神经肌肉促进技术配合吞咽进食训练实时电刺激对脑卒中后早期吞咽障碍的疗效

Effect of Neuromuscular Facilitation Technique and Swallowing Training Combined with Real-time Electrical Stimulation on Patients with Dysphagia after Stroke

目的观察神经肌肉促进技术配合吞咽进食训练实时电刺激对脑卒中后患者吞咽障碍的临床疗效。方法 50例急性期脑卒中伴吞咽障碍患者,分为治疗组和对照组各25例。治疗组给予神经肌肉促进技术和VOCASTIM治疗仪治疗,对照组给予常规口腔训练和低频脉冲电刺激。治疗前后采用吞咽障碍程度分级和饮水试验进行评估。结果治疗组和对照组的吞咽障碍程度和饮水试验在治疗后2周和4周均有显著性差异(P<0.05),治疗组的疗效优于对照组(P<0.05)。结论神经肌肉促进技术配合吞咽进食训练实时电刺激有助于促进脑卒中后吞咽障碍患者的功能恢复。

Objective To observe the effect of neuromuscular facilitation technique and swallowing training combined with real-time electrical stimulation on dysphagia after stroke.Methods 50 patients with dysphagia were divided into treatment group（n=25） and control group（n=25）.The treatment group accepted neuromuscular facilitation technique and VOCASTIM.The control group accepted routine vocal training and low frequency pulse electrical stimulation.They were assessed with the deglutition function classficaition and water drinking test.Results There was significant improvement in the both groups 2 weeks and 4 weeks after treatment（P＆lt;0.05）,and it improved more in the treatment group than in the control group（P＆lt;0.05）.Conclusion Neuromuscular facilitation technique and swallowing training combined with real-time electrical stimulation can promote the recovery of function of patients with dysphagia after stroke.