神经肌肉电刺激对脑卒中后患者吞咽功能及生活能力的影响
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(福建医科大学附属第一医院,福建 福州 350000)

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陈杨葭,女,住院医师,主要研究方向是吞咽障碍。

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R 743.3

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Effect of Neuromuscular Electrical Stimulation on Swallowing Function and Living Ability of Patients after Stroke
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(The First Affiliated Hospital of Fujian Medical University, Fujian Fuzhou 350000)

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    摘要:

    〔摘 要〕 目的:探究神经肌肉电刺激(NMES)对脑卒中后患者吞咽功能及生活能力的影响。方法:选取 2018 年 1 月 至 2021 年 1 月福建医科大学附属第一医院收治的脑卒中后吞咽功能障碍患者 100 例,随机分为观察组和对照组,每组 50 例。 两组均给予常规治疗,对照组加以康复训练治疗,观察组在对照组基础上加以 NMES 治疗,比较两组患者的营养指标、 日常生活能力、吞咽功能治疗效果及并发症情况。结果:观察组患者治疗后的血清白蛋白(ALB)、血红蛋白(Hb)、血 清总蛋白(TP)水平均明显高于对照组,差异具有统计学意义(P < 0.05)。观察组日常生活能力量表(ADL)评分明显 高于对照组,差异具有统计学意义(P < 0.05)。观察组患者吞咽功能评级相较对照组有明显改善,差异具有统计学意义 (χ 2 = 2.236,P < 0.05)。观察组患者并发症发生率明显低于对照组,差异具有统计学意义(P < 0.05)。结论:NMES 对 脑卒中患者吞咽功能的改善有显著疗效,并能显著提升营养水平,改善生活能力,减少并发症,具有较高的临床参考价值。

    Abstract:

    〔Abstract〕 Objective To explore the effect of neuromuscular electrical stimulation on swallowing function and living ability of patients after stroke. Methods A total of 100 patients with post-stroke swallowing dysfunction admitted to the First Affiliated Hospital of Fujian Medical University from January 2018 to January 2021 were randomly divided into observation group and control group, with 50 cases in each group. Both groups were given conventional treatment, the control group was given rehabilitation training, and the observation group was given neuromuscular electrical stimulation on the basis of the control group. The nutritional indicators, activities of daily living, the treatment effect of swallowing function and complications of the two groups were compared. Results After treatment, the levels of serum albumin (ALB), hemoglobin (Hb) and total serum protein (TP) of the observation group were significantly higher than those of the control group, and the difference was statistically significant (P < 0.05). The ADL score of the observation group was significantly higher than that of the control group, and the difference was statistically significant (P < 0.05). Compared with the control group, the swallowing function rating of patients in the observation group was significantly improved, and the difference was statistically significant (χ2 = 2.236, P < 0.05). The incidence of complications in the observation group was significantly lower than that in the control group, and the difference was statistically significant (P < 0.05). Conclusion Neuromuscular electrical stimulation has a significant effect on improving the swallowing function of stroke patients, and can significantly increase the nutritional level, improve the living ability, and reduce the incidence of disease. It has high clinical reference value.

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  • 收稿日期:2021-06-07
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  • 在线发布日期: 2021-10-20
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