电刺激疗法对急性脑梗死伴吞咽困难、心理障碍患者的效果  

The effect of neuromuscular electrical stimulation on acute cerebral infarction patients with dysphagia and psychological disorder

作　　者：姚婕[1] 张少茹 杨晓平[1] 朱楠 张颖[1] YAO Jie ZHANG Shaoru YANG Xiaoping et al(The Second Affiliated Hospital of Xi＇an Jiaotong University, Xi ＂an 710004, China)

机构地区：[1]西安交通大学第二附属医院,西安710004

出　　处：《国际精神病学杂志》2017年第5期904-906,921,共4页Journal Of International Psychiatry

摘　　要：目的探讨电刺激疗法对急性脑梗死伴吞咽困难、心理障碍患者的疗效。方法将本院接收的78例伴吞咽困难及心理障碍的脑梗死患者随机分为对照组和实验组。对照组采用常规药物治疗及吞咽训练,实验组在对照组的基础上加用神经肌肉电刺激疗法治疗,比较治疗前后两组患者的情绪状态量表(Poms)评分及自尊及人际行为评定量表(RSEQ-30)评分。结果对照组治疗前后情绪状态量表评分及自尊及人际行为评定量表评分并无明显区别,实验组患者治疗后情绪状态量表评分显著低于治疗前(P<0.05),而自尊与人际行为评定量表评分治疗后显著高于治疗前(P<0.05);治疗后情绪状态量表评分显著低于对照组,而自尊及人际行为评定量表评分显著高于对照组(P<0.05)。治疗前,两组患者吞咽障碍分级评分差异无统计学意义(P>0.05),治疗后,实验组患者吞咽障碍分级评分显著高于对照组患者(P<0.01)。结论神经肌肉电刺激疗法改善脑梗死患者吞咽困难,减轻患者的心理障碍。Objective To explore the effect of neuromuscular electrical stimulation on acute cerebral infarction patients with dysphagia and psychological disorder. Methods 78 cases of acute cerebral infarction patients with dysphagia and psychological disorder were selected and randomly divided into two groups. Control group received conventional drug treatment and swallowing training,while the experimental group used neuromuscular electrical stimulation on the basis of control group. Scores of Poms and RSEQ-30 between two groups were compared. Results After treatment,there were no significant difference on scores of Poms and RSEQ-30 in control group,Poms scores was significantly lower and RSEQ-30 scores was significantly higher than before treatment in experimental group（P〈0.05）. After treatment,Poms scores in experimental group＇s was significantly lower than those in control group,and RSEQ-30 scores was significantly higher（P〈0.05）. Before treatment,there were no significant differences on dysphagia score between the two groups（P〈0.05）. After treatment,the dysphagia scores in experimental group＇s was significantly higher than those of control group＇s（P〈0.01）. Conclusion Neuromuscular electrical stimulation could effectively eliminate the patient＇s dysphagia and improve the patient＇s psychological status.

关 键 词：神经肌肉电刺激疗法 脑梗死 吞咽困难 心理障碍 

分 类 号：R749.13[医药卫生—神经病学与精神病学]