中国卒中杂志2017，Vol.12Issue(3)：207-213,7.DOI:10.3969/j.issn.1673-5765.2017.03.003
神经肌肉电刺激对卒中后吞咽障碍治疗作用的研究
Study on Effects of Neuromuscular Electrical Stimulation on Dysphagia in Post-stroke Patients
摘要
Abstract
Objective To clarity the effects of neuromuscular electrical stimulation (NMES) on swallowing function of post-stroke patients from kinematic research of swallowing by video fluoroscopy swallowing study (VFSS). Methods Patients with dysphagia were recruited and randomly allocated to the study group and the control group. VFSS was performed before treatments. Patients in the study group received real NMES, and patients in the control group received sham NMES. Different interventions were applied for 20 min per time, 5 times per week, for 4 weeks. All the patients received traditional swallowing therapy at the same time. The evaluation was performed by using VFSS before and after treatment. Rosenbek Penetration-Aspiration scale (PAS) of 3 ml liquid barium food, 10 ml liquid barium food, semisolid barium food and solid barium food, pharyngeal transit time (PTT), pharyngeal delayed time (PDT), maximal extent of forward laryngeal movement and upward laryngeal movement, maximal extent of forward hyoid movement and upward hyoid movement were obtained. The differences between two groups before and after treatment were identified respectively. Results A total of 43 patients were enrolled into study including 23 cases in study group and 20 cases in control group. After treatments, the scores of PAS of swallowing of 4 kinds of food in both groups were significantly reduced, and PDT and PTT were shorter compared with those before treatment (AllP<0.05). There were no significant differences between two groups in the scores of PAS, PTT and PDT before and after treatment. Before treatment, there was no signiifcance in difference in forward laryngeal movement, upward laryngeal movement, forward hyoid movement and upward hyoid movement between two groups. After treatment, upward laryngeal movement and upward of hyoid movement of study group were significantly increased compared with those of the control group (AllP<0.05), however, there were no significant differences in forward laryngeal movement and forward hyoid movement between two groups. Conclusion NMES and traditional swallowing therapy can improve the swallowing function of stroke patients. The application of NMES could improve the upward movement of hyolaryngeal complex better.关键词
卒中/吞咽障碍/神经肌肉电刺激Key words
Stroke/Dysphagia/Neuromuscular electrical stimulation引用本文复制引用
李冰洁,张通,李芳..神经肌肉电刺激对卒中后吞咽障碍治疗作用的研究[J].中国卒中杂志,2017,12(3):207-213,7.基金项目
国家十二五科技支撑计划项目(2011BAI08B11) （2011BAI08B11）
