呼吸训练与神经肌肉电刺激治疗急性脑卒中后吞咽功能障碍的效果对比

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Abstract Objective To observe the effects of comprehensive treatments of neuromuscular electrical stimulation（NMES） and respiratory muscle training on the swallowing function in post-stroke dysphagia.Methods A total of forty six patients with dysphagia after stroke treated in our hospital from October 2016 to January 2018 were selected as the subjects,and divided into control group(16 cases),respiratory training treatment group(15 cases)and NMES treatment group (15 cases)by random number table method.The control group received conventional swallowing training,while the respiratory training treatment group received breathing training and NMES group received neuromuscular electrical stimulation treatment on basis of the conventional swallowing training,they were treated for 4 weeks.Before and after treatment,the Kubota drinking water test(KDWT)and the Chinese eating assessment tool(EAT-10)were assessed,and the clinical effects were compared.Results The effectiveness rate of KDWT in the NMES treatment group(73.3%)was higher than that in the respiratory training group (60.0%),the difference was statistically significant(P＜0.05).After treatments,the EAT-10 scores were decreaced in the three groups,and the EAT-10 score in the NMES treatment group was significant lower than that in the respiratory training group and the control group,the differences were statistically significant(P＜0.05).Conclusion NMES treatment combined with swallowing rehabilitation training is superior for improving the swallowing function of post-stroke dysphagia patients.

Key words： Comparative study Stroke Dysphagia Neuromuscular electrical stimulation Respiratory training

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	YANG Hong-ying
	XUE Xiao-qin
	CHEN Yu

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YANG Hong-ying,XUE Xiao-qin,CHEN Yu. Comparative effects of neuromuscular electrical stimulation and respiratory muscle training in post-stroke dysphagia[J]. 中国当代医药, 2018, 25(25): 23-26.

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http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2018/V25/I25/23

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