神经肌肉中低频电刺激治疗脑卒中后吞咽困难的临床效果

Clinical effcet of medium and low frequency neuromuscular electrical stimulation on dysphagia after stroke

目的探讨早期神经肌肉中低频电刺激治疗急性脑卒中后吞咽困难的临床效果。方法将卒中后伴吞咽困难障碍的110例患者随机分联合组和对照组,各55例,联合组接受神经肌肉中低频电刺激联合常规康复训练,对照组只进行常规康复训练。比较两组的治疗效果。结果联合组的临床治疗总有效率显著高于对照组,差异具有统计学意义(P<0.05)。治疗后,两组患者的藤岛一郎评价标准评分均升高,且联合组高于对照组,差异有统计学意义(P<0.05)。结论早期神经肌肉中低频电刺激联合常规吞咽康复训练能够显著改善急性脑卒中患者的吞咽功能,临床疗效确切。

Objective To explore the clinical effect of early medium and low frequency neuromuscular electrical stimulation on dysphagia after acute stroke. Methods A total of 110 patients with dysphagia after stroke were randomly divided into combined group and control group, with 55 cases in each group. The combined group received the medium and low frequency neuromuscular electrical stimulation combined with traditional rehabilitation training, and the control group received the traditional rehabilitation training. The therapeutic effects of the two groups were compared. Results The total effective rate of clinical treatment in the combined group was significantly higher than that in the control group, and the difference was statistically significant(P<0.05). After treatment, the scores of Tengdao Yilang assessment-standard in both groups increased, and that in the combined group was higher than the control group, and the difference was statistically significant(P<0.05). Conclusion The early medium and low frequency neuromuscular electrical stimulation combined with traditional swallowing rehabilitation training can significantly improve the swallowing function in patients with acute stroke,and the clinical curative effect is definite.