国内电刺激治疗脑卒中后吞咽障碍的研究状况分析

Analysis of domestic electrical stimulation for swallowing disorders after stroke

背景:脑卒中后吞咽障碍在临床较为常见,电刺激是治疗脑卒中后吞咽障碍的新方法。目的:通过与国外研究相比较,了解国内关于电刺激治疗脑卒中后吞咽障的研究状况。方法:运用计算机在中国期刊全文数据库、万方数字化期刊全文库和维普数据库进行文献检索,采用关键词检索或主题词检索,检索词为"脑卒中/脑血管意外、吞咽障碍、电刺激",以AND连接。检索时间段1989-01/2010-04。结果与结论:通过对上述3个数据库的文献检索,共搜索到符合标准的文献47篇,最早的文献发表于2003-03。通过对文献的分析,发现国内在电刺激治疗脑卒中后吞咽障碍的文献比重少,研究的质量不高,涉及面也很小,主要围绕临床运用疗效进行,与国际上的研究差距较大。因此在未来需要更多具有高质量、多角度的研究来探讨电刺激治疗脑卒中后吞咽障碍存在的问题。

BACKGROUND: Dysphagia after stroke is a common clinical problem. Electrical stimulation treatment is a new method for swallowing disorders after stroke. OBJECTIVE: To understand the domestic electrical stimulation on swallowing impairment of post-stroke condition by comparison with overseas research. METHODS: A computer-based online search of CKNI, Wanfang database and VIP database was performed for related articles published between January 1989 and April 2010 with the key words 'stroke/cerebrovascular accident, dysphgia, electrical stimulation/electrical therapy ', and the retrieval strategy was connected with 'and'. RESULTS AND CONCLUSION: A total of 47 articles were collected, and the earliest published paper occurred in March 2003. Analysis shows that the research level about treating dysphgia with electrical stimulation was less in China compared with international studying level, which mainly involved clinical application. Therefore, researches with high quality and extended area are required to explore electrical stimulation treatment for swallowing disorders after stroke.