基于吞咽造影的感应电刺激联合吞咽功能训练对脑卒中口腔期吞咽障碍患者的治疗效果  

Therapeutic effect of electrical stimulation combined with swallowing function training on oral phase dysphagia in stroke patients:A videofluoroscopy swallowing study

作　　者：陈婷婷 李红 马将 李擎 龚艺 宋子强 赵润 毛俐俐 丁皓珂 CHEN Tingting;LI Hong;MA Jiang(School of Nursing and Rehabilitation,North China University of Science and Technology,Tangshan,Hebei,063210)

机构地区：[1]华北理工大学护理与康复学院,河北省唐山市063210 [2]石家庄市人民医院 [3]河北医科大学研究生学院 [4]天津体育学院运动健康学院 [5]河北师范大学体育学院

出　　处：《中国康复医学杂志》2025年第3期356-360,368,共6页Chinese Journal of Rehabilitation Medicine

摘　　要：目的:基于吞咽造影(VFSS)数字化分析技术探讨定量指标评估感应电刺激联合吞咽功能训练对脑卒中口腔期吞咽障碍患者的治疗效果。方法:选取2023年2月-2024年2月在石家庄市人民医院住院的40例脑卒中口腔期吞咽障碍的患者,随机分为试验组(n=20)和对照组(n=20)。两组均采用常规吞咽功能训练,试验组在此基础上进行感应电刺激。分别于干预前和干预3周后采用功能性经口摄食量表(functional oral intake scale,FOIS),口腔功能评分和吞咽造影检查评估患者的吞咽功能,采用吞咽影像数字化采集和定量分析软件系统对VFSS结果进行定量分析,记录患者口腔运送时间(oral transit time,OTT)、软腭上抬时间(soft palate elevation time,SET)和舌骨运动时间(hyoid-bone movement time,HMT)。结果:治疗3周后,两组患者FOIS评级和口腔功能评分均升高(P<0.05),OTT,SET和HMT均缩短(P<0.05);且试验组患者治疗后FOIS评级,口腔功能评分,OTT,SET和HMT的改善程度优于对照组(P<0.05)。结论:基于VFSS的定量分析,感应电刺激联合吞咽功能训练可以有效改善脑卒中后口腔期吞咽障碍患者的吞咽功能,是一种有效的治疗方法。Objective:To evaluate the the effect of inductive electrical stimulation combined with swallowing function training on patients with oral dysphagia in the oral phase of stroke patients using quantitative analysis based on video fluoroscopy swallowing study(VFSS).Method:A total of 40 patients with oral dysphagia during stroke who were hospitalized in Shijiazhuang People's Hospital from February 2023 to February 2024 were randomly divided into experimental group(n=20)and control group(n=20).Both groups were treated with swallowing function training,while the experimental group additionally underwent induction electrical stimulation.Before the intervention and 3 weeks after the intervention,the functional oral feeding scale(FOIS),oral function score and VFSS were used to evaluate the swallowing function.The VFSS results were quantitatively analyzed using a digital acquisition and quantitative analysis software system,recording the oral transit time(OTT),soft palate elevation time(SET)and hyoidbone movement time(HMT)of the patients were recorded.Result:After 3 weeks of treatment,FOIS ratings and oral function score were increased in both groups(P<0.05),and the OTT,SET and HMT were shortened(P<0.05).However,the experimental group exhibited significantly greater improvements in FOIS ratings,oral function scores,OTT,SET,and HMT compared to the control group(P<0.05).Conclusion:Based on the quantitative analysis of VFSS,induced electrical stimulation combined with swallowing function training can effectively improve the swallowing function of patients with oral dysphagia after stroke.

关 键 词：感应电 脑卒中 口腔期 吞咽障碍 吞咽造影 

分 类 号：R743.3[医药卫生—神经病学与精神病学] R493[医药卫生—临床医学]