神经肌肉电刺激结合吞咽功能训练治疗脑卒中后吞咽障碍  

Neuromuscular Electrical Stimulation Combined with Swallowing Function Training for Post-stroke Dysphagia

作　　者：陆敏[1] 孟玲[1] 彭军[1] 

机构地区：[1]华中科技大学同济医学院附属同济医院康复医学科,武汉430030

出　　处：《华中科技大学学报（医学版）》2011年第1期98-100,112,共4页Acta Medicinae Universitatis Scientiae et Technologiae Huazhong

基　　金：湖北省科技攻关计划资助项目(No.2007AA301B44-2)

摘　　要：目的探讨神经肌肉电刺激(NMES)疗法结合吞咽功能训练治疗脑卒中所致吞咽障碍的临床疗效。方法 40例脑卒中后吞咽障碍患者随机分为NMES组和对照组各20例,NMES组主要接受VitalStim电刺激治疗,同时结合吞咽功能训练,对照组则仅接受常规吞咽功能训练。治疗前、治疗3周以及3个月后进行洼田氏饮水试验和吞咽X线电视透视检查(VFSS)。结果两组治疗前评估结果间差异无统计学意义,治疗3周后洼田氏饮水试验和VFSS评分均明显好于治疗前,而且NMES组疗效更明显,治疗3个月后两组间评估差异无统计学意义。结论 NMES和常规吞咽功能训练均可明显改善脑卒中所致吞咽障碍,NMES结合吞咽功能训练起效更快,但未显示出远期疗效的优势。Objective To assess the effectiveness of neuromuscular electrical stimulation（NMES）combined with swallowing function training in patients with post-stroke dysphagia.Methods Forty patients with post-stroke dysphagia were randomly divided into NMES group（receiving VitalStim electrical stimulation combined with swallowing function training）and control group（receiving swallowing function training）.Swallowing function was assessed before treatment and 3 weeks and 3 months after treatment,and evaluated via the water swallow tests and videofluoroscopy swallowing study（VFSS）.Results After treatment,scores of two groups were significantly higher than those before treatment,and those in NMES group were increased more significantly 3 weeks after treatment.Three months after treatment,there was no significant difference in scores between two groups.Conclusion NMES and swallowing function training could significantly improve the swallowing function of the patients with post-stroke dysphagia.NMES combined with swallowing function training could show a positive effect in a short period,but no superiority in the long-term effectiveness.

关 键 词：神经肌肉电刺激 吞咽障碍 脑卒中 

分 类 号：R454.1[医药卫生—治疗学]