《中国康复理论与实践》

《中国康复理论与实践》 ›› 2009, Vol. 15 ›› Issue (01): 54-57.

• 临床研究 • 上一篇    下一篇

表面电刺激治疗低位脑干梗死致严重吞咽困难及其机制

汪洁1;吴东宇1;宋为群1;张洪涛2;王卓1   

  1. 1.首都医科大学宣武医院康复医学科，北京市 100053; 2.天津市第一医院康复医学科，天津市 300323
  • 收稿日期:2008-03-25 修回日期:2008-04-18 出版日期:2009-01-01 发布日期:2009-01-01
  • 通讯作者: 吴东宇

Treatment and Mechanism of Surface Electrical Stimulation for Severe Dysphagia Caused by Lower Brainstem Infarction

WANG Jie, WU Dong-yu, SONG Wei-qun, et al   

  1. Department of Rehabilitation Medicine, Capital Medical University, Xuanwu Hospital, Beijing 100053, China
  • Received:2008-03-25 Revised:2008-04-18 Published:2009-01-01 Online:2009-01-01

PDF (PC)

被引次数

48

摘要： 目的 应用表面电刺激治疗桥脑下部及延髓背外侧梗死导致的严重吞咽困难，探讨吞咽困难恢复的潜在机制。方法 分析3例应用表面电刺激下颌部和/或三叉神经治疗的重度吞咽困难低位脑干梗死患者。结果 3例重度吞咽困难患者经3～16周电刺激治疗，吞咽功能评分由0分恢复到6分。结论 采用电刺激治疗重度吞咽困难可以缩短病程，加快吞咽功能的恢复；病程的长短与病变范围的大小有关。其机制可能与孤束核对感觉输入的整合有关。

关键词: 低位脑干梗死, 延髓背外侧梗死, 吞咽困难, 表面电刺激, 孤束核

Abstract: Objective To study the potential mechanism of recovery from dysphagia after surface electrical stimulation. Methods 3 cases recovery from dysphagia caused by lower brainstem infarction after surface electrical stimulation of lower mandible and trigeminal nerves were analyzed. Results After 3～16 weeks surface electrical stimulation, the swallow assessment scores reached from 0 to 6 in all the 3 patients. Conclusion Surface electrical stimulation can facilitate the recovery of swallow function, which may be involved with the sensory input, especially the integration of nucleus of the solitary tract (NTS).

Key words: lower brainstem infarction, dorsolateral medullary infarction, dysphagia, surface electrical stimulation, nucleus of the solitary tract (NTS)