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目的观察电刺激疗法治疗脑卒中后吞咽障碍的临床效果。方法选择90例脑卒中后吞咽障碍患者作为研究对象,平均分为电刺激治疗组、针灸组及吞咽训练组,电刺激治疗组和针灸组在药物治疗及吞咽训练基础上分别配合应用电刺激治疗和针灸。三组治疗前、治疗第7d及第14d采用VFSS(吞咽障碍程度分级评分)评估疗效。结果治疗后,三组VFSS评分均显著提高(P<0.01);电刺激组VFSS评分明显高于针灸组和吞咽训练组(P<0.01);电刺激组治疗第7d、第14d后有效率明显高于针灸组和吞咽训练组(P<0.05)。结论电刺激疗法可显著改善脑卒中所致吞咽障碍,效果优于吞咽训练和针灸治疗。
Objective To observe the clinical effect of electrical stimulation therapy on swallowing disorder after stroke. Methods Ninety patients with dysphagia after stroke were divided into three groups: electro-stimulation group, acupuncture group and swallowing training group, electro-stimulation group and acupuncture group on the basis of drug treatment and swallowing training, respectively. And acupuncture. The three groups before treatment, 7d and 14d treatment using VFSS (degree of dysphagia grading) to assess the efficacy. Results After treatment, the VFSS scores of the three groups were significantly increased (P <0.01). The VFSS scores of the electrical stimulation group were significantly higher than those of the acupuncture group and the swallowing training group (P <0.01). The electrical stimulation group was significantly effective on the 7th and 14th days Higher than acupuncture group and swallowing training group (P <0.05). Conclusion Electrical stimulation can significantly improve stroke-induced dysphagia, which is better than swallowing training and acupuncture treatment.