《中国康复理论与实践》

《中国康复理论与实践》 ›› 2015, Vol. 21 ›› Issue (08): 939-942.

• 特稿 • 上一篇    下一篇

认知训练结合吞咽实时电刺激对脑卒中后吞咽障碍的疗效

杨丹，魏海棠，彭涛，陈燕，熊贤诗，夏道进   

  1. 武汉市汉口医院康复科，湖北武汉市430000。作者简介：杨丹(1983-)，女，汉族，湖北武汉市人，硕士，医师，主要研究方向：神经康复。通讯作者：彭涛，男，主任医师，主要研究方向：神经康复及骨关节疾病康复方面的研究。E-mail: florrie5299@163.com。
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2015-08-25 发布日期:2015-08-25

Effect of Cognitive Training Combined with Swallowing Training Real- time Electrical Stimulation on Patients with Dysphagia after Stroke

YANG Dan, WEI Hai-tang, PENG Tao, CHEN Yan, XIONG Xian-shi, XIA Dao-jin   

  1. Department of Rehabilitation,Wuhan Hankou Hospital,Wuhan, Hubei 430000, China
  • Received:1900-01-01 Revised:1900-01-01 Published:2015-08-25 Online:2015-08-25

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摘要： 目的观察认知训练结合吞咽实时电刺激治疗对脑卒中后并发认知障碍和吞咽功能障碍患者吞咽功能恢复的影响。方法将40 例脑卒中后并发吞咽障碍及认知障碍的患者按随机数字表法分为观察组(n=20)和对照组(n=20)。观察组给予吞咽训练(常规吞咽基础训练和吞咽摄食训练实时电刺激)和认知训练，对照组给予吞咽训练(常规吞咽基础训练)和神经肌肉电刺激。于治疗前和治疗1 个月后采用简易精神状态检查(MMSE)和电视透视吞咽功能检查(VFSS)进行认知功能和吞咽功能的评定。结果治疗后，观察组和对照组的MMSE和VFSS咽通过时间均改善(P<0.05)，且观察组优于对照组(P<0.05)。结论认知训练结合吞咽实时电刺激治疗可促进脑卒中后并发认知障碍和吞咽功能障碍患者吞咽功能的恢复。

关键词: 脑卒中, 吞咽障碍, 认知训练, 神经肌肉电刺激, 实时电刺激

Abstract: Objective To observe the effect of cognitive training combined with swallowing training real-time electrical stimulation on dysphagia and cognitive impairment after stroke. Methods 40 patients with dysphagia and cognitive impairment after stroke were randomly divided into observation group (n=20) and control group (n=20). The observation group accepted swallowing training (including routine vocal training and swallowing training real-time electrical stimulation) and cognitive training. The control group accepted routine vocal training and neuromuscular electrical stimulation. The cognitive function and swallowing function were accessed with Mini-Mental State Examination (MMSE) and Video Fluoroscopy Swallowing Study (VFSS) respectively before and 1 month after stroke. Results After treatment, the MMSE scores and the time for a bolus to pass the pharynx improved in both groups (P<0.05), and the observation group was superior to the control group (P<0.05). Conclusion Cognitive training combined with swallowing training real-time electrical stimulation can promote the recovery of swallowing function of patients with dysphagia and cognitive impairment after stroke.

Key words: stroke, dysphagia, cognitive training, neuromuscular electrical stimulation, real-time electrical stimulation