吞咽障碍治疗仪治疗脑卒中吞咽障碍的疗效观察

The efficacy of Vitalstim electrical stimulation on dysphagia in the stroke patients

目的评价Vitalstim吞咽障碍治疗仪联合综合性吞咽功能训练对脑卒中患者吞咽障碍的疗效。方法选择2008年1月至2013年1月住院的脑卒中合并吞咽障碍的患者82例纳入本研究,分为2组,治疗组（41例）应用Vitalstim吞咽障碍治疗仪联合综合性吞咽功能训练,对照组（41例）仅进行综合性吞咽功能训练。对患者治疗前、后采用日本洼田俊夫饮水试验进行吞咽障碍分级比较。结果治疗组治疗前吞咽障碍分级1-5级依次为0、0、29.3%、36.6%、34.1%,治疗后依次为34.1%、34.1%、17.1%、9.8%、4.9%;对照组治疗前吞咽障碍分级1-5级依次为0、0、31.7%、34.1%、34.1%,治疗后依次为17.1%、22.0%、26.8%、19.5%、14.6%。各组内治疗前后比较,差异有统计学意义（P〈0.05）;治疗组治疗后的疗效亦明显优于对照组（P〈0.05）。结论 Vitalstim吞咽障碍治疗仪联合综合性吞咽功能训练,能够显著改善脑卒中患者吞咽功能障碍。

Objective To observe the effects of Vitalstim electrical stimulation with comprehensive deglutitory training on dysphagia in the stroke patients. Methods Eighty-two stroke patients with dysphagia were divided into two groups. The therapeutic group（n=41） accepted Vitalstim electrical stimulation and comprehensive deglutitory training, the control group（n =41） accepted comprehensive deglutitory training only. The deglutition function（water-drinking test）was measured before and after therapy. Results The grade（1-5） of dysphagia in the therapeutic group was 0, 0, 29.3%,36.6%, 34.1% before the treatment, and it was 34.1%,34.1%,17.1%,9.8%,4.9% after the treatment; The grade（1-5） of dysphagia in the control group was 0, 0, 31.7%, 34.1%, 34.1%, and it was 17.1%,22.0%,26.8%,19.5%,14.6% after the treatment. After the treatment,the deglutition function was improved in both groups（P〈0.05）, and there was a significant difference between the two groups（P〈0.05）. Conclusion Vitalstim electrical stimulation with comprehensive deglutitory training improves the deglutition function of the stroke patients.