| 龙凤,杨强,廖康林,梁武,陈娟,李青,修小芳,向勇,李婵,张生玉.神经干电刺激疗法联合冰、电刺激治疗脑卒中后吞咽障碍的疗效[J].中国康复,2025,40(9):515-519 |
| 神经干电刺激疗法联合冰、电刺激治疗脑卒中后吞咽障碍的疗效 |
| Nerve trunk electrical stimulation therapy combined with oropharyngeal stimulation for post-stroke dysphagia |
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| DOI：10.3870/zgkf.2025.09.001 |
| 中文关键词: 脑卒中 吞咽障碍 神经干电刺激 电刺激 冰刺激 |
| 英文关键词: stroke dysphagia nerve trunk electrical stimulation electrical stimulation ice stimulation |
| 基金项目:恩施州科技局指导性项目（E20210052） |
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| 中文摘要: |
| 目的：探究神经干电刺激疗法协同吞咽冰、电刺激用于治疗脑卒中后吞咽障碍的临床疗效。方法：选取 80 例脑卒中后吞咽障碍患者，随机均分为观察组与对照组各 40 例。对照组实施吞咽电刺激和冰刺激治疗，观察组在对照组治疗基础上加用神经干电刺激疗法。采用洼田饮水试验、标准吞咽功能评定量表（SSA）、吞咽生存质量量表（SWAL - QOL），以及通过表面肌电图（sEMG）采集颏下肌群的肌电信号平均波幅、吞咽时限对治疗效果展开评估，并于治疗后评估临床疗效。结果：治疗4周后，2组洼田饮水试验等级均较治疗前显著改善（P＜0.05），且观察组优于对照组（P＜0.05）；2组SSA 评分及吞咽时限与治疗前相比显著降低（P＜0.05），且观察组均低于对照组（P＜0.05）；2组 SWAL - QOL 评分及肌电信号平均波幅均较治疗前显著提高（P＜0.05），且观察组均高于对照组（P＜0.05）；2组治疗后临床疗效比较，观察组总有效率显著高于对照组（P＜0.05）。结论：神经干电刺激疗法联合吞咽冰、电刺激能够有效改善脑卒中后吞咽障碍患者的吞咽功能，提高吞咽效率和安全性，改善患者生存质量。 |
| 英文摘要: |
| Objective: To investigate the clinical efficacy of nerve trunk electrical stimulation therapy combined with ice stimulation and electrical stimulation in the treatment of post-stroke dysphagia. Methods: Totally 80 patients with post-stroke dysphagia were randomly allocated into a combination group (n=40) and a conventional group (n=40). The conventional group received electrical stimulation and ice stimulation therapy for swallowing rehabilitation, while the combination group received additional nerve trunk electrical stimulation therapy. Clinical outcomes were assessed using the Kubota Water Drinking Test, Standard Swallowing Function Assessment Scale (SSA), Swallow-ing-Related Quality of Life Questionnaire (SWAL-QOL), and surface electromyography (sEMG) parameters including average amplitude of submental muscle group and swallowing duration. Results: After 4 weeks of treatment, both groups showed significant improvement in Kubota Water Drinking Test grades compared with baseline (P<0.05). The combination group demonstrated a significantly higher total effective rate (90%) than the conventional group (70%) (P<0.05). Both groups exhibited increased average sEMG amplitude compared to pretreatment levels (P<0.05), with the combination group showing superior improvement (P<0.05). Significant reductions in SSA scores and swallowing duration were observed in both groups (P<0.05), with the combination group achieving lower values than the conventional group (P<0.05). SWAL-QOL scores were improved significantly in both groups (P<0.05), with the combination group showing greater enhancement (P<0.05). Conclusion: The combined application of nerve trunk electrical stim-ulation therapy with ice stimulation and electrical stimulation demonstrates significant efficacy in improving swallow-ing function, enhancing swallowing efficiency and safety, and consequently elevating quality of life in stroke patients with post-stroke dysphagia. |
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