[1]向婷,姚金茜,邵彬,等.神经肌肉电刺激促进颅脑损伤后吞咽功能恢复[J].中国临床神经外科杂志,2024,29(05):277-279.[doi:10.13798/j.issn.1009-153X.2024.05.007]
　XIANG Ting,YAO Jin-qian,SHAO Bin,et al.Neuromuscular electrical stimulation promotes swallowing function recovery after traumatic brain injury[J].,2024,29(05):277-279.[doi:10.13798/j.issn.1009-153X.2024.05.007]
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神经肌肉电刺激促进颅脑损伤后吞咽功能恢复()
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《中国临床神经外科杂志》[ISSN:1009-153X/CN:42-1603/TN]

卷:
29
期数:
2024年05期
页码:
277-279
栏目:
论著
出版日期:
2024-05-30

文章信息/Info

Title:
Neuromuscular electrical stimulation promotes swallowing function recovery after traumatic brain injury
文章编号:
1009-153X（2024）05-0277-03
作者:
向婷; 姚金茜; 邵彬; 童春梅; 黎华茂
430070武汉，中国人民解放军中部战区总医院康复医学科（向婷、姚金茜、邵彬、童春梅、黎华茂）
Author(s):
XIANG Ting;  YAO Jin-qian;  SHAO Bin;  TONG Chun-mei;  LI Huao-mao
Department of Rehabilitation Medicine, General Hospital of Central Theater Command, Wuhan 430070, China
关键词:
颅脑损伤; 吞咽功能障碍; 神经肌肉电刺激; 康复
Keywords:
Traumatic brain injury;  Swallowing function disorder;  Neuromuscular electrical stimulation;  Rehabilitation
分类号:
R 651.1+5
DOI:
10.13798/j.issn.1009-153X.2024.05.007
文献标志码:
A
摘要:
目的 探讨神经肌肉电刺激（NMES）对颅脑损伤后吞咽功能障碍的治疗效果。方法 2021年6月至2022年5月前瞻性收集60例颅脑损伤后伴发吞咽功能障碍病人，随机分为对照组（n=30）和NMES组（n=30）。对照组进行吞咽训练，包括进食训练、吞咽训练、屏气训练及发音训练等；NMES组在对照组治疗的基础上增加神经肌肉电刺激；疗程均为4周。运用洼田饮水试验（KDWT）分级、电视透视吞咽功能检查结合渗透-误吸量表（PAS）评分评估吞咽功能。结果 治疗前，两组KDWT分级和PAS评分均为统计学差异（P>0.05）。治疗后4周，两组KDWT分级明显降低（P<0.05），PAS评分明显增高（P<0.05）；而且，NMES组KDWT分级和PAS评分均明显优于对照组（P<0.05）。结论 颅脑损伤后伴发吞咽功能障碍，在积极吞咽训练基础上进行NMES治疗显著促进吞咽功能恢复。
Abstract:
Objective To investigate the therapeutic effect of neuromuscular electrical stimulation (NMES) on dysphagia after traumatic brain injury (TBI). Methods Prospective data were collected from 60 patients with dysphagia after TBI from June 2021 to May 2022, and they were randomly divided into control group (n=30) and NMES group (n=30). The patients in the control group received swallowing training, including eating training, swallowing training, breath-holding training, and speech training. The patients in the NMES group received NMES based on the treatment in the control group. The treatment course was 4 weeks in both groups. The Kubota drinking water test (KDWT) score and the penetration-aspiration scale (PAS) score based on the videofluoroscopic swallowing study were used to assess the swallowing function. Results Before treatment, the KDWT score and the PAS score in the two groups were not statistically significant (P>0.05). After 4 weeks of treatment, the KDWT score was significantly decreased and the PAS score was significantly increased in both groups (P<0.05). Moreover, the KDWT score and the PAS score in the NMES group were significantly better than those in the control group (P<0.05). Conclusion For patients with dysphagia after TBI, NMES treatment based on active swallowing training significantly promotes recovery of swallowing function.

参考文献/References:

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备注/Memo

备注/Memo:
（2023-03-29收稿，2024-01-02修回）
通信作者：黎华茂，Email：lhm186671831102@qq.com
更新日期/Last Update: 2024-05-30