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目的:探讨神经肌肉电刺激疗法(NMES)对卒中后吞咽困难(PSD)与周围性面瘫(PFP)治疗的有效性。方法:发病<14d的PSD患者102例,分为A1组58例和A2组44例;发病<7d的PFP患者92例,分为B1组49例和B2组43例。4组均按相关疾病给予对症药物治疗和功能训练,A1、B1组增加NMES电刺激治疗。A1、2组治疗前后采用洼田试验进行吞咽功能评分,并评定治疗后的临床疗效。B1、2组采用HBN量表进行面神经功能评分和临床疗效评定。结果:经过20d的治疗,A1组洼田试验评分及B1组HBN评分均分别较治疗前及A2、B2组明显提高(P<0.05);临床痊愈率及基本痊愈率均明显高于A2、B2组(69.0%、67.0%与36.0%、47.0%,P<0.05)。结论:NMES无论对中枢神经损伤还是周围神经损伤均有较好的治疗作用。
Objective: To investigate the efficacy of neuromuscular electrical stimulation (NMES) in treating post-stroke dysphagia (PSD) and peripheral facial paralysis (PFP). Methods: A total of 102 PSD patients with morbidity of <14 days were divided into two groups: 58 cases in group A1 and 44 cases in group A2; 92 cases of PFP with onset of <7 days were divided into group B1 and group B (49 cases) and group B2 (43 cases). The four groups were given symptomatic drug treatment and functional training according to the relevant diseases, while A1 and B1 groups were given NMES stimulation. A1, 2 groups before and after treatment using Kubota test swallowing score, and to assess the clinical efficacy after treatment. Group B1 and B2 were scored by facial nerve function scale (HBN) and evaluated clinically. Results: After 20 days of treatment, the test scores in group A1 and HBN in group B1 were significantly higher than those in group A2 and B2, respectively (P <0.05), and the clinical cure rate and the basic cure rate were significantly higher than those in A2 and B2 Groups (69.0%, 67.0% vs 36.0%, 47.0%, P <0.05). Conclusion: NMES has a good therapeutic effect on central nervous system injury and peripheral nerve injury.