首页|补阳还五汤冰刺激联合rTMS对脑卒中后吞咽障碍疗效研究

补阳还五汤冰刺激联合rTMS对脑卒中后吞咽障碍疗效研究

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目的 评估中药补阳还五汤冰刺激联合重复经颅磁刺激(rTMS)对脑卒中后吞咽障碍的疗效.方法 选取在我院康复科和神经内科住院的患者,诊断为脑卒中合并吞咽障碍的患者 45 例进行 6 周的治疗及随访观察.采用随机数字表法将入组患者分为对照组(假经颅磁刺激+常规冰刺激+常规治疗)、中药组(补阳还五汤冰刺激+假经颅磁刺激+常规治疗)和联合组(补阳还五汤冰刺激+高频 rTMS+常规治疗).用标准吞咽功能评估量表(SSA)和吞咽造影检查(VFSS)评估三组治疗前后的吞咽功能.结果 治疗后联合组的疗效优于中药组和对照组(P<0.05),三组患者均优于治疗前(P<0.05),中药组和对照组之间的疗效差异无统计学意义(P>0.05).结论 补阳还五汤冰刺激联合高频(5Hz)重复经颅磁刺激可有效改善脑卒中后吞咽障碍,单纯中药冰刺激疗效好于单纯冰刺激.
Effect of Yanghuanwu Decoction Ice Stimulation Combined with RTMS onDysphagia after Stroke
Objective To evaluate the effect of Buyang Huanwu decoction ice stimulation combined with repetitive transcranial magnetic stimulation(rTMS)on dysphagia after stroke.Methods 45 stroke patients with dysphagia were selected from the De-partment of Rehabilitation and Department of Neurology.The patients were randomly divided into control group(sham tran-scranial magnetic stimulation+routine ice stimulation+routine treatment),traditional Chinese medicine group(Buyang Huanwu decoction ice stimulation+sham transcranial magnetic stimulation+routine treatment)and combination group(Buyang Huanwu de-coction ice stimulation+high frequency rTMS+routine treatment).The deglutition function before and after treatment was evalu-ated by means of standardized swallowing assessment(SSA)and videofluoroscopic swallowing study(VFSS).Results after treat-ment,the curative effect of the combined group was better than that of the traditional Chinese medicine group and the con-trol group(P<0.05),and that of the three groups was better than that before treatment(P<0.05).There was no significant difference in the curative effect between the traditional Chinese medicine group and the control group.Conclusion Chinese medicine ice stimulation combined with high frequency(5Hz)repetitive transcranial magnetic stimulation can effectively im-prove dysphagia after stroke,and the effect of chinese medicine ice stimulation alone is better than that of ice stimulation alone.

Traditional Chinese medicinetranscranial magnetic stimulationstrokedysphagia

钮雪康、林丽丽、王亚青、杜宇鹏、赵君

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浙江中医药大学附属第三医院康复医学科,浙江 杭州 310053

中药 经颅磁刺激 脑卒中 吞咽障碍

浙江省教育厅一般科研项目

Y202146949

2024

哈尔滨医药
哈尔滨市医学会

哈尔滨医药

影响因子:0.697
ISSN:1001-8131
年,卷(期):2024.44(2)
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