电刺激疗法治疗脑卒中后吞咽障碍的疗效研究

目的探讨电刺激疗法治疗脑卒中所致吞咽障碍的临床疗效。方法75例脑卒中后吞咽障碍患者分为电刺激组,针灸组及康复训练组各25例,前两组在接受常规药物治疗及康复训练基础上分别加用电刺激治疗和针灸。三组治疗前、治疗第1周及第2周以吞咽障碍程度分级评分评定疗效。结果三组治疗后吞咽障碍程度分级评分均明显高于治疗前（P〈0.01）;电刺激组评分明显高于针灸组和康复训练组（P〈0.01）;电刺激组治疗第1、第2周后有效率明显高于针灸组和康复训练组（P〈0.05）。结论电刺激疗法可明显改善脑卒中所致吞咽障碍,配合针灸,康复训练等综合疗法可加强治疗效果。

Therapeutic effects of vital stim electrical stimulation on deglutition disorders after stroke

Objective To observe the therapeutic effects of Vital Stim electrical stimulation on deglutition disorders in stroke patients.Methods Seventy-five patients with deglutition disorders after stroke were randomly divided into Vital Stim electrical stimulation group (received Vital Stim electrical stimulation besides deglutition training, routine therapy of drug and acupuncture), acupuncture group (received acupuncture besides deglutition training and routine therapy of drug), deglutition training group (received deglutition training and routine therapy of drug). The therapeutic effects were assessed with the degree of deglutition function before treatment, one week after treatment and two weeks after treatment.Results After treatment, scores of three groups were significantly higher than those before treatment(P<0.01), and those in Vital Stim electrical stimulation group were higher than other groups(P<0.01); The effective rate of Vital Stim electrical stimulation group was higher than those of other two groups(P<0.05).Conclusions Vital Stim electrical stimulation could significantly improve the curative effect of the patients with deglutition disorders after stroke, more effect will get if added with deglutition training and acupuncture.