神经肌肉电刺激治疗脑卒中后吞咽障碍的疗效观察

Effects of Neuromuscular Electrical Stimulation Therapy on Swallowing Function in Patients after Stroke

目的探讨神经肌肉电刺激疗法对脑卒中所致的神经源性吞咽障碍的治疗效果。方法56例脑卒中所致的吞咽障碍患者随机分为治疗组及对照组各28例,均接受吞咽训练和常规的药物治疗,治疗组同时进行神经肌肉电刺激疗法,疗程1个月。治疗前后,采用洼田氏饮水试验对2组患者的吞咽功能进行评估。结果治疗后,总有效率治疗组92.86%,对照组78.57%,2组间差异有显著性意义(P<0.05)。结论神经肌肉电刺激治疗能有效改善脑卒中后的吞咽功能。

Objective To observe the effects of neuromuscular electrical stimulation therapy for neurogenic dysphagia after stroke. Methods 56 patients with dysphagia caused by stroke were randomly divided into two groups--a treatment group （28 cases） and a control group （28 cases） . Both groups received swallowing training and conventional medical treatment. The treatment group was managed with neuromuscular electrical stimulation therapy in addition.They were treated for one month.Water drinking test was used to assess the swallowing function before and after treatment. Results After treatment, the total effective rate of the treatment group was 92.86%,that of the control group was 78.57%（P〈0.05）.Conclusion The neuromuscular electrical stimulation treatment was effective in improving the swallowing function after stroke.