摘要
目的探讨神经肌肉电刺激(NES)治疗对脑梗死吞咽障碍患者情感障碍的影响。方法选取有吞咽障碍的脑梗死患者126例,随机分为治疗组(66例)和对照组(60例),均给予常规药物治疗及吞咽训练,治疗组加用NES治疗,对两组患者治疗前后均进行症状自评量表(SCL-90)测试。结果经过平均2个疗程的分组治疗,与治疗前比较,治疗组SCL-90中躯体化(23.65±9.28)分vs(33.45±10.61)分、强迫症状(18.56±6.25)分vs(27.73±8.17)分、人际关系敏感(20.27±8.12)分vs(24.61±8.27)分、抑郁(28.50±10.95)分vs(34.02±12.71)分、焦虑(21.50±7.37)分vs(28.68±8.23)分、敌对(12.18±5.64)分vs(16.91±5.35)分、精神病性(14.98±3.15)分vs(24.88±9.35)分等均有不同程度改善(P<0.01),治疗后与对照组比较,治疗组躯体化、强迫症状、人际关系敏感、焦虑、敌对、恐怖、精神病性评分等改善明显(P<0.05或<0.01)。结论 NES治疗可以改善脑梗死吞咽障碍患者的情感障碍。
Objective To study the effect of neuromuscular electrical stimulation（NES） to emotional disorders in patients with cerebral infarction complicated with swallow dysfunction.Methods A total of 126 cerebral infarction patients with swallow dysfunction were randomized into treatment group（n =66） and control group（n =60）.Patients in two groups received conventional drug therapy and swallow function training,while the patients in the treatment group received NES in addition.The patients of two groups were evaluated with SCL-90 scores before and after treatment.Results After treatment for two courses,somatic disorder （23.65 ± 9.28） scores vs （33.45 ± 10.61）scores,obsessive disorder （18.56±6.25） scores vs （27.73±8.17） scores,interpersonal sensitivity （20.27±8.12） scores vs （24.61±8.27） scores,depression （28.50± 10.95） scores vs （34.02± 12.71） scores,anxiety （21.50± 7.37） scores vs （28.68±8.23） scores,hostility（12.18±5.64） scores vs （16.91±5.35） scores,psychoticism（14.98±3.15） scores vs （24.88±9.35） scores of the treatment group in SCL-90 were all improved（P ＜0.01） than those before treatment.In comparison with control group after treatment,the following factors of treatment group improved more significantly,as somatic disorder,obsessive disorder,interpersonal sensitivity,anxiety,hostility,horror,psychoticism （P ＜ 0.05 or ＜0.01）.Conclusion NES applied in patients of cerebral infarction complicated with swallow dysfunction could improve emotional disorders.
出处
《临床荟萃》
CAS
2014年第10期1155-1157,共3页
Clinical Focus
关键词
脑梗死
电刺激
情绪障碍
brain infarction
electric stimulation
mood disorders
