肌内效贴技术结合神经肌肉电刺激治疗脑卒中后吞咽障碍临床研究

Clinical study on the treatment of swallowing after stroke with intramuscular effect sticking technique combined with nerve electricity

目的探讨脑卒中后吞咽障碍(DSA)患者开展肌内效贴技术结合神经肌肉电刺激治疗的临床效果。方法于2022年1月-2023年12月采集病例资料入档,对象为梧州市红十字会医院收治的DSA患者,共计纳入90例,基于随机数字表法分组,划分为对照组A(单纯肌肉效贴技术治疗)、对照组B(单纯神经肌肉电刺激治疗)与观察组(肌肉效贴技术+神经肌肉电刺激),各组均纳入30例;观察对比三组临床疗效、吞咽洼田饮水试验(WST)结果、标准吞咽功能评定量表(SSA)、神经功能及生活自理能力、并发症发生率、生活质量。结果统计治疗总有效率,观察组明显高于对照组A、对照组B(P<0.05);治疗后,观察组WST分级较对照组A、对照组B更优(P<0.05);治疗后,三组患者SSA评分均明显下降,且观察组明显低于对照组A、对照组B(P<0.05);治疗后,三组ADL评分均升高,NIHSS评分均下降,且观察组更优(P<0.05);治疗后,三组SF-36评分均升高,且观察组较对照组A、对照组B评分更高(P<0.05);观察组并发症发生率明显低于对照组A、对照组B(P<0.05)。结论DSA患者开展肌内效贴技术结合神经肌肉电刺激治疗,可有效改善患者吞咽功能,增强整体疗效,促使其生活质量显著提升,取得良好预后。

Objective To explore the clinical effect of intramuscular patching technique combined with neuroelectric therapy in patients with post-stroke swallowing(DSA).Methods From January 2022 to December 2023,the case data were collected and filed.The subjects were 90 DSA patients admitted to the hospital.Based on the"random number table method",they were divided into three groups:control group A(simple effective patch technique treatment),control group B(simple nerve electrotherapy)and observation group(effective patch technique+nerve electrification),with 30 cases in each group;clinical efficacy,swallowing water test(WST),swallowing function rating scale(SSA),neurological function and self-care ability,complication rate and life were observed and compared among the three groups.Results The total effective rate of treatment in observation group was significantly higher than that in control group A and control group B(P<0.05);after treatment,the WST grade of observation group was better than that of control group A and control group B(P<0.05).After treatment,the SSA scores of the three groups were significantly decreased,and the observation group was significantly lower than the control group A and control group B(P<0.05);after treatment,ADL scores increased and NIHSS scores decreased in three groups,and the observation group was better(P<0.05);after intervention,the SF-36 scores of the three groups were all increased,and the scores of the observation group were higher than those of the control groups A and B(P<0.05);the incidence of complications in observation group was significantly lower than that in control group A and control group B(P<0.05).Conclusion The intramuscular patching technique combined with nerve electrotherapy can improve the swallowing function of DSA patients,enhance the overall curative effect,improve their life significantly and achieve a good prognosis.