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目的观察神经肌肉电刺激(NMES)治疗对脑卒中后吞咽困难(PSD)的疗效。方法 102例PSD患者分为NMES治疗组(58例)和常规治疗组(44例),两组患者均给予常规药物治疗和功能训练,NMES治疗组增加NMES治疗。治疗前后进行吞咽功能评分,并进行组间比较。观察不良反应。结果 NMES治疗组和常规治疗组治疗后吞咽功能评分[(6.41±1.28)分,(5.52±1.76)分]明显高于治疗前[(4.07±1.21)分,(3.98±1.25)分],且NMES治疗组治疗后吞咽功能评分明显高于常规治疗组(均P<0.05)。NMES治疗组的显效率(82.7%)明显高于常规治疗组(43.2%)(P<0.05)。结论 NMES治疗PSD有显著疗效,无明显不良反应。
Objective To observe the effect of neuromuscular electrical stimulation (NMES) on post-stroke dysphagia (PSD). Methods 102 patients with PSD were divided into NMES treatment group (n = 58) and conventional treatment group (n = 44). Both groups were given conventional drug treatment and functional training, while NMES treatment group was given NMES treatment. Before and after treatment swallowing function score, and compared between groups. Adverse reactions observed. Results After treatment, the scores of swallowing function in NMES treatment group and conventional treatment group were significantly higher than those before treatment [(6.41 ± 1.28) vs (5.52 ± 1.76) points [(4.07 ± 1.21) and (3.98 ± 1.25) The score of swallowing function of NMES treatment group was significantly higher than that of routine treatment group (all P <0.05). The markedly effective rate (82.7%) in the NMES treatment group was significantly higher than that in the conventional treatment group (43.2%) (P <0.05). Conclusion NMES treatment of PSD has a significant effect, no significant adverse reactions.