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神经肌肉电刺激在颅脑损伤吞咽障碍患者中的应用效果

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目的 探讨神经肌肉电刺激结合早期吞咽功能训练在颅脑损伤吞咽障碍患者中的应用效果。方法 选取2021年4月至2023年4月该院收治的颅脑损伤吞咽障碍患者184例,采用随机数字表法分为对照组和观察组,每组92例。对照组患者采取常规康复干预,观察组患者在常规康复干预基础上行神经肌肉电刺激结合早期吞咽功能训练,2组干预时间均为2个月。比较2组患者康复效果。结果 观察组患者标准吞咽功能量表、美国国立卫生研究院卒中量表、吞咽生活质量量表各项评分差值均高于对照组,差异均有统计学意义(P<0。05);观察组患者吸入性肺炎、误吸、营养不良等并发症发生率均低于对照组,差异均有统计学意义(P<0。05)。结论 将神经肌肉电刺激结合早期吞咽功能训练干预应用于颅脑损伤吞咽障碍患者中,可改善患者吞咽功能和神经功能,降低并发症发生风险,患者生活质量得到进一步提升。
Application effect of neuromuscular electrical stimulation in patients with swallowing disorders after craniocerebral injury
Objective To explore the application effect of neuromuscular electrical stimulation com-bined with early swallowing function training in patients with swallowing disorders after craniocerebral inju-ry.Methods A total of 184 patients with swallowing disorders caused by craniocerebral injury admitted to the hospital from April 2021 to April 2023 were selected and randomly divided into the control group and the ob-servation group by the random number table method,with 92 cases in each group.Patients in the control group were given routine rehabilitation intervention,while the patients in the observation group were given neuromuscular electrical stimulation combined with early swallowing function training on the basis of routine rehabilitation intervention.The intervention time of both groups was two months.The rehabilitation effects of the two groups were compared.Results The scores of standard swallowing function scale,the national insti-tutes of health stroke scale and swallowing quality of life scale in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).The incidence of complica-tions such as aspiration pneumonia,aspiration and malnutrition in the observation group was lower than that in the control group,and the differences were statistically significant(P<0.05).Conclusion The combina-tion of neuromuscular electrical stimulation and early swallowing function training intervention in patients with swallowing disorders after craniocerebral injury can improve swallowing and neurological function in the patients,reduce the risk of complications,and further enhance their quality of life.

Craniocerebral injurySwallowing disordersNeuromuscular electrical stimulationEarly swallowing function trainingSwallowing functionNeurological function

王瑞华、张竞文、何秋果

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许昌市中心医院神经外科二病区,河南 许昌 461000

颅脑损伤 吞咽障碍 神经肌肉电刺激 早期吞咽功能训练 吞咽功能 神经功能

2024

现代医药卫生
重庆市卫生信息中心

现代医药卫生

影响因子:0.758
ISSN:1009-5519
年,卷(期):2024.40(17)