神经肌肉电刺激与电针治疗对脑卒中后吞咽障碍的影响(1)
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[摘 要] 目的:为了提高脑卒中患者吞咽功能障碍的康复率,探讨神经肌肉电刺激与电针治疗对脑卒中后吞咽障碍的影响。方法:将45例伴有吞咽功能障碍的脑卒中患者随机分为A、B、C三组,每组例数均为15例;A组为吞咽训练组,B组为神经肌肉电刺激(neuro muscularel ectrical stimulation,NMES)组,C组为电针治疗组。三组均给予常规药物治疗和吞咽功能训练;B组、C组在此基础上分别给予NMES和电针治疗干预,干预三周。在治疗前、后进行洼田饮水试验和吞咽X线电视透视检查(VFSS)。所用统计学方法为方差分析。结果:治疗三周后三组患者的洼田饮水试验和VFSS评分均高于治疗前,且B、C组疗效分别高于A组(P<0.01);B、C组之间疗效无差异(P>0.05)。结论:神经肌肉电刺激和电针治疗均可明显改善脑卒中患者吞咽功能障碍,在临床康复治疗中两者疗效无明显差异。
[关键词] 吞咽障碍;脑卒中;神经肌肉电刺激;电针治疗;吞咽训练
[Abstract] Objective: to improve the rehabilitation of swallowing dysfunction after cerebral apoplexy rate, of neuromuscular electrical stimulation and electroacupuncture on dysphagia after stroke effect. Methods: 45 patients with dysphagia in stroke patients were randomly divided into A, B, C three groups, each group of cases were 15 cases; A group for deglutition training group, group B as neuromuscular electrical stimulation(neuromuscular electrical stimulation, NMES) group, C group, electroacupuncture group ......
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