神经肌肉电刺激治疗脑卒中后吞咽困难有效性分析与评估.docVIP

神经肌肉电刺激治疗脑卒中后吞咽困难有效性分析与评估 　　[摘要] 目的 分析神?肌肉电刺激治疗脑卒中后吞咽困难的效果。方法 方便选取苏州大学附属太仓医院2016年2月―2017年1月收治的80例脑卒中患者作为研究对象并根据随机数字表分组，分别40例。对照组采用常规康复治疗，神经肌肉电刺激组在对照组基础上用神经肌肉电刺激。比较两组脑卒中治疗效果；治疗前后营养情况、饮水试验评分；治疗前后焦虑心理状态、抑郁心理状态、QOL评分。结果 神经肌肉电刺激组脑卒中治疗效果高于对照组（χ2=5.165，P0.05）；神经肌肉电刺激组治疗后焦虑心理状态、抑郁心理状态、QOL评分比对照组好（P0.05）。结论 神经肌肉电刺激治疗脑卒中后吞咽困难的效果确切，可有效改善患者病情，减轻不良心理应激，改善吞咽功能和营养状态，促进患者生活质量提高，值得推广。 　　[关键词] 神经肌肉电刺激；脑卒中；效果 　　[中图分类号] R743 [文献标识码] A [文章编号] 1674-0742（2017）09（c）-0107-03 　　Analysis and Evaluation of Effectiveness of Neuromuscular Electrical Stimulation in Treatment of Dysphagia after Stroke 　　WANG Yin 　　Department of Rehabilitation Medicine， Taicang First People’s Hospital Taicang Hospital Affiliated to Soochow University， Taicang， Jiangsu Province， 215400 China 　　[Abstract] Objective To analyze the effect of neuromuscular electrical stimulation in treatment of dysphasia after stroke. Methods 80 cases of stroke patients in our hospital from February 2016 to January 2017 were convenient selected as the research objects and randomly divided into two groups with 40 cases in each， the control group were treated with routine recovery， while the neuromuscular electrical stimulation group were treated with neuromuscular electrical stimulation on the basis of the control group， and the treatment effect of the two groups was compared and the nutrition situation， drinking test score， anxiety and depression and QOL score before and after treatment were compared between the two groups. Results The treatment effect in the neuromuscular electrical stimulation group was higher than that in the control group（χ2=5.165，P0.05）； and the anxiety， depression and QOL score after treatment were better than those in the control group（P 　　[Key words] Neuromuscular electrical stimulation； Stroke； Effect 　　脑卒中是常见的脑血管疾病之一，而吞咽功能障碍是脑卒中常见多发的并发症之一，临床研究数据显示，有50%左右脑卒中患者可出现吞咽障碍。而脑卒中吞咽障碍可带来各种不良症状，如引发营养不良、脱水、代谢紊乱、吸入性肺炎等，甚至可导致患者因窒息而死亡，对患者健康造成严重威胁，对患者健康和康复、生活均带来不良影响[1-2]。为了有效改善脑卒中患者吞咽功能，该研究将2016年2月―2017年1月80例脑卒中患者作为