直升机与医学救援.pdfVIP

· ·758 CHINAJOURNALOFEMERGENCYRESUSCITATIONANDDISASTERMEDICINEAugust2012,Vol.7,No8. ·论著· 神经肌肉电刺激治疗脑卒中后吞咽功能障碍的临床疗效分析 李清 陈丽霞 刘颖 【摘要】目的探讨神经肌肉电刺激（neuromuscular electronic stimulation,NMES ）对脑卒中后吞咽障碍的 疗效。方法将60 例脑卒中后存在吞咽功能障碍的患者分为对照组和观察组，各30 例。两组均采用常规 吞咽功能训练方法进行治疗，观察组加用NMES ，4 个疗程后进行洼田饮水试验评级比较。结果经过4 个 疗程共计20次治疗后，两组患者吞咽功能均较治疗前有明显改善，且观察组疗效明显优于对照组（P0.05）。结 论应用NMES 与常规吞咽功能训练相结合的方法可明显提高脑卒中后吞咽障碍患者的吞咽功能。 【关键词】吞咽障碍；神经肌肉电刺激 Theeffectofneuromuscularelectricalstimulationonpost-strokedysphagia LI Qing, CHEN Li-xia, LIU Ying. Department of Physical Medicine and Rehabilitation, Peking Union Medical College Hospital, Beijing 100730, China Corresponding author: chen li-xia; Email: clx727@ 【Abstract】Objective To observe the effect of neuromuscular electric stimulation (NMES) on post-stroke dysphagia (PSD). Methods Sixty patients with swallowing dysfunction after stroke were randomly divided into the control group and the study group with 30 patients each group. On top of receiving all regular swallowing training, the study group also received NMES. After four courses of treatment, the effects of two groups were compared with WaTian drink test. Results After four courses of treatment, the level of dysphagia with two groups all improved. The results showed an even better outcome from the study group (P0.05). Conclusions NMES therapy combined with regular swallowing training is considered being significantly effective for the patients with PSD. 【Keywords】Dysphagia; Neuromuscular electrical stimulation 吞咽障碍（dysphagia after stroke , DAS ）是由于 1 资料与方法 下颌、双唇、舌、软腭、咽喉、食道口括约肌或食道功 能受损所致的进食障碍，导致食物不能从口腔运送 基本资料 选取2006