重复经颅磁刺激治疗脑卒中后吞咽功能障碍的临床效果

Clinical effect of repetitive transcranial magnetic stimulation in the treatment of dysphagia after stroke

目的研究重复经颅磁刺激治疗脑卒中后吞咽功能障碍的临床效果。方法选取2016年1月~2019年3月本院收治的160例病程在30~90 d的脑卒中后存在吞咽功能障碍的患者,按就诊顺序随机分为治疗组(80例)、对照组(80例)。两组均给予吞咽功能障碍训练,治疗组在此基础上予重复经颅刺激治疗。治疗周期为4周。治疗前后采用洼田饮水试验进行吞咽功能评定。比较两组患者的洼田饮水试验评分及治疗总有效率。结果两组患者治疗前的洼田饮水试验评分比较,差异无统计学意义(P>0.05);治疗后两组患者的洼田饮水试验评分均低于治疗前,差异有统计学意义(P<0.05);治疗组患者治疗后的洼田饮水试验评分低于对照组,差异有统计学意义(P<0.05)。治疗组患者的治疗总有效率高于对照组,差异有统计学意义(P<0.05)。结论重复经颅磁刺激治疗可显著改善脑卒中后吞咽功能障碍。

Objective To study the clinical effect of repetitive transcranial magnetic stimulation in the treatment of dysphagia after stroke.Methods From January 2016 to March 2019,160 patients with dysphagia after stroke with a course of 30-90 days treated in our hospital were selected and randomly divided into treatment group(80 cases)and control group(80 cases)according to the treatment order.Both groups were given swallowing dysfunction training,and the treatment group was given repetitive transcranial stimulation on this basis.The treatment cycle was 4 weeks.Swallowing function was evaluated by Watian drinking water test before and after treatment.The Watian water drinking test scores and the total effective rate of treatment were compared between the two groups.Results There was no significant difference between the two groups in the score of Watian drinking water test before treatment(P>0.05).After treatment,the Watian water drinking test scores of the two groups of patients were lower than those before treatment,and the differences were statistically significant(P<0.05).The Watian water drinking test score of the patients in the treatment group after treatment was lower than that in the control group,and the difference was statistically significant(P<0.05).The total effective rate of the treatment group was higher than that of the control group,and the difference was statistically significant(P<0.05).Conclusion Repetitive transcranial magnetic stimulation can significantly improve swallowing dysfunction after stroke.