[1]陈运红,王志.虚拟现实生物反馈训练联合重复经颅磁刺激在急性脑梗死后吞咽困难患者康复治疗中的应用[J].中国医学物理学杂志,2023,40(7):904-908.[doi:DOI:10.3969/j.issn.1005-202X.2023.07.018]
　CHEN Yunhong,WANG Zhi.Application of biofeedback training based on VR combined with rTMS in rehabilitation therapy for patients with dysphagia after acute cerebral infarction[J].Chinese Journal of Medical Physics,2023,40(7):904-908.[doi:DOI:10.3969/j.issn.1005-202X.2023.07.018]
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虚拟现实生物反馈训练联合重复经颅磁刺激在急性脑梗死后吞咽困难患者康复治疗中的应用()
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《中国医学物理学杂志》[ISSN:1005-202X/CN:44-1351/R]

卷:
40卷
期数:
2023年第7期
页码:
904-908
栏目:
医学生物物理
出版日期:
2023-07-15

文章信息/Info

Title:
Application of biofeedback training based on VR combined with rTMS in rehabilitation therapy for patients with dysphagia after acute cerebral infarction
文章编号:
1005-202X（2023）07-0904-05
作者:
陈运红1; 王志2
1.湘南学院附属医院神经内科和老年病科， 湖南 郴州 423000； 2.湘南学院附属医院全科医学科， 湖南 郴州 423000
Author(s):
CHEN Yunhong1;  WANG Zhi2
1. Department of Neurology and Geriatrics, Affiliated Hospital of Xiangnan University, Chenzhou 423000, China 2. Department of General Medicine, Affiliated Hospital of Xiangnan University, Chenzhou 423000, China
关键词:
急性脑梗死; 吞咽困难; 虚拟现实生物反馈训练; 重复经颅磁刺激
Keywords:
Keywords: acute cerebral infarction dysphagia biofeedback training based on virtual reality repetitive transcranial magnetic stimulation
分类号:
R318；R743
DOI:
DOI:10.3969/j.issn.1005-202X.2023.07.018
文献标志码:
A
摘要:
目的：探讨虚拟现实（VR）生物反馈训练联合重复经颅磁刺激（rTMS）治疗在急性脑梗死（ACI）后吞咽困难患者康复治疗中的应用研究。方法：选取102例ACI后吞咽困难患者的资料进行回顾性研究，分为对照组（n=51）和观察组（n=51）。对照组接受rTMS治疗，观察组在对照组基础上接受VR生物反馈训练。洼田饮水试验评估疗效，中文版吞咽功能评估量表（GUSS）、功能性经口摄食量表（FOIS）、标准吞咽功能评定量表（SSA）、吞咽造影检查（VFSS）评估吞咽功能障碍；应用美国国立卫生研究院卒中量表（NIHSS）、日常生活活动能力量表（ADL）评估预后情况。结果：两组疗效比较，观察组总有效率显著高于对照组（P<0.05）；治疗后GUSS评分、FOIS评分、VFSS评分、ADL评分显著高于治疗前（P<0.05），且观察组GUSS评分、FOIS评分、VFSS评分、ADL评分显著高于对照组（P<0.05）；治疗后SSA评分、NIHSS评分显著低于治疗前（P<0.05），且观察组SSA评分、NIHSS评分显著低于对照组（P<0.05）。结论：VR生物反馈训练联合rTMS在ACI后吞咽困难患者康复治疗中取得很好的疗效，有效改善吞咽功能障碍。
Abstract:
Abstract: Objective To investigate the therapeutic effect of biofeedback training based on virtual reality (VR) combined with repetitive transcranial magnetic stimulation (rTMS) for dysphagia after acute cerebral infarction (ACI). Methods A retrospective study was carried out on 102 patients with dysphagia after acute cerebral infarction. The patients in control group (n=51) were treated with rTMS, while those in observation group (n=51) received VR-based biofeedback training combined with rTMS. The curative effect was evaluated with water swallow test the swallowing dysfunction was assessed with the Chinese version of Gugging Swallowing Screen (GUSS), Functional Oral Intake Scale (FOIS), Standard Swallowing Assessment Scale (SSA) and Video Fluoroscopic Swallow Study (VFSS) and the prognosis was evaluated using National Institutes of Health Stroke Scale (NIHSS) and Activity of Daily Living Scale (ADL). Results The treatment response rate in observation group was significantly higher than that in control group (P<0.05). The treatment resulted in higher GUSS, FOIS, VFSS and ADL scores (P<0.05), and the scores were higher in observation group than in control group (P<0.05). The SSA, NIHSS scores after treatment decreased (P<0.05), and observation group had lower SSA, NIHSS score than control group (P<0.05). Conclusion Biofeedback training based on VR combined with rTMS can improve the efficacy of rehabilitation therapy for patients with dysphagia after acute cerebral infarction, and effectively relieve dysphagia.

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备注/Memo

备注/Memo:
【收稿日期】2023-01-26 【基金项目】湖南省教育厅科学研究项目（19C1675） 【作者简介】陈运红，副主任医师，研究方向：神经病学，E-mail: cyh2022118 @163.com 【通信作者】王志，硕士，副主任医师，研究方向：全科医学、神经内科，E-mail: 81371769@qq.com
更新日期/Last Update: 2023-07-15