《中国康复理论与实践》

《中国康复理论与实践》 ›› 2011, Vol. 17 ›› Issue (8): 730-732.

• 论文 • 上一篇    下一篇

神经肌肉电刺激和吞咽训练对脑卒中后吞咽障碍的影响

朱士文，江平胤，党红梅，张俊玲，朱阳莉   

  1. 山东省残疾人第一康复医院康复医学科，山东济南市 250012。
  • 收稿日期:2010-12-08 修回日期:2011-04-26 出版日期:2011-08-25 发布日期:2011-08-25

Effect of Neuromuscular Electrical Stimulation and Swallowing Training on Dysphasia after Stroke

ZHU Shi-wen, JIANG Ping-yin,DANG Hong-mei, et al.   

  1. Department of Rehabilitation Medicine, the First Rehabilitation Hospital of Shandong Province, Ji'nan 250022,Shandong, China
  • Received:2010-12-08 Revised:2011-04-26 Published:2011-08-25 Online:2011-08-25

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被引次数

26

摘要： 目的探讨神经肌肉电刺激疗法与吞咽功能训练治疗脑卒中后吞咽障碍的临床疗效。方法将60 例急性脑卒中吞咽障碍患者随机分为电刺激组(n=20)、吞咽训练组(n=20)和联合治疗组(n=20)。3 组均在接受常规药物治疗基础上分别加用神经肌肉电刺激、吞咽功能训练或者两者的联合治疗。治疗前和治疗后2 周进行洼田饮水试验和吞咽X线电视透视检查(VFSS)。结果治疗后2 周3 组洼田饮水试验和VFSS 评分均高于治疗前(P<0.05)，联合治疗组疗效更明显(P<0.01)。结论神经肌肉电刺激和吞咽功能训练均能明显改善脑卒中后吞咽障碍患者的吞咽功能，联合治疗效果更佳。

关键词: 脑卒中, 吞咽障碍, 神经肌肉电刺激, 吞咽功能训练

Abstract: Objective To observe the effect of neuromuscular electrical stimulation and swallowing trainging on dysphagia after stroke.Methods 60 stroke patients following dysphagia were randomly divided into neuromuscular electrical stimulation group (n=20), swallowingtraining group (n=20), and combined therapy group (n=20), which received neuromuscular electrical stimulation, swallowing training, orcombined treatment of the above respectively, on the basis of routine treatment. Swallowing function was assessed by Kubota test and videofluoroscopyswallowing study (VFSS). Results The scores improved significantly in three groups after the treatment (P<0.05), and combinedtherapy group improved best (P<0.01). Conclusion Neuromuscular electrical stimulation and swallowing training can improve swallowingfunction after stroke, and combined therapy was more effective.

Key words: stroke, dysphagia, neuromuscular electrical stimulation, swallowing training