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rTMS治疗卒中后吞咽障碍合并焦虑抑郁的疗效研究

  • 赵静

* 通信作者: 赵静, 单位:开封市中医院药学部

摘要

【摘要】
目的 研究重复经颅磁刺激 (rTMS)治疗患者卒中后吞咽障碍合并抑郁焦虑的临床效果。

方法 选取我院2018年4月~2020年1月80例卒中后吞咽障碍合并抑郁焦虑的患者作为研究对象。将其按照数字奇偶分为对照组与研究组,各40例,对照组给予常规治疗,研究组给予重复经颅磁刺激治疗;对比两组患者治疗前后吞咽功能、神经功能以及抑郁焦虑情绪。

结果 两组治疗前后比较NIHSS评分明显降低、VFSS评分显著升高,治疗后研究组神经功能与吞咽功能改善情况均优于对照组,(P<0.05);两组患者治疗后HAMD、HAMA评分均显著降低,且治疗后研究组(研究组,前面说的研究组,前后保持一致)显著低于对照组,(P<0.05)。

结论 应用重复经颅磁刺激治疗卒中后吞咽障碍合并抑郁焦虑患者,可明显改善其抑郁焦虑状态,还可改善患者吞咽障碍与神经功能,值得临床推广。

关键词:【关键词】rTMS;卒中;吞咽障碍;焦虑;抑郁

ABSTRACT

[Abstract]
Objective To study the clinical effect of repetitive transcranial magnetic stimulation (rTMS) on patients with dysphagia after stroke combined with depression and anxiety.

Methods A total of 80 patients with post-stroke dysphagia combined with depression and anxiety received in our hospital from April 2018 to January 2020 were selected as the study subjects. They were divided into the control group and the study group according to digital parity, 40 cases each. The control group was given conventional treatment, and the study group was given repeated transcranial magnetic stimulation treatment. The swallowing function, nerve function and depression and anxiety of the two groups of patients before and after treatment were compared.

Results Before and after treatment, the NIHSS score was significantly lower and the VFSS score was significantly higher in the two groups. The improvement of nerve function and swallowing function in the study group after treatment was better than that in the control group (P <0.05). The HAMD and HAMA scores of the two groups of patients were significantly reduced after treatment, and the observation group was significantly lower than the control group after treatment (P<0.05).

Conclusion   The use of repeated transcranial magnetic stimulation to treat patients with dysphagia after stroke combined with depression and anxiety can significantly improve their depression and anxiety status, and can also improve patients' dysphagia and nerve function, which is worthy of clinical promotion.

Key words: Key words rTMS; Stroke; Dysphagia; Anxiety; Depression

引用本文 / How to Cite This Article

赵静.rTMS治疗卒中后吞咽障碍合并焦虑抑郁的疗效研究[J]. 国际精神病学杂志, 2021, 48(2): 296-297

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