| 张伟,崔晓阳,曹瀚元,徐婷,郑婵娟.膈神经电刺激联合构音训练治疗脑卒中后构音障碍的疗效观察[J].中国康复,2025,40(8):463-466 |
| 膈神经电刺激联合构音训练治疗脑卒中后构音障碍的疗效观察 |
| Efficacy of phrenic nerve electrical stimulation combined with articulation training in the treatment of dysarthria after stroke |
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| DOI：10.3870/zgkf.2025.08.003 |
| 中文关键词: 脑卒中 构音训练 膈神经电刺激 |
| 英文关键词: stroke articulation training phrenic nerve electrical stimulation |
| 基金项目:湖北省自然科学基金项目（2024AFD254） |
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| 中文摘要: |
| 目的：探讨膈神经电刺激对呼吸功能的影响，研究膈神经电刺激联合构音训练对脑卒中后构音障碍患者的疗效。方法：收集脑卒中后构音障碍患者70名，随机分为观察组和对照组各35例，观察组予以膈神经电刺激联合构音训练，对照组予以膈神经伪刺激联合构音训练，治疗周期为3周，治疗前后采用改良Frenchay构音评估量表（m-FDA）、最长声时（MPT）测定、最大吸气压（MIP）和峰值呼气流速（PEF）测定评价疗效。结果：治疗后，2组的m-FDA、MPT、MIP、PEF均显著高于治疗前（P<0.01）；治疗后，观察组m-FDA的反射、呼吸、唇、喉、言语评分及总分显著高于对照组（P<0.01，0.05），MPT、PEF和MIP也显著高于对照组（P<0.01）。结论：相较于单纯构音训练，联合膈神经电刺激能更显著改善脑卒中后构音障碍。 |
| 英文摘要: |
| Objective: To explore the effect of phrenic nerve electrical stimulation on respiratory function, and to study the curative effect of phrenic nerve electrical stimulation combined with articulation training on patients with dysarthria after stroke. Methods: A total of 70 patients with dysarthria after stroke were randomly divided into observation group and control group, 35 cases in each group. The observation group was treated with phrenic nerve electrical stimulation combined with dysarthria training, while the control group was treated with phrenic nerve pseudo-stimulation combined with dysarthria training. The treatment period was 3 weeks. Before and after treatment, the modified French Day Dysarthria Assessment Scale (m-FDA), the longest sound time (MPT), the maximum inspiratory pressure (MIP) and the peak expiratory flow rate (PEF) were used. Results: After treatment, m-FDA, MPT, MIP and PEF in the observation group and the control group were significantly higher than those before treatment (P<0.05). After treatment, the scores and total scores of m-FDA in the observation group were significantly higher than those in the control group (P<0.05), and MPT, PEF and MIP were also significantly higher than those in the control group (P<0.05). Conclusion: Compared with simple articulation training, combined use of phrenic nerve electrical stimulation and articulation training can significantly improve articulation disorder after stroke. |
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