低频电刺激联合高压氧对脑梗死后吞咽障碍的疗效观察

低频电刺激联合高压氧对脑梗死后吞咽障碍的疗效观察
吕铭新
【期刊名称】《神经损伤与功能重建》
【年(卷),期】2015(000)006
【摘要】目的：观察低频电刺激联合高压氧对脑梗死后吞咽障碍的疗效。

方法：
选择首次发病的脑梗死伴有吞咽障碍的患者224例，随机分为常规训练组、电刺
激组、高压氧组和联合组各56例。

4组均行一般治疗和吞咽功能训练；同时，电
刺激组给予低频电刺激治疗；高压氧组给予高压氧治疗；联合组给予低频电刺激和高压氧联合治疗。

4组治疗前、后均采用洼田饮水试验、标准吞咽功能评价（SSA）量表和吞咽障碍特异性生存质量（SWAL-QOL）量表进行疗效评定。

结果：治疗
后4组吞咽障碍均有一定程度改善（均 P＜0.05）；治疗后，电刺激组、高压氧组和联合组有效率和SWAL-QOL 评分高于常规训练组，SSA 评分低于常规训练组，且联合组较电刺激组、高压氧组更优（均 P＜0.05）；电刺激组与高压氧组治疗有效率、SSA 评分及 SWAL-QOL 评分差异无统计学意义（均 P＞0.05）。

结论：
低频电刺激联合高压氧治疗脑梗死后吞咽障碍，可明显改善患者的吞咽功
能。

%Objective:To observe the effects of low-frequency electric stimulation combined with hyperbaric oxygen on swallowing disorder after cerebral infarction. Methods: Two hundred and twenty-four cases of cerebral infarction patients with swallowing disorder were recruited. According to the digital random list method, all patients were divided into regular training group, electrical stimulation group, hyperbaric oxygen group and combination group. All groups were given general treatment
and swallowing function training was applied in regular training group; Patients in electrical stimulation group were implemented low-frequency electric stimulation; hyperbaric oxygen therapy was given in hyperbaric oxygen group; low-frequency electric stimulation combined with hyperbaric oxygen therapy was applied in combination group. The effects were evaluated by using Kubota drinking water test, the SSA scale and SWAL-QOL scale before and after treatment in the 4 groups. Results: The scores after treatment were higher than those before treatment in all groups (P<0.05). After the treatment, the electrical stimulation group, hyperbaric oxygen group and combination group showed higher effective rate and SWAL-QOL scores as well as lower SSA scores than those in the regular training group; The effective rate, SWAL-QOL scores and SSA scores in combination group were better than those in the electrical stimulation group and hyperbaric oxygen group (P<0.05). No significant differences of effective rate in SWAL-QOL scores and SSA scores was ob-served between electrical stimulation group and hyperbaric oxygen group (P>0.05). Conclusion: Low-frequency electric stimulation combined with hyperbaric oxygen therapy can obviously improve swallowing disorder after cerebral infarction.
【总页数】3页(P514-516)
【作者】吕铭新
【作者单位】廊坊市第四人民医院神经内科河北廊坊 065700
【正文语种】中文
【中图分类】R741;R741.05
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