發(fā)布時(shí)間：2018-03-22 17:28

  本文選題：腦卒中　切入點(diǎn)：吞咽障礙　出處：《中國(guó)康復(fù)理論與實(shí)踐》2017年02期 　論文類(lèi)型：期刊論文

【摘要】：目的觀察急性/亞急性腦卒中吞咽障礙口腔期患者經(jīng)神經(jīng)肌肉電刺激(NMES)、酸性刺激治療前后功能性經(jīng)口攝食量表(FOIS)變化及不良反應(yīng)發(fā)生情況。方法 2013年1月至2015年6月,本科90例急性/亞急性腦卒中吞咽障礙口腔期患者隨機(jī)分為NMES組(n=30)、酸性刺激組(n=30)和綜合組(n=30)。各組在常規(guī)吞咽功能訓(xùn)練基礎(chǔ)上分別應(yīng)用NMES療法、酸性刺激療法、NMES結(jié)合酸性刺激療法。分別于治療3周、12周采用口腔功能評(píng)分方法,觀察患者FOIS變化情況。結(jié)果治療3周后,綜合組FOIS變化明顯優(yōu)于酸性刺激組(P0.01);治療12周后,綜合組FOIS變化均優(yōu)于電刺激組和酸性刺激組(P0.05)。研究期間無(wú)任何治療相關(guān)不良事件發(fā)生。結(jié)論急性或亞急性腦卒中吞咽障礙口腔期的患者,早期應(yīng)用NMES結(jié)合酸性刺激治療,有利于提高患者口腔控制食物能力、協(xié)調(diào)吞咽動(dòng)作,防止并發(fā)癥發(fā)生。
[Abstract]:Objective to observe the changes of functional oral intake scale (FOIS) and adverse reactions in patients with oral dysphagia after acute / subacute stroke treated by neuromuscular electrical stimulation and acid stimulation. Methods from January 2013 to June 2015, patients with dysphagia were enrolled in this study. 90 patients with acute / subacute stroke at oral stage of dysphagia were randomly divided into NMES group (n = 30), acid stimulation group (n = 30) and comprehensive group (n = 30). Each group was treated with NMES on the basis of routine swallowing function training. After 3 weeks of treatment, the changes of FOIS in patients were observed. Results after 3 weeks of treatment, the changes of FOIS in the combined group were significantly better than those in the acid stimulation group (P 0.01), and after 12 weeks of treatment, the changes of FOIS in the combined group were significantly better than those in the acid stimulation group, and 12 weeks after treatment, the changes of FOIS in the combined group were significantly better than those in the acid stimulation group. The changes of FOIS in the combined group were better than those in the electrical stimulation group and the acid stimulation group (P 0.05). There were no adverse events associated with treatment during the study. Conclusion the patients with acute or subacute stroke with oral dysphagia were treated with NMES combined with acid stimulation at early stage. It can improve oral food control ability, coordinate swallowing and prevent complications.
【作者單位】： 云南省中醫(yī)醫(yī)院針灸科;昆明醫(yī)科大學(xué);
【分類(lèi)號(hào)】：R743.3

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