VitalStim吞咽治疗仪治疗急性脑梗死后不同阶段吞咽障碍的疗效  

The treatment effect of different stages of dysphagia caused by acute cerebral infarction with VitalStim swallowing therapy instrument

作　　者：宋福聪[1] 吕洲[1] 张璇[1] 李霞[1] 尤素伟[1] 冯文霞[1] 

机构地区：[1]河北省邯郸市中心医院神经内科,056001

出　　处：《临床神经病学杂志》2014年第3期222-224,共3页Journal of Clinical Neurology

摘　　要：目的观察VitalStim吞咽治疗仪对急性脑梗死后不同阶段吞咽障碍的疗效。方法 135例急性脑梗死后吞咽障碍患者分为口腔期组、咽期组及混合期组各45例,均应用VitalStim吞咽治疗仪进行康复治疗,治疗28 d后比较疗效。结果三组患者治疗后吞咽功能评分与治疗前比较有所降低(均P<0.05)。咽期组治疗后吞咽功能评分与口腔期组、混合期组的治疗后比较有所降低(均P<0.05)。咽期组总有效率与口腔期组、混合期组总有效率比较有所升高(均P<0.05)。结论 VitalStim吞咽治疗仪可改善不同类型吞咽功能障碍患者的吞咽功能,其中咽期吞咽功能康复效果优于口腔期及口咽混合期吞咽障碍。Objective To observe the treatment effect of different stages of dysphagia caused by acute cerebral infarction with VitalStim swallowing therapy instrument .Methods One hundred and thirty five patients with dysphagia caused by acute cerebral infarction , divided into oral stage group , pharyngeal stage group and oropharyngeal mixing stage group with 45 cases in each group .All patients were treated with VitalStim swallowing therapy instrument , and compared the therapeutic effects after 28 d of therapy .Results The swallowing function scores after treatment in all three groups reduced compared with the scores before treatment （ all P〈0.05 ） .The swallowing function scores of the pharyngeal stage group after treatment reduced compared with the scores of the oral stage group and the oropharyngeal mixing stage group （all P〈0.05）.The total effective rates of the pharyngeal stage group increased compared with the total effective rates of the oral stage group and the oropharyngeal mixing stage group（all P〈0.05）.Conclusions The VitalStim swallowing therapy instrument can improve the swallowing function of the three types of patients with dysphagia ,and the rehabilitation effect of pharyngeal stage is better than the oral stage and the oropharyngeal mixing stage group with VitalStim swallowing therapy instrument .

关 键 词：吞咽障碍 脑梗死 口腔期 咽期 口咽混合期 

分 类 号：R743.3[医药卫生—神经病学与精神病学]