口腔内感应电刺激对脑桥梗死后吞咽障碍患者的临床疗效观察  

Clinical effect of intraoral inductive electrical stimulation on patients with dysphagia after pontine infarction

作　　者：姚欢丽 吕经纬 李正凡 杨暖 李红玲[4] 向正茂 高月敏 吕学海[6] Yao Huanli;Lv Jingwei;Li Zhengfan(Hebei North University,Zhangjiakou 075000,China)

机构地区：[1]河北北方学院,河北张家口075000 [2]河北医科大学基础医学院,石家庄050017 [3]河北医科大学研究生学院,石家庄050017 [4]河北医科大学第二医院康复医学二科,石家庄050017 [5]承德医学院,河北承德067050 [6]邯郸市中心医院,河北邯郸056001

出　　处：《中国康复》2024年第10期584-588,共5页Chinese Journal of Rehabilitation

基　　金：河北省医学科学研究课题计划(20220549)。

摘　　要：目的:探讨口腔内感应电刺激对脑桥梗死后吞咽障碍患者的吞咽功能的影响及临床疗效。方法:选取脑桥梗死后吞咽障碍患者50例。随机分为对照组和观察组,各25例。2组均实施常规吞咽康复训练,在此基础上,对照组接受神经肌肉低频电刺激,观察组接受口腔内感应电刺激,均持续4周。分别在治疗前、治疗4周后,采用改良洼田饮水试验评分(MWST)、Rosenbek渗漏-误吸量表(PAS)评级以及功能性经口摄食量表(FOIS)评分对2组患者吞咽功能进行评估。结果:治疗4周后,2组PAS评级较治疗前降低(P<0.05),2组FOIS评分较治疗前升高(P<0.05),且观察组PAS评级低于对照组(P<0.05),FOIS评分高于对照组(P<0.05);与对照组相比,观察组临床总有效率更高(P<0.05)。结论:口腔内感应电刺激可有效改善脑桥梗死后吞咽障碍患者的吞咽功能,并且提高临床疗效。Objective:To observe the effect of intraoral induction electrical stimulation on swallowing function in patients with dysphagia after pontine infarction,and explore its clinical efficacy.Methods:Totally,50 patients with dysphagia after pontine infarction were collected from January 2022 to January 2023 at the Department of Neurology and Department of Rehabilitation Medicine of our hospital.The 50 patients were divided into two groups at random,a control group(25 patients)who received routine swallowing rehabilitation training and neuromuscular electrical stimulation,and an observation group(25 patients)who received routine swallowing rehabilitation training and intraoral induction electrical stimulation.The swallowing function of two groups before and 4 weeks after treatment was evaluated.The main evaluation indicators included:MWST score,PAS score,and FOIS score.Results:After 4 weeks of treatment,both groups of patients had a decrease in PAS and an increase in FOIS score compared to before treatment(P<0.05).After treatment,the observation group had a decrease in PAS score and an increase in FOIS score compared to the control group,and the differences were statistically significant(all P<0.05);Compared with the control group,the observation group had a higher overall clinical effective rate,and the differences were statistically significant(P<0.05).Conclusion:Intraoral induction electrical stimulation can effectively improve the swallowing function of patients with dysphagia after pontine infarction and enhance clinical efficacy.

关 键 词：脑桥梗死 吞咽障碍 口腔内感应电刺激 

分 类 号：R49[医药卫生—康复医学] R743.3[医药卫生—临床医学]