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目的:探讨神经肌肉电刺激对卒中性吞咽障碍患者的疗效。方法:将200例吞咽功能评级5级以下的脑卒中患者分为对照组67例和研究组133例,均给予常规药物治疗配合吞咽功能训练,研究组加用vitalstim电刺激治疗仪。2个疗程后进行吞咽评级比较。结果:2研究组吞咽评级结果明显优于对照组,差异有统计学意义(P<0.01):加用神经电刺激治疗后,单侧大脑卒中组疗效优于双侧大脑卒中组:缺血性脑卒中组疗效优于出血性脑卒中组。结论:神经肌肉电刺激疗法可明显提高卒中性吞咽障碍患者的吞咽功能,临床效果优于常规治疗。
Objective: To investigate the effect of neuromuscular electrical stimulation on patients with stroke dysphagia. Methods: 200 stroke patients with grade 5 or less swallowing function were divided into control group (n = 67) and study group (n = 133). All patients were given conventional medication combined with swallowing functional training. The study group was treated with vitalstim electrostimulation instrument. Swallowing ratings were compared after 2 courses of treatment. Results: The results of swallowing grading in study group 2 were significantly better than those in control group (P <0.01). The effect of unilateral cerebral stroke group was better than that of bilateral cerebral stroke group after adding electrical nerve stimulation: ischemic Stroke group than hemorrhagic stroke group. Conclusion: Neuromuscular electrical stimulation can significantly improve swallowing function in patients with stroke dysphagia, the clinical effect is superior to conventional treatment.