经颅直流电刺激治疗对脑卒中吞咽障碍患者吞咽功能恢复及脑血流的影响

Influence of Transcranial Direct Current Stimulation on the Recovery of Swallowing Function and Cerebral Blood Flow in Stroke Patients with Dysphagia

目的探讨经颅直流电刺激治疗脑卒中吞咽障碍的效果。方法选择2019年4月至2020年4月我院收治的脑卒中吞咽障碍患者60例,随机分为实验组与对照组各30例。对照组采用常规吞咽康复训练,实验组在对照组基础上采用经颅直流电刺激治疗。比较两组的吞咽功能、脑血流情况。结果治疗2周、1个月后,两组的SSS、MMASA评分均高于治疗前,且实验组的SSS、MMASA评分高于对照组(P<0.05)。治疗1个月后,两组的全血黏度高切、红细胞压积与血浆黏度均低于治疗前,且实验组的全血黏度高切、红细胞压积与血浆黏度低于对照组(P<0.05)。结论经颅直流电刺激治疗脑卒中吞咽功能障碍可恢复患者的吞咽功能,改善其脑血流,值得临床推广应用。

Objective To explore the effect of transcranial direct current stimulation in the treatment of stroke and dysphagia.Methods 60 stroke patients with dysphagia admitted to our hospital from April 2019 to April 2020 were selected and randomly divided into experimental group and control group,with 30 cases in each group.The control group was given conventional swallowing rehabilitation training,while the experimental group was treated with transcranial direct current stimulation on the basis of the control group.The swallowing function recovery and cerebral blood flow of the two groups were compared.Results After 2 weeks and 1 month of treatment,the SSS and MMASA scores of the two groups were higher than those before treatment,and the SSS and MMASA scores of the experimental group were higher than those of the control group(P<0.05).After 1 month of treatment,the whole blood viscosity high shear,hematocrit and plasma viscosity of the two groups were lower than those before treatment,and the whole blood viscosity high shear,hematocrit and plasma viscosity of the experimental group were lower than those of the control group(P<0.05).Conclusions Transcranial direct current stimulation in the treatment of stroke and dysphagia can restore the swallowing function and improve the cerebral blood flow,which is worthy of clinical promotion and application.