《中国康复理论与实践》

《中国康复理论与实践》 ›› 2011, Vol. 17 ›› Issue (2): 158-160.

• 论文 • 上一篇    下一篇

Vitalstim神经肌肉电刺激对神经源性吞咽障碍的疗效观察

寄婧，王正盛，王建文，芦菊春   

  1. 甘肃省康复中心医院康复科，甘肃兰州市 730000。
  • 收稿日期:2010-09-19 修回日期:1900-01-01 出版日期:2011-02-25 发布日期:2011-02-25

Effect of Vitalstim Neuromuscular Electrical Stimulation on Neurogenic Dysphagia

JI Jing, WANG Zheng-sheng, WANG Jian-wen, et al.   

  1. Department of Rehabilitation, Gansu Rehabilitation Center Hospital, Lanzhou 730000, Gansu, China
  • Received:2010-09-19 Revised:1900-01-01 Published:2011-02-25 Online:2011-02-25

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被引次数

38

摘要： 目的观察Vitalstim神经肌肉电刺激治疗神经源性吞咽功能障碍的疗效。方法82例神经源性吞咽功能障碍患者分为3组：A组采用吞咽行为治疗，B组采用Vitalstim神经肌肉电刺激治疗，C组在吞咽行为治疗的基础上加用Vitalstim神经肌肉电刺激方法。10次为1个疗程。结果1～2个疗程后，A组总有效率72.7%，B组总有效率82.6%，C组总有效率94.5%。且C组经吞咽X线电视透视检查(VFSS)评分吞咽障碍恢复分值显著高于A组和B组(P=0.000)。结论在吞咽行为治疗的基础上加用Vitalstim神经肌肉电刺激治疗能更好地改善神经源性吞咽障碍患者尤其是假性球麻痹患者的吞咽功能。

关键词: Vitalstim神经肌肉电刺激, 神经源性吞咽障碍, 吞咽行为治疗

Abstract: ObjectiveTo explore the effect of Vitalstim neuromuscular electrical stimulation on neurogenic swallowing dysfunction. Methods82 patients were divided into three groups: group A received swallowing behavior therapy, group B received Vitalstim neuromuscular electrical stimulation, group C received Vitalstim neuromuscular electrical stimulation and swallowing behavior therapy, 10 times as one course. ResultsTotal efficiency was 72.7% for group A, 82.6% for group B, and 94.5% for group C, after 1～2 courses. Scores of videofluorocopic swallowing study (VFSS) was significantly higher in group C than in the other groups (P=0.000). ConclusionVitalstim neuromuscular electrical stimulation on the basis of swallowing behavior therapy can improve swallowing function of neurogenic dysphagia, especially in pseudobulbar palsy.

Key words: Vitalstim neuromuscular electrical stimulation, neurogenic dysphagia, swallowing behavior therapy