不同强度的经颅直流电刺激对脑梗死后吞咽障碍患者的疗效比较

doi:10.3969/j.issn.1006-9771.2020.05.018

Abstract

Abstract:

Objective To study the effects of transcranial direct current stimulation (tDCS) in different intensities on dysphagia after cerebral infarction and its neurological mechanism.Methods From January, 2016 to December, 2018, 60 inpatients with dysphagia after cerebral infarction were randomly equally divided into low-, medium- and high-intensity groups, in which the intensities of tDCS were 1.0 mA, 1.5 mA and 2.0 mA, respectively, for 30 days. They were observed with video fluoroscopic swallowing study and α waves of electroencephalography before and after treatment. Results The score of oral stage increased in the high-intensity group after treatment (t = -2.196, P < 0.05), while the dominant frequency of α wave increased ( t = -6.488, P < 0.001). Conclusion High-intensity tDCS may improve the excitability of the brain for patients with dysphagia after cerebral infarction, to improve the swallowing.

Key words: cerebral infarction, dysphagia, transcranial direct current stimulation, electroencephalography

CLC Number:

R743.32

DU Yu-peng,LI Xiao-dong,LIU Wen-bing,LIU Xue-yun. Intensities of Transcranial Direct Current Stimulation for Dysphagia after Cerebral Infarction[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2020, 26(5): 583-587.

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References 37

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组别	n	性别 (男/女, n)	年龄(岁)	病程(月)
低强度组	20	10/10	68.21±1.63	3.58±1.24
中强度组	20	9/11	72.17±2.08	4.18±2.35
高强度组	20	12/8	69.11±4.88	5.98±1.31
χ²/t值		1.217	1.693	1.437
P值		0.741	0.183	0.103

分期	组别	治疗前	治疗后	t值	P值
口腔期	低强度组	1.51±0.52	1.80±0.71	-1.301	0.176
	中强度组	1.50±0.54	1.69±0.69	-0.940	0.288
	高强度组	1.51±0.44	1.93±0.80	-2.196	0.032
咽期	低强度组	1.31±0.85	1.60±0.60	-1.276	0.085
	中强度组	1.34±0.89	1.58±0.65	-0.883	0.124
	高强度组	1.29±0.77	1.68±0.61	-1.576	0.069
误吸程度	低强度组	1.30±0.71	1.66±0.88	-1.726	0.095
	中强度组	1.30±0.90	1.74±0.83	-2.070	0.061
	高强度组	1.33±0.81	1.68±0.80	-1.338	0.244

组别	n	治疗前	治疗后	t值	P值
低强度组	20	9.86±1.08	10.08±0.26	-0.573	0.570
中强度组	20	9.51±0.92	10.11±1.01	-1.453	0.154
高强度组	20	9.20±0.99	11.58±0.10	-6.488	< 0.001

Intensities of Transcranial Direct Current Stimulation for Dysphagia after Cerebral Infarction

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