神经刺激技术对神经源性吞咽障碍治疗效果的研究进展  

Research progress on the effect of neurostimulation techniques in the treatment of neurogenic dysphagia

作　　者：岑晚霞 张若 古剑雄 Cen Wanxia;Zhang Ruo;Gu Jianxiong(The First Clinical Medical College,Guangdong Medical University,Zhanjiang 524002,China;Department of Rehabilitation Medicine,Affiliated Hospital of Guangdong Medical University,Zhanjiang 524002,China)

机构地区：[1]广东医科大学第一临床医学院,湛江524002 [2]广东医科大学附属医院康复科,湛江524002

出　　处：《神经疾病与精神卫生》2023年第2期139-144,共6页Journal of Neuroscience and Mental Health

摘　　要：吞咽障碍主要是指由于各种因素导致食物不能有效安全地从口腔输送到胃,其中神经源性吞咽障碍是指由于神经系统疾病导致的吞咽障碍。神经源性吞咽障碍可导致患者产生营养不良、吸入性肺炎、心理障碍甚至窒息死亡等严重后果。目前对于神经源性吞咽障碍的治疗主要以康复干预治疗为主,其中神经刺激技术是临床应用较为广泛的一类,目前神经刺激技术可选择的类别较多,关于如何选择最合适的治疗方案尚没有明确的临床指南。现就临床常用的4种神经刺激技术在神经源性吞咽障碍患者中的康复疗效展开综述,旨在为神经源性吞咽障碍患者提供可供参考的个体化康复措施选择。Dysphagia mainly refers to the inability that food cannot be safely and efficiently delivered from mouth to stomach due to various reasons.Dysphagia caused by neurological disorders is called neurogenic dysphagia.Neurogenic dysphagia can lead to serious consequences such as malnutrition,aspiration pneumonia,psychological disorders and even death by asphyxiation.At present,the treatment of neurogenic dysphagia is mainly based on rehabilitation intervention.Among them,neurostimulation technology is a more widely used category in clinical practice.There are many categories of neurostimulation technology which can be selected,and there is no clear clinical guideline on how to choose the most appropriate treatment plan.This paper reviews the rehabilitation efficacy of four neurostimulation techniques which are commonly used in clinical practice in patients with neurogenic dysphagia,aiming to provide a reference of individualized rehabilitation measures for patients with neurogenic dysphagia.

关 键 词：吞咽障碍 神经系统疾病 神经刺激技术 吞咽功能 康复 综述 

分 类 号：R741.05[医药卫生—神经病学与精神病学]