低频电刺激治疗脑卒中后吞咽障碍.pdfVIP

182 ChineseJournaloflqehabilitation，June2011，Vo1．26No．3 低频电刺激治疗脑卒中后吞咽障碍 陈孝伟，张子斌 ，崔立海，杨延芳，郝强 【摘要】 目的：探讨加用低频 电刺激对脑卒中后吞咽障碍患者的治疗效果。方法：6O例脑卒中后吞咽障碍患者随 机分为低频组和对照组各 3O例，均按神经内科常规治疗，低频组同时配合舌骨及 甲状上切迹处低频 电刺激。治疗 前后 2组均进行洼田吞咽能力评定法及电视透视(VFG)检测。结果：经过14d的治疗，VFG吞咽功能检测，低频组 与治疗前及对照组 比较 ，稀钡和稠钡通过 口、咽时间明显缩短(P0．05，0．01)；对照组治疗前后差异无统计学意 义 。与洼 田吞咽能力评定法 比较 ，VFG吞咽障碍检 出率 明显提高 (PO．05)。结论 ：脑卒 中后吞咽障碍配合低频 电刺激可明显促进吞咽功能障碍的恢复 。 【关键词】 脑卒 中；吞咽障碍 ；低频 电刺激理疗仪 ；电视透视检查 【中图分类号】 R49；R743．3 【D0I】 10．3870／zgkf．2011．03．008 Low-frequencyElectricalStimulationforDysphagiaofApoplecticPatients CHENXiao—wei，ZHANGZi—bin，CUI Li-hai，ela1．DepartmentofNeurology，LiaochengSecondHospital，AffiliatedHospitalofTaishanMedical University，Linqing252601，China [Abstract] Objective：Toinvestigatethecurativeeffectivenessoflow-frequencyelceticalstimulationfordysphagiaafter stoke．Methods：Sixtyapoplecticpatientswithdysphagiawererandomlydividedintotwogroups：Low-frequencyelectrical stimulationgroup (=30)andcontrolgroup(=30)．Allpatientsreceivedroutineneurologicaltherapy．Besides。thepa— tientsinlow-frequencyelectricalstimulationgroupweregivenlow-frequencyelectricalstimulationatthehyoidboneand thyroidnotch．Beofreand2weeksaftertreatment，thedysphagiameasuring scalesbyKubotadrinkingwatertestand VideofluOrography(VFG)weredone．Results：Aftertreatmentfor14days，VFG swallowingfunctiontestsrevealedthat inlow frqeuencygroup，thetimeofthinandthickbarium passingthroughtheoropharynxwassignificantlyshorterthanin controlgroup (P 0．05．Therewasnosignificantdifferenceincontrolgroupbeforeand aftertreatment．Dysphagiadetec— tionratewashigherbyVFGthanthatbyKubotadrinkingwatertest(PO．05)．Conclusion：Dysphagiaafterstroketrea- tedwiththelow-rfequencyelectricalstimulationcansignificantlypromotetherecoveryofswallowingdysfunction．