首页|经颅超声-神经肌肉电刺激治疗对脑卒中后吞咽障碍患者的疗效探讨

经颅超声-神经肌肉电刺激治疗对脑卒中后吞咽障碍患者的疗效探讨

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目的 探讨临床治疗脑卒中后吞咽障碍患者采取经颅超声-神经肌肉电刺激疗法的效果与价值.方法 选取2018年1月—2023年6月灌云县人民医院收治的脑卒中后吞咽障碍患者52例作为研究对象,按照就诊时间顺序进行分组,对照组(26例)患者采取常规吞咽康复训练疗法,观察组(26例)患者在常规吞咽康复训练基础上开展经颅超声-神经肌肉电刺激治疗.比较两组患者治疗效果、吞咽功能、神经功能、不良事件.结果 治疗后观察组总有效率为96.15%,高于对照组的69.23%,差异有统计学意义(χ2=4.837,P<0.05).治疗后观察组患者吞咽功能、神经功能评分均优于对照组,差异有统计学意义(P均<0.05).观察组发生不良事件总发生率低于对照组,差异有统计学意义(P<0.05).结论 脑卒中吞咽障碍患者采取经颅超声-神经肌肉电刺激治疗具有确切疗效,可有效促进患者吞咽功能恢复,减少误吸等不良反应情况发生.
Effect of Transcranial Ultrasound and Neuromuscular Electrical Stimula-tion on Patients with Dysphagia after Stroke
Objective To investigate the effect and value of transcranial ultrasound and neuromuscular electrical stimulation in the clinical treatment of patients with dysphagia after stroke.Methods A total of 52 patients with dys-phagia after stroke admitted to Guanyun County People's Hospital from January 2018 to June 2023 were selected as the subjects.They were divided into groups according to the time order of treatment.The control group(26 cases)re-ceived routine dysphagia rehabilitation training.Observation group(26 cases)received transcranial ultrasound and neuromuscular electrical stimulation on the basis of routine swallowing rehabilitation training.The therapeutic effect,swallowing function,nerve function and adverse events were compared between the two groups.Results After treat-ment,the total effective rate of observation group was 96.15%,which was higher than that of control group(69.23%),and the difference was statistically significant(χ2=4.837,P<0.05).After treatment,the scores of swallowing function and nerve function in observation group were better than those in control group,and the differences were statistically significant(both P<0.05).The total incidence of adverse events in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion Transcranial ultrasound and neuro-muscular electrical stimulation for patients with dysphagia after stroke has a definite effect,which can effectively pro-mote the recovery of swallowing function and reduce the occurence of adverse conditions such as aspiration.

Transcranial ultrasound and neuromuscular electrical stimulationStrokeDysphagiaAdverse event

田作丽、薛晓琳

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灌云县人民医院神经内科,江苏灌云 222200

经颅超声神经肌肉电刺激 脑卒中 吞咽障碍 不良反应情况发生

2024

系统医学

系统医学

ISSN:
年,卷(期):2024.9(6)
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