神经肌肉电刺激对脑卒中后吞咽障碍疗效及相关问题的研究  

The effect of neuromuscular electrical stimulation on post-stroke dysphagia and related issues

作　　者：晋丹丹[1] 张华[1] 

机构地区：[1]宁夏回族自治区人民医院神经内科,银川750021

出　　处：《中华物理医学与康复杂志》2010年第4期282-284,共3页Chinese Journal of Physical Medicine and Rehabilitation

基　　金：基金项目：宁夏自然科学基金资助课题（NZ09145）

摘　　要：目的 探讨神经肌肉电刺激（NMES）对脑卒中后吞咽障碍（PSD）患者的疗效.方法 将200例脑卒中吞咽功能评级5级及以下的患者分为对照组67例和观察组133例,观察组又按照脑卒中的部位、性质分为单侧卒中组、双侧卒中组、缺血性卒中组、出血性卒中组.对照组和观察组均给予常规药物治疗配合一般吞咽功能训练,观察组加用NMES,2个疗程后进行吞咽障碍评级比较.结果 经过平均20 d的治疗,与治疗前及对照组比较观察组吞咽障碍的级别及总显效率明显提高（P〈0.05）;其中单侧卒中组疗效优于双侧卒中组,缺血性卒中组疗效优于出血性卒中组.结论 NMES结合吞咽功能训练町明显提高PSD患者的吞咽功能.Objective To observe the effect of neuromuscular electric stimulation （NMES） on post-stroke dysphagia （PSD）. Methods Two hundred patients with swallowing dysfunction after stroke were randomly divided into a control group with 67 cases and a study group with 133 cases. All patients received pharmacotherapy and swal- lowing training. The study group also received NMES. The study group was sub-divided into unilateral and bilateral cortical stroke sub-groups, an ischemic stroke sub-group and a hemorrhagic stroke sub-group. The swallowing levels of the groups were compared after 2 courses of treatment with NMES. Results After an average of 20 days of NMES treatment, the level of dysphagia and its severity improved significantly. The patients with dysphagia due to unilateral stroke improved, on average, more than those with bilateral stroke. Patients with dysphagia due to ischemic stroke improved more than those with hemorrhagic stroke. Conclusions NMES therapy combined with rehabilitation train- ing can significantly improve swallowing in patients with PSD.

关 键 词：神经肌肉电刺激 脑卒巾 吞咽障碍 疗效分析 

分 类 号：R743.3[医药卫生—神经病学与精神病学]