低频电刺激吞咽障碍训练仪治疗卒中后吞咽功能障碍

Low-frequency Electrical Stimulation for Swallowing Dysfunction Training Device for Post-stroke Swallowing Dysfunction

目的观察低频电刺激吞咽障碍训练仪治疗卒中后吞咽功能障碍患者的临床效果。方法选取2020年1—12月来医院治疗的卒中后吞咽功能障碍患者共94例作为研究对象,采用随机数字表法分为对照组和观察组,每组患者47例,对照组采用常规吞咽功能训练进行治疗,观察组在对照组基础上增加低频电刺激吞咽障碍训练仪治疗,两组均治疗4周,使用洼田饮水试验及标准吞咽功能评价量表(standardized swallowing assessment,SSA)评估患者吞咽功能改善程度,对比两组治疗总有效率。结果治疗前,两组患者洼田饮水试验及SSA评分差异无统计学意义(P>0.05),治疗2周、4周后,两组洼田饮水试验及SSA评分均明显降低,且观察组显著低于对照组,差异有统计学意义(P<0.05),观察组治疗总有效率显著高于对照组,生活质量优于对照组,并发症发生率低于对照组,差异有统计学意义(P<0.05)。结论低频电刺激吞咽障碍训练仪治对于改善卒中吞咽障碍患者的临床症状和生活质量均有积极意义,值得推广。

Objective To observe the clinical effect of lowfrequency electrical stimulation swallowing dysfunction training device on patients with post-stroke swallowing dysfunction.Methods A total of 94 patients with post-stroke swallowing dysfunction who came to our hospital for treatment from January to December 2020 were selected as the study subjects.They were divided into a control group and an observation group by a random number table.Each group had 47 patients.The control group was treated with conventional swallowing function training,and the observation group was treated with a lowfrequency electrical stimulation dysphagia training device on the basis of the control group.After 4 weeks of treatment,the Watian drinking water test and the standardized swallowing assessment(SSA)were used to evaluate the improvement of swallowing function,and the treatment efficiency of the two groups were compared.Results Before treatment,there was no statistical difference in the Watian drinking water test and SSA scores between the two groups(P>0.05).After 2 weeks and 4 weeks of treatment,the Watian drinking water test and SSA scores of the two groups were significantly reduced,and the observation group was significantly lower than the control group,the difference was statistically significant(P<0.05).The treatment effective rate of the observation group was significantly higher than that of the control group,the quality of life was better than that of the control group,and the incidence of complications was lower than that of the control group,the difference was statistically significant(P<0.05).Conclusion Low-frequency electrical stimulation swallowing disorder training instrument therapy has positive significance in improving the clinical symptoms and quality of life of stroke patients with dysphagia,and is worthy of promotion.