柠檬酸冰棒咽部刺激法治疗脑卒中后吞咽障碍疗效研究  

Therapeutic effect of citric acid popsicle pharyngeal stimulation on dysphagia after stroke

作　　者：毛珍芳 黄金玲 龚献莲[1] 龙捷 MAO Zhenfang;HUANG Jinling;GONG Xianlian;LONG Jie(Department of Rehabilitation Medicine,the First Affiliated Hospital of Guangxi University of Science and Technology,Liuzhou,Guangxi 545002,China)

机构地区：[1]广西科技大学第一附属医院康复医学科,广西柳州545002

出　　处：《现代医药卫生》2023年第2期225-228,共4页Journal of Modern Medicine & Health

基　　金：广西壮族自治区卫生健康委员会自筹经费课题(Z2012607)。

摘　　要：目的 分析脑卒中后吞咽障碍患者采用神经肌肉电刺激疗法联合柠檬酸冰棒行咽部冰刺激训练治疗的疗效。方法 选取2009年10月至2017年12月该院神经内科及康复医学科收治的脑卒中后吞咽障碍患者100例,采用随机数字表法分为研究组和对照组,每组50例。研究组采用自制柠檬酸冰棒咽部刺激训练联合神经肌肉电刺激治疗,对照组采用大棉签蘸取冰水进行咽部冰刺激训练联合神经肌肉电刺激治疗。对比2组患者治疗前后各项吞咽功能评分和临床疗效。结果 研究组总有效率[96%(48/50)]高于对照组[90%(45/50)],但差异无统计学意义(P>0.05);2组患者治疗2、4周后洼田饮水试验分级均明显低于治疗前,差异均有统计学意义(P<0.05);2组患者治疗2、4周后洼田饮水试验分级比较,差异均无统计学意义(P>0.05)。结论 对脑卒中后吞咽障碍患者采用神经肌肉电刺激疗法联合柠檬酸冰棒行咽部冰刺激训练疗效更佳。Objective To analyze the effect of neuromuscular electrical stimulation therapy combined with citric acid popsicle for pharyngeal ice stimulation training in patients with dysphagia after stroke.Methods A total of 100 patients with dysphagia after stroke admitted to the Department of Neurology and Department of Rehabilitation Medicine of this hospital from October 2009 to December 2017 were selected and divided into the study group and the control group by random number table method, with 50 cases in each group.The study group received self-made citric acid popsicle pharyngeal stimulation training combined with neuromuscular electrical stimulation treatment, while the control group received pharyngeal ice stimulation training with large cotton swab dipped in ice water combined with neuromuscular electrical stimulation treatment.The scores of swallowing function and clinical efficacy of the two groups were compared before and after treatment.Results The total effective rate of the study group [96%(48/50)] was higher than that of the control group [90%(45/50)],but the difference was not statistically significant(P>0.05).After 2 and 4 weeks of treatment, the grade of water swallow test in both groups was significantly lower than before treatment, with statistical significance(P<0.05).The differences were not statistically significant when the patients in both groups were graded by the water swallow test after 2 and 4 weeks of treatment(P>0.05).Conclusion Neuromuscular electrical stimulation combined with citric acid popsicle for pharyngeal ice stimulation training is more effective for patients with dysphagia after stroke.

关 键 词：脑卒中后吞咽障碍 柠檬酸冰棒 咽部冷刺激 神经肌肉电刺激 治疗结果 

分 类 号：R743.3[医药卫生—神经病学与精神病学]