神经肌肉电刺激联合吞咽训练干预在颅脑损伤吞咽障碍患者中的应用

Application of Neuromuscular Electrical Stimulation Combined with Swallowing Training Intervention in Patients with Dys-phagia after Craniocerebral Injury

目的探讨神经肌肉电刺激联合吞咽训练干预对颅脑损伤吞咽障碍患者吞咽障碍严重程度、吞咽功能及生活质量的影响。方法将2022年1月至2023年3月我院收治的80例颅脑损伤吞咽障碍患者随机分为参照组和研究组各40例。参照组实施吞咽训练干预,研究组实施神经肌肉电刺激联合吞咽训练干预,两组均连续干预4周。比较两组的吞咽障碍严重程度[视频荧光造影检查(VFC)评分]、吞咽功能[洼田饮水试验(WST)评分]及生活质量[吞咽障碍患者生活质量量表(ED-QOL)评分]。结果干预4周后,研究组VFC评分高于参照组,WST、ED-QOL评分低于参照组(P<0.05)。结论神经肌肉电刺激联合吞咽训练对颅脑损伤吞咽障碍患者的干预效果显著,可明显减轻其吞咽功能障碍严重程度,改善吞咽功能和生活质量。

Objective To explore the impact of neuromuscular electrical stimulation combined with swallowing training intervention on the dysphagia severity,swallowing function and quality of life in patients with dysphagia after craniocerebral injury.Methods 80 patients with dysphagia after craniocerebral injury admitted to our hospital from January 2022 to March 2023 were selected and ranomly divided into reference group(40 cases)and study group(40 cases).The reference group was given swallowing training intervention,and the study group was given neuromuscular electrical stimulation intervention on the basis of the reference group.Both groups were intervened continuously for 4 weeks.The dysphagia severity[video fluorescein angiography(VFC)score],swallowing function[water swallow test(WST)score]and quality of life[eating disorders quality of life scale(ED-QOL)score]were compared between the two groups.Results After 4 weeks of intervention,the VFC score of the study group was higher than that of the reference group,while the WST score and ED-QOL score were lower than those of the reference group(P<0.05).Conclusions Neuromuscular electrical stimulation combined with swallowing training intervention in patients with dysphagia after craniocerebral injury has significant effect,which can significantly reduce the severity of swallowing dysfunction,and improve the swallowing function and quality of life in patients.