神经肌肉电刺激治疗脑卒中后吞咽困难的有效性分析与评估

Analysis and Evaluation of Effectiveness of Neuromuscular Electrical Stimu-lation in Treatment of Dysphagia after Stroke

目的分析神经肌肉电刺激治疗脑卒中后吞咽困难的效果。方法方便选取苏州大学附属太仓医院2016年2月—2017年1月收治的80例脑卒中患者作为研究对象并根据随机数字表分组,分别40例。对照组采用常规康复治疗,神经肌肉电刺激组在对照组基础上用神经肌肉电刺激。比较两组脑卒中治疗效果;治疗前后营养情况、饮水试验评分;治疗前后焦虑心理状态、抑郁心理状态、QOL评分。结果神经肌肉电刺激组脑卒中治疗效果高于对照组(χ~2=5.165,P<0.05)。对照组显效17例,有效14例,无效9例,总有效率77.50%;神经肌肉电刺激组显效23例,有效14例,无效2例,总有效率95.00%。神经肌肉电刺激组治疗后营养情况、饮水试验评分(1.52±0.12)分、(23.18±3.59)分比对照组(3.12±0.22)分、(20.34±3.94)分,(P<0.05)。两组治疗前焦虑心理状态、抑郁心理状态、QOL评分接近(P>0.05);神经肌肉电刺激组治疗后焦虑心理状态、抑郁心理状态、QOL评分比对照组好(P<0.05)。结论神经肌肉电刺激治疗脑卒中后吞咽困难的效果确切,可有效改善患者病情,减轻不良心理应激,改善吞咽功能和营养状态,促进患者生活质量提高,值得推广。

Objective To analyze the effect of neuromuscular electrical stimulation in treatment of dysphasia after stroke.Methods 80 cases of stroke patients in our hospital from February 2016 to January 2017 were convenient selected as the research objects and randomly divided into two groups with 40 cases in each, the control group were treated with routine recovery, while the neuromuscular electrical stimulation group were treated with neuromuscular electrical stimulation on the basis of the control group, and the treatment effect of the two groups was compared and the nutrition situation, drinking test score, anxiety and depression and QOL score before and after treatment were compared between the two groups. Results The treatment effect in the neuromuscular electrical stimulation group was higher than that in the control group（χ^2=5.165,P〈0.05）, and in the control group, 17 cases were markedly effective, 14 cases were effective, 9 cases were ineffective, and the total treatment effective rate was 77.50%, in the neuromuscular electrical stimulation group, 23 cases were markedly effective, 14 cases were effective, 2 cases were ineffective and the total effective rate was 95.00%, and the nutrition situation and drinking test score in the neuromuscular electrical stimulation group were better than those in the control group,[（1.52 ±0.12）points,（23.18±3.59）points vs（3.12 ±0.22）points,（20.34±3.94）points]（P〈0.05）, and the anxiety, depression and QOL score of the two groups before treatment were similar（P〈0.05）; and the anxiety, depression and QOL score after treatment were better than those in the control group（P〈0.05）. Conclusion The effect of neuromuscular electrical stimulation in treatment of dysphagia after stroke is definite, which can effectively improve the disease condition, relieve the adverse mental stress, improve the dysphasia and nutrition state and promote the improvement of quality of life, and it is worth promotion.