刺激悬雍垂对卒中后吞咽障碍患者呛咳状态和进食速度的影响

Effects of stimulating uvula on cough state and eating speed of patients with post-stroke dysphagia

目的:观察刺激悬雍垂对卒中后吞咽障碍患者呛咳状态和进食速度的影响。方法:脑卒中后吞咽障碍急性期患者70例随机分为观察组和对照组,均采用VitalStim低频电刺激辅助咽三针,观察组再加刺激悬雍垂法,均1次/d,每部位每次3~5下,诱发咽反射。治疗2周后,观察和记录患者的呛咳状态和进食速度改善情况。结果:两组吞咽功能均较治疗前有所改善,观察组疗效优于对照组(P<0.05)。结论:在卒中合并吞咽障碍的急性期患者中,采用刺激悬雍垂法,对于改善呛咳状态和进食速度有良好的临床效果。

Objective:To observe the effect of stimulating uvula on cough state and eating speed of patients with poststroke dysphagia.Methods:70 patients with post-stroke dysphagia acute phase were randomly divided into treatment group and control group,both given VitalStim low-frequent electric stimulation.Treatment group were stimulated at uvula.Pharyngeal reflex was induced 3~5 times in each part every day.After 2 weeks,cough state and eating speed were observed and recorded.Results:Dysphagia situation of two groups was improved,and treatment group’s situation was better than control group’s(P<0.05).Conclusion:For patients with with post-stroke dysphagia in acute phase,lighter stimulation and less harm to uvula can improve cough state and eating speed.