摘要
目的观察早期采用低频电刺激及吞咽训练对咽部期神经源性吞咽困难患者的疗效。方法将62例咽部期吞咽障碍患者随机分为观察组（32例）及对照组（30例）。2组在常规治疗同时，观察组给予神经肌肉低频电刺激及吞咽训练治疗，对照组患者仅单纯进行吞咽训练治疗。分别于治疗前、后采用反复唾液吞咽测试及饮水试验进行疗效评定。结果2组患者经治疗后，观察组反复唾液吞咽评定结果明显优于对照组，差异有统计学意义（P〈0．05）；观察组患者饮水功能好转例数多于对照组，但组间差异无统计学意义（P〉0．05）。结论早期低频电刺激可明显提高患者吞咽反射引发性功能，加强吞咽再学习训练疗效；早期联合应用低频电刺激及吞咽训练对吞咽功能障碍患者的疗效明显优于单纯吞咽训练治疗。
Objective To observe the effectiveness of low frequency electrical stimulation plus swallowing training in treatment of patients with neurogenic dysphagia. Methods Sixty-two patients with dysphagia were randomly divided into two groups： a treatment group and a control group. The patients in the treatment group were treated with routine swallowing training in combination with low frequency electrical stimulation, while those in the control group were treated only with swallowing training. Repetitive saliva swallowing test and water drinking test were used to evaluate the patients before and after ：24 days of the treatment. Results It was shown that the patients in the treatment group performed significantly better in the repetitive saliva swallowing test than those in the control group after treatment （P 〈0.05）. However, there was no statistical difference between the two groups with regard to the water drinking test scores （ P 〉 0.05）. Conclusion Low frequency electrical stimulation in combination with swallowing training could improve the swallowing function of patients with dysphagia.
出处
《中华物理医学与康复杂志》
CAS
CSCD
北大核心
2008年第1期34-36,共3页
Chinese Journal of Physical Medicine and Rehabilitation
基金
广州市医药卫生科技一般引导项目（2006-YB-242）
关键词
低频电刺激
吞咽障碍
康复训练
反复唾液吞咽测试
Electrical stimulation
Swallowing training
Dysphagia
Repetitive saliva swallowing test
