《中国康复理论与实践》 ›› 2010, Vol. 16 ›› Issue (1): 56-57.

• 论文 • 上一篇    下一篇

吞咽训练与实时电刺激结合治疗80岁以上老年人脑卒中后吞咽障碍

刘立明1a,瓮长水1a,贾建军1b,王娜1a,聂永慧1b   

  1. 解放军总医院南楼临床部,a.康复医学科;b.神经内科,北京市 100853。
  • 收稿日期:2009-12-31 修回日期:1900-01-01 出版日期:2010-01-25 发布日期:2010-01-25
  • 通讯作者: 瓮长水

Effects of Swallowing Training Combined with Real-time Electrical Stimulation on Dysphagia after Stroke in Patients Aged over 80

LIU Li-ming, WENG Chang-shui, JIA Jian-jun, et al.   

  1. Department of Rehabilitation Medicine of Nan Lou, The Chinese PLA General Hospital, Beijing 100853, China
  • Received:2009-12-31 Revised:1900-01-01 Published:2010-01-25 Online:2010-01-25

摘要: 目的探讨吞咽训练与实时电刺激结合治疗80岁以上老年人脑卒中后的吞咽障碍的疗效。方法17例80岁以上脑卒中后吞咽障碍的患者采用Vocastim吞咽言语诊治仪进行吞咽训练与实时电刺激结合治疗。治疗前后采用洼田氏饮水试验、吞咽障碍程度分级、吞咽能力评价方法和适应性系数α值进行评价。结果治疗20次后患者的洼田氏饮水试验、吞咽障碍程度分级、吞咽能力评价方法和适应性系数均有显著改善(P<0.001)。结论吞咽训练与实时电刺激结合治疗可改善高龄老年脑卒中后吞咽障碍患者的吞咽能力。

关键词: 脑卒中, 吞咽障碍, 老年人, 吞咽训练, 电刺激, 康复

Abstract: ObjectiveTo investigate the effects of swallowing training combined with real-time electrical stimulation on dysphagia after stroke. Methods17 patients, older than 80 years old, with dysphagia after stroke, were treated with Vocastim-Master Physiomed Elektromedizin. They were assessed with the Watian drinking water test, swallowing disorder evaluation, swallowing ability evaluation, and α. ResultsAll the assessment significantly improved in the 17 patients (P<0.001). ConclusionSwallowing training combined with real-time electrical stimulation can significantly improve the swallowing capacity of the patients older than 80 after stroke.

Key words: stroke, dysphagia, elderly, swallowing training, electrical stimulation, rehabilitation