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目的探讨神经肌肉电刺激(NMES)联合吞咽训练对脑梗死后吞咽障碍患者的疗效。方法将50例脑梗死后吞咽障碍的患者随机分为对照组25例和治疗组25例,2组基线资料具有可比性。所有患者接受脑梗死常规治疗,对照组给予吞咽训练,治疗组加用V italStim电刺激治疗仪进行NMES治疗,治疗前后采用洼田饮水试验、吞咽障碍程度分级进行评定。结果 2组治疗前,在洼田饮水试验及吞咽障碍程度分级评定方面差异无统计学意义(P均>0.05),治疗后,2组洼田饮水试验及吞咽障碍程度分级评定均有所好转(P均<0.05),且治疗组洼田饮水试验分级(1.92±0.95vs2.56±1.12,P<0.05)及吞咽障碍程度分级(7.60±1.89vs6.40±2.27,P<0.05)均优于对照组。结论 NMES联合吞咽训练治疗脑梗死后吞咽障碍有明显疗效。
Objective To investigate the effect of neuromuscular electrical stimulation (NMES) combined with swallowing training on patients with dysphagia after cerebral infarction. Methods Fifty patients with dysphagia after cerebral infarction were randomly divided into control group (25 cases) and treatment group (25 cases). The baseline data of two groups were comparable. All patients received routine treatment of cerebral infarction, the control group was swallowing training, the treatment group plus V italStim electrical stimulation treatment instrument for NMES treatment, before and after the use of Kubota drinking water test, grade assessment of dysphagia. Results Before treatment, there was no significant difference in grade of drinking water test and degree of swallowing in Kudzu (P> 0.05). After treatment, both Kubota drinking water test and grading of swallowing disorder improved P <0.05), and the Wudao drinking water test grade (1.92 ± 0.95vs2.56 ± 1.12, P <0.05) and dysphagia grade (7.60 ± 1.89vs6.40 ± 2.27, P <0.05) Control group. Conclusion NMES combined swallowing training has obvious curative effect on swallowing disorder after cerebral infarction.