电刺激治疗缺血性脑卒中吞咽功能的疗效探讨  

作　　者：李静[1] 初秀红[1] 张金刚[1] 吕彦梦 林香玉[1] 

机构地区：[1]山东省烟台经济技术开发区医院,264006

出　　处：《中国现代药物应用》2011年第19期20-22,共3页Chinese Journal of Modern Drug Application

摘　　要：目的探讨电刺激治疗对缺血性脑卒中急性期与恢复期吞咽障碍的疗效。方法 90例患者中,随机取31例为对照组,给予常规药物治疗和吞咽功能训练,急性期组与恢复期组在上述治疗的基础上加用电刺激治疗,分别与治疗前和治疗1个月后用藤岛一郎吞咽疗效(藤氏)、洼田氏饮水试验(田氏)评分。结果治疗前3组患者藤氏、田氏评分差异无统计学意义(P>0.05),治疗1个月以后,滕氏评分明显提高、田氏评分明显降低,3组患者与治疗前比较,差异均有统计学意义(P<0.05),急性期组、恢复期组评分与对照组比较,差异有统计学意义(P<0.05),且急性期组评分与恢复期组比较,差异有统计学意义(P<0.05)。结论电刺激治疗能明显改善缺血性脑卒中吞咽障碍,急性期治疗优于恢复期治疗。Objective To investigate the influence of swallowing disorder by the electric stimulation treatment of ischemic stroke in acute and recovery period. Methods In 90 cases of ischaemic stroke patients with swallowing disorder, random take 31 as matched control, were given conventional treatments and swallowing function training. Acute period group and recovery group were given electric stimulation treatment on the basis of conventional treatments and swallowing function training,All were evaluated by and Teng rating and Tian rating a month before and after treatment.Results The scores of the three groups of patients before treatment have no significant difference （P0.05）.After the treatment of a month, TengShi score improved and TianShi score decrease significantly. The scores of three groups of patients compared with before treatment, were statistically significant different （P0.05）. The acute phase group, recovery group score compared with controls had a statistically significant difference （P0.05）, and the acute phase group score and recovery group score had a statistically significant difference （P0.05）. Conclusion Electric stimulation therapy can improve the ischemic stroke swallowing disorder.Acute period therapy is better than recovery group.

关 键 词：缺血性脑卒中 吞咽障碍 电刺激 

分 类 号：R743.3[医药卫生—神经病学与精神病学]