【摘要】 目的:观察VitalStim电刺激对脑梗死伴吞咽障碍患者康复训练效果的影响。方法:选取2017年5月-2018年5月于本院住院的脑梗死伴吞咽困难的中老年患者84例为研究对象,通过随机抽签将所有患者分为两组,奇数号为对照组,偶数号为观察组,每组42例。对照组给予常规治疗与吞咽功能康复训练,观察组在对照组的基础上实施VitalStim电刺激治疗。治疗4周后两组通过洼田饮水试验和标准吞咽功能评估量表(SSA)评估吞咽功能,采用吞咽障碍特异性生活质量量表(SWAL-QOL)评价生活质量。结果:治疗4周后,两组吞咽功能分级情况比较,差异有统计学意义(P<0.05)。治疗4周后,观察组治疗效果优于对照组,差异有统计学意义(P<0.05)。治疗4周后,两组的SSA评分均低于治疗前,且观察组低于对照组,差异均有统计学意义(P<0.05);治疗4周后,两组的SWAL-QOL评分均高于治疗前,且观察组高于对照组,差异均有统计学意义(P<0.05)。结论:电刺激疗法可提高脑梗死伴吞咽障碍患者康复训练的疗效,改善生存质量。更多还原

【Abstract】 Objective:To observe the effect of VitalStim electric stimulation on rehabilitation training of patients with cerebral infarction and swallowing disorder.Method:A total of 84 middle-aged and elderly patients with cerebral infarction and dysphagia hospitalized in our hospital from May 2017 to May 2018 were selected as the study objects.All the patients were randomly drawn,the odd number was the control group,the even sign was the observation group,42 cases in each group.The control group was given routine treatment and rehabilitation training of swallowing function,the observation group was treated with VitalStim on the basis of the control group.After 4 weeks of treatment,SWAL-QOL was used to evaluate the quality of life (QOL),and SWAL-QOL was used to evaluate the swallowing function by drinking water test and standard swallowing function assessment scale (SSA).Result:After 4 weeks of treatment,comparison of swallowing function grades between the two groups,the difference was statistically significant (P<0.05).After 4 weeks of treatment,the treatment effect of the observation group was better than that of the control group,the difference was statistically significant (P<0.05).After 4 weeks of treatment,both groups had lower SSA scores than those before treatment,and the observation group was lower than that of the control group,the differences were statistically significant (P<0.05).After 4 weeks of treatment,both groups had higher SWAL-QOL scores than those before treatment,and the observation group was higher than that of the control group,the differences were statistically significant (P<0.05).Conclusion:Electrical stimulation therapy can improve the effect of rehabilitation training for patients with cerebral infarction with dysphagia and improve the quality of life.更多还原