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经颅磁刺激联合穴位按摩在中风后吞咽障碍中的应用

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目的 探讨在中风患者吞咽障碍中应用经颅磁刺激联合穴位按摩的临床价值。方法 选取 2022 年 2 月—2023 年 2 月福建中医药大学附属第二人民医院康复科收治的中风后吞咽障碍患者 80 例,根据随机摸球法的形式将其分为研究组与对照组,各 40 例。对照组采用常规康复护理及穴位按摩护理干预方式,试验组在对照组基础上联合开展经颅磁刺激技术。对 2 组治疗疗效及反应吞咽能力的洼田饮水试验评分进行对比。结果 试验组临床总有效率(97。5%)显著高于对照组(77。5%)(P<0。05)。治疗前,2 组患者在洼田饮水试验评分方面得分比较,差异无统计学意义(P>0。05);干预后,2 组得分均降低,试验组患者的吞咽能力的洼田饮水试验评分为(1。76±0。24)分,低于对照组的(3。06±0。55)分(P<0。05)。结论 将经颅磁刺激联合穴位按摩应用于脑卒中吞咽障碍患者的康复中,相比于常规康复护理联合穴位按摩,有助于提高吞咽能力,具有较高临床应用价值。
Application of Transcranial Magnetic Stimulation Combined With Acupoint Massage in Post-Stroke Dysphagia
Objective To explore the clinical value of transcranial magnetic stimulation combined with acupoint massage in stroke patients with swallowing disorders.Methods A total of 80 patients with stroke and swallowing disorders admitted to the department of rehabilitation,the Second People's Hospital Affiliated of Fujian University of Traditional Chinese Medicine from February 2022 to February 2023 were selected.They were randomly divided into a study group and a control group,with 40 cases in each group,using the random touch ball method.The control group received routine rehabilitation nursing and acupoint massage nursing intervention,while the experimental group received combined transcranial magnetic stimulation technology on the basis of the control group.Treatment efficacyand drinking water test score in the depression field between two groups were analyzed and compared between the two groups.Results The total clinical effective rate of the experimental group(97.5%)was significantly higher than that of the control group(77.5%)(P<0.05).Before treatment,there was no statistically significant difference in the scores of the Wada drinking water test between the two groups of patients(P>0.05).After treatment,the scores of both groups decreased,and the swallowing ability of patients in the experimental group was significantly improved.The Wada drinking water test score was(1.76±0.24)points,significantly lower than(3.06±0.55)points of the control group(P<0.05).Conclusion The application of transcranial magnetic stimulation combined with acupoint massage in the rehabilitation of stroke patients with swallowing disorders is helpful in improving swallowing ability compared to conventional rehabilitation nursing combined with acupoint massage,and has high clinical value.

rehabilitation nursingstrokeswallowing disordersacupoint massagetranscranial magnetic stimulationswallowing ability

黄华清、施家芳、施碧霞

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福建中医药大学附属第二人民医院康复科,福建 福州 350001

康复护理 脑卒中 吞咽障碍 穴位按摩 经颅磁刺激 吞咽能力

2024

中国卫生标准管理
《中国卫生标准管理》杂志社

中国卫生标准管理

影响因子:1.374
ISSN:1674-9316
年,卷(期):2024.15(13)