中国当代医药2024，Vol.31Issue(18)：59-63,5.
膈肌电刺激联合吞咽功能训练对脑卒中后吞咽功能障碍患者的治疗效果
Therapeutic effect of diaphragmatic electrical stimulation combined with swallowing function training on patients with post-stroke dysphagia
摘要
Abstract
Objective To observe the clinical effectiveness of diaphragmatic electrical stimulation combined with swallow-ing function training in patients with post-stroke dysphagia.Methods A total of 60 patients with post-stroke dysphagia ad-mitted to the Rehabilitation Department of Dalian Central Hospital from January to October 2023 were selected as the re-search subjects.They were divided into an observation group(30 cases)and a control group(30 cases)according to random number table method.The control group received conventional swallowing function training,while the observation group re-ceived diaphragmatic electrical stimulation on top of the conventional training for two weeks.The clinical efficacy,standard swallowing assessment scale(SSA),swallowing disorder-specific quality of life(SWAL-QOL)score,water swallowing test grades,and diaphragmatic ultrasound parameters(diaphragmatic thickness and range of motion)were compared between the two groups.Results The overall clinical efficacy of the observation group was better than that of the control group after 2 weeks of treatment,with a statistically significant difference(P＜0.05).There was no significant difference in the total effec-tive rate between the two groups(P＞0.05).The SSA scores of both groups were lower after 2 weeks of treatment than before treatment,and the scores of the observation group were lower than those of the control group,with significant differences(P＜0.05).The SWAL-QOL scores of both groups were higher after 2 weeks of treatment than before treatment,and the scores of the observation group were higher than those of the control group,with significant differences(P＜0.05).The rat-ings of the water swallowing test were better after treatment than before treatment in both groups,and the ratings of the ob-servation group were better than those of the control group,with significant differences(P＜0.05).The diaphragmatic activity and thickening rate during forced breathing were higher after treatment than before treatment in both groups,and the values of the observation group were higher than those of the control group,with significant differences(P＜0.05).Conclusion Di-aphragmatic electrical stimulation combined with swallowing function training is effective in treating post-stroke dysphagia,improving diaphragmatic activity,and enhancing swallow-ing function.关键词
脑卒中/吞咽障碍/膈肌电刺激/吞咽功能训练Key words
Stroke/Dysphagia/Diaphragmatic electrical stimulation/Swallowing function training分类
医药卫生引用本文复制引用
娄萍萍,李永,王笑丰,孙小鹏,黄琳琳..膈肌电刺激联合吞咽功能训练对脑卒中后吞咽功能障碍患者的治疗效果[J].中国当代医药,2024,31(18):59-63,5.基金项目
辽宁省大连市中心医院"登峰计划"科技计划项目(2023ZZ045). （2023ZZ045）
