通讯作者: 李晶晶, chisi94578@163.com

DOI：10.12201/bmr.202411.00060

Application and effectiveness evaluation of transcranial direct current stimulation in the rehabilitation of swallowing function in stroke patientsLi Jingjing1, Qiu Jifang2, Zhou Peihua3, Zeng Qianqian1, Hu Hanyin1

• 摘要：目的 分析经颅直流电刺激在中风患者吞咽功能康复中的应用与效果,为此类群体的优质照护提供循证经验。方法 以我院在2022年12月至2023年12月接诊收治的86例中风患者作为观察对象,采取数字表展开随机化分组,各自分别命名为观察组和对照组,每组各43例。其中,对照组开展常规性康复方案,观察组在对照组基础上开展经颅直流电刺激治疗。在干预前与干预后4周末,使用吞咽功能评定量表(Swallowing Function Scale,SFS)评估患者的主观吞咽功能,通过电视荧光吞咽检查(TV fluorescence swallowing study,VFSS)观察患者的实际吞咽过程,采用生活质量量表(QOL)评估患者的生活质量。结果 观察组干预后在SFS量表的饮水试验、进食速度、咀嚼能力、咽下动作、流质食物的评分均高于对照组,差异有统计学意义(P<0.05)。观察组干预后在口腔期、咽喉期的VFSS评分均高于对照组,差异有统计学意义(P<0.05)；干预后的食管期VFSS评分,差异无统计学意义(P>0.05)。观察组干预后在身体健康、心理健康、社会关系、环境因素等方面的QOL评分均高于对照组,差异有统计学意义(P<0.05)。结论 经颅直流电刺激能改善中风患者吞咽功能,促进生活质量的提高,值得在临床上做进一步推广。

  关键词： 经颅直流电刺激; 中风; 吞咽功能; 康复

   

  Abstract: Objective To analyze the application and effect of transcranial direct current stimulation in the rehabilitation of swallowing function in stroke patients, and provide evidence-based experience for high-quality care of this group. Method: 86 stroke patients admitted to our hospital from December 2022 to December 2023 were selected as the observation subjects. A numerical table was used to expand the randomization grouping, and each group was named as the observation group and the control group, with 43 cases in each group. Among them, the control group received routine rehabilitation plans, while the observation group received transcranial direct current stimulation treatment on the basis of the control group. Before and 4 weeks after intervention, the subjective swallowing function of patients was evaluated using the Swallowing Function Scale (SFS). The actual swallowing process of patients was observed through Video Fluorescent Swallowing Scale (VFSS), and their quality of life was evaluated using the Quality of Life Scale (QOL). Results: After intervention, the observation group had higher scores in the SFS scale for drinking water test, eating speed, chewing ability, swallowing movement, and liquid food than the control group, with statistical significance (P<0.05).After intervention, the VFSS scores of the observation group in the oral and pharyngeal phases were higher than those of the control group, and the difference was statistically significant (P<0.05); There was no statistically significant difference in the esophageal VFSS score after intervention (P>0.05).After intervention, the QOL scores of the observation group in terms of physical health, mental health, social relationships, environmental factors, etc. were higher than those of the control group, and the differences were statistically significant (P<0.05). Conclusion: Transcranial direct current stimulation can improve swallowing function and enhance quality of life in stroke patients, and is worth further promotion in clinical practice.

  Key words: transcranial direct current stimulation; Stroke; Swallowing function; recovered

  提交时间：2024-11-25

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• 序号	提交日期	编号	操作
  1	2024-11-05	bmr.202411.00060V1	下载

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