Effect of handheld induction electrical stimulation on swallowing function in patients with hypertensive intracerebral hemorrhage
Objective To analyze the effect of handheld induction electrical stimulation on swallowing function in patients with hypertensive intracerebral hemorrhage.Methods This study was a randomized controlled trial.A total of 118 patients with hypertensive cerebral hemorrhage admitted to Zhengzhou Ninth People's Hospital from January 2021 to January 2023 were selected as the study subjects.They were divided into an observation group and a control group using the random number table method,with 59 cases in each group.In the control group,there were 35 males and 24 females,aged(52.13±6.34)years,and the time from onset to treatment was(11.32±1.30)h.In the observation group,there were 33 males and 26 females,aged(51.65± 6.20)years,and the time from onset to treatment was(11.44±1.13)h.Both groups were treated with neurotrophic drugs after surgery,the control group was combined with routine rehabilitation training,and the observation group was combined with hand-held induction electrical stimulation.Both groups were treated for 6 weeks.The tongue muscle pressure,Functional Oral Intake Scale(FOIS)score,and Rosenbek Leakage/Aspiration Scale score were compared between the two groups 3 days before treatment and 3 days after treatment.The clinical efficacy within 3 days after treatment and complications during treatment were compared between the two groups.t test and x2 test were used.Results Three days after treatment,the average and peak tongue pressure of the observation group were higher than those of the control group[(49.85±7.65)kPa vs.(3 8.9 5±6.7 7)kPa,(56.98±5.69)kPa vs.(46.58±4.77)kPa],and the duration of tongue pressure was longer than that of the control group[(18.49±4.23)s vs.(13.56±4.11)s],with statistically significant differences(t=2.549,P=0.016;t=2.292,P=0.036;t=3.376,P=0.001).The FOIS score of the observation group was higher than that of the control group[(5.16±1.72)points vs.(3.54±1.45)points],the Rosenbek Leakage/Aspiration Scale score was lower than that of the control group[(2.34±0.84)points vs.(3.61±0.92)points],the total clinical effective rate was higher than that of the control group[91.53％(54/59)vs.64.40％(38/59)],and the total incidence of complications was lower than that of the control group[6.78％(4/59)vs.27.12％(16/59)],with statistically significant differences(t=2.858,P=0.004;t=2.186,P=0.039;x2=7.355,P=0.019;x2=11.265,P=0.007).Conclusion Handheld induction electrical stimulation therapy can improve the tongue muscle pressure and swallowing function in patients with hypertensive intracerebral hemorrhage,reduce the aspiration related complications,and improve the clinical efficacy.
国家科技期刊平台
NSTL
万方数据
