磁刺激联合项丛刺疗法治疗脑卒中后吞咽障碍临床分析

目的:观察磁刺激联合项丛刺疗法治疗脑卒中(CS)后吞咽障碍的效果。方法:103例分为针刺组51例和磁刺激组52例。两组均用项丛刺疗法,磁刺激组联合高频重复经颅磁刺激。结果:两组治疗1个月末FOIS、VFSS评分升高(P<0.05),磁刺激组高于针刺组(P<0.05);WST评分降低(P<0.05),磁刺激组低于针刺组(P<0.05)。两组治疗1个月末血清VEGF、BDNF水平升高(P<0.05),磁刺激组高于针刺组(P<0.05);NSE水平降低(P<0.05),磁刺激组低于针刺组(P<0.05)。两组颏下肌群、舌骨下肌群振幅及颏舌骨肌位移水平升高(P<0.05),磁刺激组高于针刺组(P<0.05)。结论:磁刺激联合项丛刺疗法治疗CS后吞咽障碍效果较好。

Objective:To observe the effect of magnetic stimulation combined with nape clustering needling therapy on dysphagia after stroke(CS).Methods:A total of 103 cases were divided into acupuncture group with 51 cases and magnetic stimulation group with 52 cases.Both groups were treated with nape clustering needling therapy,and the magnetic stimulation group were treated with high-frequency repetitive transcranial magnetic stimulation.Results:At the end of 1 month of treatment,the FOIS and VFSS scores in the two groups increased(P<0.05),and the magnetic stimulation group was higher than the acupuncture group(P<0.05).The WST score decreased(P<0.05),and the magnetic stimulation group was lower than the acupuncture group(P<0.05).The levels of serum VEGF and BDNF in the two groups at the end of one month of treatment increased(P<0.05),and the magnetic stimulation group was higher than the acupuncture group(P<0.05).The NSE level decreased(P<0.05),and the magnetic stimulation group was lower than the acupuncture group(P<0.05).The amplitude of the submental muscle group,the subhyoid muscle group and the displacement level of the geniohyoid muscle group in the two groups increased(P<0.05),and the magnetic stimulation group was higher than the acupuncture group(P<0.05).Conclusion:Magnetic stimulation combined with nape clustering needling therapy therapy is effective in treating dysphagia after CS.