BACKGROUND A swallowing disorder may occur following a brainstem stroke,especially one that occurs in the swallowing centers.Lateral medullary syndrome(referred to as LMS),a rare condition in which a vascular event oc...BACKGROUND A swallowing disorder may occur following a brainstem stroke,especially one that occurs in the swallowing centers.Lateral medullary syndrome(referred to as LMS),a rare condition in which a vascular event occurs in the territory of the posterior inferior cerebellar artery or the vertebral artery,has been reported to lead to more severe and longer lasting dysphagia.CASE SUMMARY We report two patients with dysphagia due to LMS and propose a novel technique named hyoid-complex elevation and stimulation technique(known as HEST).The two patients had no other functional incapacity back into life,but nasogastric feeding was the only possible way for nutrition because of severe aspirations.Swallowing function was evaluated by functional oral intake scale,modified water swallow test,surface electromyographic signal associated with video fluorography swallowing study to assess the situation of aspiration,pharyngeal residue,pharyngeal peristalsis,upper esophageal opening and the ability of deglutition.Both patients were treated with the HEST method for dysphagia and recovered quickly.CONCLUSION HEST is effective for shortening the in-hospital time and improving the quality of life for patients with dysphagia who suffer from LMS and likely other strokes.展开更多
目的探讨神经肌肉电刺激联合吞咽康复训练对脑卒中后吞咽障碍患者吞咽功能的影响。方法选取2018年5月—2020年1月该院收治的80例脑卒中后吞咽障碍患者,按照随机数字表法分为研究组与对照组,各40例。对照组接受吞咽康复训练,研究组在对...目的探讨神经肌肉电刺激联合吞咽康复训练对脑卒中后吞咽障碍患者吞咽功能的影响。方法选取2018年5月—2020年1月该院收治的80例脑卒中后吞咽障碍患者,按照随机数字表法分为研究组与对照组,各40例。对照组接受吞咽康复训练,研究组在对照组基础上加用神经肌肉电刺激治疗。对比两组的舌骨喉复合体动度、标准吞咽功能评定量表(standardized swallowing assessment,SSA)评分、吞咽障碍特异性生活质量量表(swallowing quality of life questionnaire,SWAL-QOL)评分及并发症发生率。结果康复训练后,研究组的舌骨前移与上移距离分别为(9.44±1.10)mm、(17.42±2.13)mm,均长于对照组的(7.37±1.28)mm、(15.01±1.85)mm;研究组的SSA评分为(20.48±2.74)分,低于对照组的(24.66±3.49)分;研究组的SWAL-QOL评分为(181.41±15.55)分,高于对照组的(162.33±17.67)分;研究组的并发症发生率为5.00%,低于对照组的20.00%,组间差异有统计学意义(P<0.05)。结论神经肌肉电刺激联合吞咽康复训练在脑卒中后吞咽障碍患者中的应用效果确切,能够促进患者病情恢复,提高其生活质量。展开更多
文摘BACKGROUND A swallowing disorder may occur following a brainstem stroke,especially one that occurs in the swallowing centers.Lateral medullary syndrome(referred to as LMS),a rare condition in which a vascular event occurs in the territory of the posterior inferior cerebellar artery or the vertebral artery,has been reported to lead to more severe and longer lasting dysphagia.CASE SUMMARY We report two patients with dysphagia due to LMS and propose a novel technique named hyoid-complex elevation and stimulation technique(known as HEST).The two patients had no other functional incapacity back into life,but nasogastric feeding was the only possible way for nutrition because of severe aspirations.Swallowing function was evaluated by functional oral intake scale,modified water swallow test,surface electromyographic signal associated with video fluorography swallowing study to assess the situation of aspiration,pharyngeal residue,pharyngeal peristalsis,upper esophageal opening and the ability of deglutition.Both patients were treated with the HEST method for dysphagia and recovered quickly.CONCLUSION HEST is effective for shortening the in-hospital time and improving the quality of life for patients with dysphagia who suffer from LMS and likely other strokes.
文摘目的探讨神经肌肉电刺激联合吞咽康复训练对脑卒中后吞咽障碍患者吞咽功能的影响。方法选取2018年5月—2020年1月该院收治的80例脑卒中后吞咽障碍患者,按照随机数字表法分为研究组与对照组,各40例。对照组接受吞咽康复训练,研究组在对照组基础上加用神经肌肉电刺激治疗。对比两组的舌骨喉复合体动度、标准吞咽功能评定量表(standardized swallowing assessment,SSA)评分、吞咽障碍特异性生活质量量表(swallowing quality of life questionnaire,SWAL-QOL)评分及并发症发生率。结果康复训练后,研究组的舌骨前移与上移距离分别为(9.44±1.10)mm、(17.42±2.13)mm,均长于对照组的(7.37±1.28)mm、(15.01±1.85)mm;研究组的SSA评分为(20.48±2.74)分,低于对照组的(24.66±3.49)分;研究组的SWAL-QOL评分为(181.41±15.55)分,高于对照组的(162.33±17.67)分;研究组的并发症发生率为5.00%,低于对照组的20.00%,组间差异有统计学意义(P<0.05)。结论神经肌肉电刺激联合吞咽康复训练在脑卒中后吞咽障碍患者中的应用效果确切,能够促进患者病情恢复,提高其生活质量。
