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目的探讨以神经肌肉电刺激为主的早期综合康复治疗脑梗死并发吞咽障碍患者的临床效果。方法选择我院2012-05—2014-05收治的83例脑梗死并发吞咽障碍患者,随机分为观察组(observation group,OG)42例和对照组(control group,CG)41例。2组均接受常规药物治疗,OG在药物治疗同时接受综合康复治疗。观察比较2组临床有效率及吞咽X线电视透视检查(video fluoroscopy swallowing study,VFSS)评分。结果治疗后,OG组临床有效率明显高于CG组,差异有统计学意义(Z=-2.591,P=0.009)。OG组VFSS评分与治疗前比较显著升高,与CG组比较亦显著升高,差异有统计学意义(P=0.000)。结论综合康复治疗脑梗死并发吞咽障碍患者,吞咽功能恢复好,临床效果显著,值得推广应用。
Objective To investigate the clinical effects of early comprehensive rehabilitation based on neuromuscular stimulation on patients with cerebral infarction complicated with dysphagia. Methods Eighty-three patients with cerebral infarction who had dysphagia admitted to our hospital from May 2012 to May 2014 were randomly divided into observation group (OG) group (n = 42) and control group (n = 41). Both groups received conventional drug treatment, while OG received comprehensive rehabilitation treatment at the same time. The clinical efficiency and video fluoroscopy swallowing study (VFSS) scores were compared between the two groups. Results After treatment, the clinical effective rate of OG group was significantly higher than that of CG group (Z = -2.591, P = 0.009). The VFSS score in OG group was significantly higher than that before treatment, and also significantly increased compared with CG group, the difference was statistically significant (P = 0.000). Conclusion Comprehensive rehabilitation of patients with cerebral infarction complicated with dysphagia, swallowing recovery is good, the clinical effect is significant, it is worth popularizing and applying.