Abstract：Objective To study the clinical effect of repetitive transcranial magnetic stimulation in the treatment of dysphagia after stroke.Methods From January 2016 to March 2019,160 patients with dysphagia after stroke with a course of 30-90 days treated in our hospital were selected and randomly divided into treatment group (80 cases) and control group (80 cases) according to the treatment order.Both groups were given swallowing dysfunction training,and the treatment group was given repetitive transcranial stimulation on this basis.The treatment cycle was 4 weeks.Swallowing function was evaluated by Watian drinking water test before and after treatment.The Watian water drinking test scores and the total effective rate of treatment were compared between the two groups.Results There was no significant difference between the two groups in the score of Watian drinking water test before treatment (P＞0.05).After treatment,the Watian water drinking test scores of the two groups of patients were lower than those before treatment,and the differences were statistically significant (P＜0.05).The Watian water drinking test score of the patients in the treatment group after treatment was lower than that in the control group,and the difference was statistically significant (P＜0.05).The total effective rate of the treatment group was higher than that of the control group,and the difference was statistically significant (P＜0.05).Conclusion Repetitive transcranial magnetic stimulation can significantly improve swallowing dysfunction after stroke.
丁常宇； 邹飒枫； 王笑丰. 重复经颅磁刺激治疗脑卒中后吞咽功能障碍的临床效果[J]. 中国当代医药, 2020, 27(1): 82-84转87.
DING Chang-yu； ZOU Sa-feng； WANG Xiao-feng. Clinical effect of repetitive transcranial magnetic stimulation in the treatment of dysphagia after stroke. 中国当代医药, 2020, 27(1): 82-84转87.
Takeuchi N，Lzumi S.Maladaptive plasticity for motor recovery after stroke：mechanisms and approaches[J].Neural Pladt，2012，35：9728.
[4]
Takeuchi N，Lzumi S.Noninvasive brain stimulation for motor recovery after stroke：mechanisms and future views[J].Stroke Res Treat，2012，58：4757.
[5]
Kakuda W，Abo M，Kobayashi K，et al.Anti-spastic effect of low-frequency r-TMS applied with occupational therapy in post-stroke patients with upper limb hemiparesis[J].Brain Inj，2011，25（5）：496-502.
[6]
Kamura Y，Tsubahara A，Aoyagi Y，et al.Changes in motor evoked potentials in the suprahyoid muscles by repetitive transcranial magnetic stimulation[J].Kawasaki Med J，2010，36：275-281.
[7]
Rossi S，Hallet M，Rossini PM，et al.Safety，ethical considerations，and application guidelines for the use of transcranial magnetic stimulation in clinical practice and research[J].Clin Neurophysiol，2009，120：2008-2039.
Handy S，Aziz Q，Rothwell JC，et al.The cortial topography of human swallowing musculature in health and disease[J].Nat Med，1996，2：1217-1224.
[8]
Muller PA，Pascual-Leone A，Rotenberg A.Safety and tolerability of repetitive transcranial magnetic stimulation in patients with pathologic positive sensory phenomenaa review of literature[J].Brain Stimul，2012，5（3）：320-329.
[9]
Auvichayapat N，Rotenberg A，Gersner R，et al.Transcranial direct current stimulation for treatment of refractory childhood focal epilepsy[J].Brain Stimul，2013，6（4）：696-700.
[11]
Hsu WY，Cheng CH，Liao KK，et al.Effects of repetitive transcranial magnetic stimulation on motor functions in patients with stroke：a meta-analysis[J].Stroke，2012，43（7）：1849-1857.
Edmiaston J，Connor LT，Steger-May L，et al.A somple bedside stroke dysphagia screen，validated against videofluoroscopy，detects dysphagia and aspiration with high sensitivity[J].J Stroke Cerebrovasc Dis，2014，23（4）：712-716.
[16]
Koyama Y，Kodama M，Shimoda N，et al.Superahyoid muscles motor evoked potentials in response to transcranial magnetic stimulation[J].Tokai J Exp Clin Med，2010，35：70-77.
Kim L，Chum MH，Kim BR，et al.Effect of repetitive transcranial magnetic stimulation on patients with brain injury and dysphagia[J].Ann Rehabil Med，2001，35（6）765-771.
京公网安备 11010502046607号