The purpose of this study was to investigate the effects of repetitive transcranial magnetic stimulation （rTMS） on patients with sleep bruxism （SB）. Twelve patients with SB were included in an open, single-interve...The purpose of this study was to investigate the effects of repetitive transcranial magnetic stimulation （rTMS） on patients with sleep bruxism （SB）. Twelve patients with SB were included in an open, single-intervention pilot study, rTMS at 1 Hz and an intensity of 80% of the active motor threshold was applied to the ‘hot spot＇ of the masseter muscle representation at the primary motor cortex bilaterally for 20 rain per side each day for 5 consecutive days. The jaw-closing muscle electromyographic （EMG） activity during sleep was recorded with a portable EMG recorder at baseline, during rTMS treatment and at follow-up for 5 days. In addition, patients scored their jaw-closing muscle soreness on a 0-10 numerical rating scale （NRS）. Data were analysed with analysis of variance. The intensity of the EMG activity was suppressed during and after rTMS compared to the baseline （P = 0.04; P = 0.02, respectively）. The NRS score of soreness decreased significantly during and after rTMS compared with baseline （P 〈 0.01）. These findings indicated a significant inhibition of jaw-closing muscle activity during sleep along with a decrease of muscle soreness. This pilot study raises the possibility of therapeutic benefits from rTMS in patients with bruxism and calls for further and more controlled studies.展开更多
目的探讨老年肺癌患者在健康管理和沟通方式干预下的应用效果,为后期老年肺癌的临床治疗提供相应参考。方法研究将2022年1—6月赤峰市医院肿瘤内科收治的30例老年肺癌患者设为参照组,将2022年7—12月医院接诊的30例老年肺癌患者设为研...目的探讨老年肺癌患者在健康管理和沟通方式干预下的应用效果,为后期老年肺癌的临床治疗提供相应参考。方法研究将2022年1—6月赤峰市医院肿瘤内科收治的30例老年肺癌患者设为参照组,将2022年7—12月医院接诊的30例老年肺癌患者设为研究组。参照组采用健康管理措施,以此为护理基础,给予研究组患者沟通护理。对比两组患者疼痛状况、负面情绪、生活质量改善情况及其健康促进行为。结果护理前两组焦虑(self-rating anxiety scale,SAS)、抑郁(self-rating depression scale,SDS)、疼痛(numerical rating scale,NRS)评分、生活质量量表(european organization for research and treatment of cancer,QLQ-C30)评分比较,差异无统计学意义(P>0.05);研究组护理后SAS、SDS、NRS评分低于参照组,QLQ-C30评分和健康促进行为(health promoting lifestyle profile,HPLP)评分高于参照组(P<0.05)。结论此次研究结果符合《老年肺癌外科治疗中国专家共识(2022版)》中的相关内容,且老年肺癌患者采用健康管理与沟通护理后,既可以减轻患者焦虑、抑郁情绪与癌性疼痛症状,还可以促进患者的健康行为,改善患者生活质量,提升患者对护理服务的满意程度。展开更多
基金supported by the Priority Academic Program Development of Jiangsu Higher Education Institutions (PAPD, 2014-37)the Medical Science and Technology Development Foundation of Jiangsu Health Department (H201338)
文摘The purpose of this study was to investigate the effects of repetitive transcranial magnetic stimulation （rTMS） on patients with sleep bruxism （SB）. Twelve patients with SB were included in an open, single-intervention pilot study, rTMS at 1 Hz and an intensity of 80% of the active motor threshold was applied to the ‘hot spot＇ of the masseter muscle representation at the primary motor cortex bilaterally for 20 rain per side each day for 5 consecutive days. The jaw-closing muscle electromyographic （EMG） activity during sleep was recorded with a portable EMG recorder at baseline, during rTMS treatment and at follow-up for 5 days. In addition, patients scored their jaw-closing muscle soreness on a 0-10 numerical rating scale （NRS）. Data were analysed with analysis of variance. The intensity of the EMG activity was suppressed during and after rTMS compared to the baseline （P = 0.04; P = 0.02, respectively）. The NRS score of soreness decreased significantly during and after rTMS compared with baseline （P 〈 0.01）. These findings indicated a significant inhibition of jaw-closing muscle activity during sleep along with a decrease of muscle soreness. This pilot study raises the possibility of therapeutic benefits from rTMS in patients with bruxism and calls for further and more controlled studies.
文摘目的探讨老年肺癌患者在健康管理和沟通方式干预下的应用效果,为后期老年肺癌的临床治疗提供相应参考。方法研究将2022年1—6月赤峰市医院肿瘤内科收治的30例老年肺癌患者设为参照组,将2022年7—12月医院接诊的30例老年肺癌患者设为研究组。参照组采用健康管理措施,以此为护理基础,给予研究组患者沟通护理。对比两组患者疼痛状况、负面情绪、生活质量改善情况及其健康促进行为。结果护理前两组焦虑(self-rating anxiety scale,SAS)、抑郁(self-rating depression scale,SDS)、疼痛(numerical rating scale,NRS)评分、生活质量量表(european organization for research and treatment of cancer,QLQ-C30)评分比较,差异无统计学意义(P>0.05);研究组护理后SAS、SDS、NRS评分低于参照组,QLQ-C30评分和健康促进行为(health promoting lifestyle profile,HPLP)评分高于参照组(P<0.05)。结论此次研究结果符合《老年肺癌外科治疗中国专家共识(2022版)》中的相关内容,且老年肺癌患者采用健康管理与沟通护理后,既可以减轻患者焦虑、抑郁情绪与癌性疼痛症状,还可以促进患者的健康行为,改善患者生活质量,提升患者对护理服务的满意程度。
