脑卒中后吞咽障碍采取神经肌肉电刺激联合吞咽训练 治疗的疗效

弓雪琴

宝鸡市陈仓医院神经内一科，陕西 宝鸡，721300

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摘要：

目的 观察脑卒中后吞咽障碍采取神经肌肉电刺激联合吞咽训练治疗的疗效。方法 选择本院收治的 90例脑卒中后吞咽障碍患者，随机分为观察组和对照组，各 45例。对照组予以常规吞咽障碍训练治疗，观察组在对照组基础上联合神经肌肉电刺激治疗。比较两组的治疗效果、VFSS评分及生活质量。结果 观察组的治疗总有效率明显高于对照组（P<0.05）。观察组治疗 2、4周的VFSS评分明显高于对照组（P<0.05）。观察组的躯体功能、社会功能、情感健康、心理健康评分均明显高于对照组（P<0.05）。结论 脑卒中后吞咽障碍患者予以神经肌肉电刺激联合吞咽训练治疗，可改善患者病情，提升吞咽功能与生活质量，安全可靠。

关键词：脑卒中；吞咽障碍；神经肌肉电刺激；吞咽训练

中图分类号：R743.3 文献标志码：A文章编号：2096-1413(2018)07-0034-02

Efficacy of neuromuscular electrical stimulation combined with swallowing training
for dysphagia after stroke


GONG Xue-qin
(No.1 Neurology Department, Chencang Hospital of Baoji, Baoji 721300, China)



ABSTRACT: Objective To observe the curative effect of neuromuscular electrical stimulation combined with swallowing training for dysphagia after stroke. Methods  A total of 90 patients with post-stroke dysphagia were selected and randomly divided into observation group and control group,with 45 cases in each group.The control group was treated with conventional swallowing training. The observation group was treated with neuromuscular electrical stimulation on the basis of the control group.The treatment effects,VFSS scores and quality of life were compared between the two groups. Results The total effective rate ofthe observation group were significantly higherthan thatofthe controlgroup (P<0.05).The VFSS scores at 2 and 4 weeks of treatment in the observation group were significantly higher than those in the control group (P<0.05).The scores of body function,social function,emotional health and mental health of the observation group were significantly higher than those of the control group (P<0.05).Conclusion Neuromuscular electrical stimulation combined with swallowing training for patients with post-stroke dysphagiacan effectively improve the patients`condition,improve swallowing function and quality of life,which is safe and reliable.                                                                                                                                                                                                                                                                   KEYWORDS: stroke; dysphagia; neuromuscular electrical stimulation; swallowing training

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