion Treatment of swallowing disorder after cerebral infarction is beneficial to improve swallowing dysfunction. |
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