神经肌肉电刺激联合吞咽训练综合治疗神经性吞咽障碍的研究

目的观察神经肌肉电刺激联合吞咽训练综合治疗神经性吞咽障碍的效果。方法将136例脑卒中后吞咽障碍患者随机分为治疗组和对照组各68例。治疗组采用Vitalstim吞咽障碍治疗仪进行神经肌肉电刺激,并联合吞咽训练,对照组采用单纯吞咽训练。治疗前后,采用洼田吞咽能力评定法对2组的治疗效果进行评估。结果治疗后2组均能改善吞咽障碍。总有效率:治疗组92.6%,对照组69.1%,2组间差异有统计学意义(P<0.05)。结论神经肌肉电刺激联合吞咽训练综合治疗神经性吞咽障碍的疗效优于单纯吞咽训练。

Study of neuromuscular electric stimulation and train of swallowing on dysphagia of nervous

Objective To observe the effect of neuromuscular electric stimulation and train of swallowing on dysphagia of nervous.Methods One hundred and thirty-six patients with disorder of swallowing function after stroke were randomly divided into the treatment group and control group with 68 cases in each group.The patients in the treatment group were treated by neuromuscular electric stimulation and train of swallowing;the patients in the control group were treated by train of swallowing only.All patients were evaluated with the standard of swallowing exercise effect reported by Watian before and after treatment.Results Dysphagia in the two groups was all improved after treatment.The total recovery rate of the treatment group was 92.6%,which of the control group was 69.1%,there was a significant difference between two groups(P<0.05).Conclusion The effect of neuromuscular electric stimulation combined with train of swallowing on dysphagia of nervous is better than train of swallowing only.