吞咽训练联合Vitalstim神经肌肉电刺激仪在脑卒中吞咽障碍中的应用-《中国医学物理学杂志》

文章信息/Info

Title:: Application of swallowing training combined with Vitalstim neuromuscular electrical stimulation in post-stroke dysphagia

作者:: 胡桂芳1; 刘丹丹1; 庞文琪1; 田锋2; 1.济宁市第一人民医院康复医学科，山东济宁 272011；2.济宁市第一人民医院神经内科，山东济宁 272011

Author(s):: HU Guifang1; LIU Dandan1; PANG Wenqi1; TIAN Feng2; 1. Department of Rehabilitation Medicine, Jining First People’s Hospital, Jining 272011, China; 2. Department of Neurology, Jining First People’s Hospital, Jining 272011, China

Keywords:: post-stroke dysphagia; Vitalstim neuromuscular electrical stimulator; swallowing training; efficacy

摘要:: 目的：探讨吞咽训练联合Vitalstim神经肌肉电刺激仪对脑卒中吞咽障碍患者的临床疗效，为改善患者吞咽功能提供科学依据。方法：选取100例脑卒中吞咽障碍患者作为研究对象，采用随机数表法分为对照组和观察组，每组各50例。对照组行常规吞咽训练，观察组在对照组基础上增加Vitalstim神经肌肉电刺激仪干预，疗程均为3周，比较两组患者治疗前后的吞咽功能改善情况。结果：治疗后，观察组洼田饮水试验得分、Rosenbek 渗漏-误吸量表得分均低于对照组（P<0.05），同时功能性经口摄食量表得分和功能独立性评定量表得分均高于对照组（P<0.05）。此外，观察组患者营养风险筛查2002（NRS2002）得分高于对照组（P<0.05）。结论：吞咽训练联合Vitalstim神经肌肉电刺激仪能够有效改善脑卒中患者的吞咽功能，具有较高的临床应用价值，值得进一步推广与研究。

Abstract:: Objective To explore the clinical efficacy of swallowing training combined with Vitalstim neuromuscular electrical stimulation in patients with dysphagia after stroke for providing a scientific basis for improving the swallowing function. Methods A total of 100 patients with post-stroke dysphagia were enrolled and randomly divided into control group (n=50, conventional swallowing training) and observation group (n=50, conventional swallowing training + Vitalstim neuromuscular electrical stimulation), with a total treatment course of 3 weeks. The swallowing functions before and after treatment was compared between two groups. Results After treatment, observation group scored lower on the water swallow test and the Rosenbek Penetration-Aspiration Scale (P<0.05), while higher on the Functional Oral Intake Scale and the Functional Independence Measure as compared with control group (P<0.05). In addition, the score of Nutritional Risk Screening 2002 (NRS2002) was higher in observation group than in control group (P<0.05). Conclusion The combination of swallowing training and Vitalstim neuromuscular electrical stimulator can effectively improve the swallowing function of stroke patients and has high clinical application value, worthy of further promotion and research.