高频重复经颅磁刺激联合水凝胶摄食训练治疗脑卒中后吞咽障碍患者的康复效果

doi:10.3969/j.issn.1671-7171.2025.05.026

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Abstract 【Objective】 To investigate the therapeutic effect of high-frequency repetitive transcranial magnetic stimulation (rTMS) combined with hydrogel feeding training on patients with post-stroke dysphagia (PSD).【Methods】 A total of 95 patients with PSD were divided into two groups based on different treatment methods. The control group (48 cases) received hydrogel feeding training, while the observation group (47 cases) was treated with high-frequency rTMS combined with hydrogel feeding training. The two groups were compared in terms of swallowing function [Penetration-Aspiration Scale (PAS), Standardized Swallowing Assessment (SSA), Functional Oral Intake Scale (FOIS)], neurological function [B-cell lymphoma 2 (Bcl-2), Caspase-3, and Homocysteine (Hcy)], Swallowing Quality of Life (SWAL-QOL) score, and treatment safety.【Results】 After treatment, both groups showed decreased PAS and SSA scores and increased FOIS scores compared to before treatment (P<0.05). The observation group had lower PAS and SSA scores and higher FOIS scores than the control group (P<0.05). After treatment, Bcl-2 levels increased, while Caspase-3 and Hcy levels decreased in both groups (P<0.05); the observation group had higher Bcl-2 and lower Caspase-3 and Hcy levels than the control group (P<0.05). SWAL-QOL scores increased in both groups after treatment, with the observation group scoring higher than the control group (P<0.05).【Conclusion】 The combined use of high-frequency rTMS and hydrogel feeding training can effectively improve swallowing and neurological function in PSD patients, enhance their quality of life, and is highly safe.

Key words： Stroke Deglutition Disorders Transcranial Magnetic Stimulation Feeding Behavior

Received: 08 July 2024

PACS:

R743.3

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	WANG Xiaojing

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WANG Xiaojing. Rehabilitation Effect of High-Frequency Repetitive Transcranial Magnetic Stimulation Combined with Hydrogel Feeding Training on Patients with Post-Stroke Dysphagia[J]. JOURNAL OF CLINICAL RESEARCH, 2025, 42(5): 827-829.

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http://journal07.magtech.org.cn/yxlcyj/EN/10.3969/j.issn.1671-7171.2025.05.026 OR http://journal07.magtech.org.cn/yxlcyj/EN/Y2025/V42/I5/827

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