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卒中后吞咽障碍临床治疗效果分析 被引量:6

Therapeutic Effect of Dysphagia After Stroke
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摘要 目的分析经颅直流电刺激结合吞咽训练治疗卒中后吞咽障碍的疗效。方法选取本院卒中后吞咽障碍患者50例(2017年12月—2018年12月),随机分为吞咽训练治疗的对照组(25例)与经颅直流电刺激结合吞咽训练治疗的观察组(25例),观察患者治疗效果、洼田饮水试验评分、VFSS(电视透视吞咽功能检查)评分。结果观察组治疗有效率96.00%,对照组76.00%,χ2=4.1528,P=0.0415,差异有统计学意义。治疗后,观察组洼田饮水试验评分(1.40±0.53)分,低于对照组,t=8.8522,P=0.0000,差异有统计学意义。治疗后,观察组VFSS评分(7.98±0.37)分,高于对照组,t=21.2033,P=0.0000,差异有统计学意义。结论给予卒中后吞咽障碍患者经颅直流电刺激结合吞咽训练治疗,能有效提高患者治疗效果,改善患者吞咽功能。 Objective To analyze the effect of transcranial direct current stimulation combined with swallowing training on dysphagia after stroke.Methods 50 patients with dysphagia after stroke of the hospital(December 2017 to December 2018),were selected and randomly divided into the swallowing training treatment of the control group(25 cases)and the transcranial direct current stimulation combined with swallowing training of the observation group(25 cases),observe the therapeutic effects,kubota drinking water test score,VFSS(TV perspective swallowing function)score.Results The effective rate was 96.00%in the observation group and 76.00%in the control group,χ2=4.1528,P=0.0415.After treatment,the kubota drinking water test score of the observation group(1.40±0.53)points was lower than that of the control group(t=8.8522,P=0.0000),the difference was statistically significant,after the treatment,the VFSS score was(7.98±0.37)points,higher than that of the control group(t=21.2033,P=0.0000),the difference was statistically significant.Conclusion Transcranial direct current stimulation combined with swallowing training can effectively improve the treatment effect and swallowing function of patients with dysphagia after stroke.
作者 刘娟 王秀玲 华何柳 LIU Juan;WANG Xiuling;HUA Heliu(Department of Rehabilitation,Longyan First Hospital,Longyan Fujian 364300,China)
出处 《中国卫生标准管理》 2020年第1期49-51,共3页 China Health Standard Management
关键词 经颅直流电刺激 吞咽训练 卒中 吞咽障碍 治疗有效率 洼田饮水试验评分 VFSS评分 transcranial direct current stimulation swallowing training stroke dysphagia treatment efficiency kubota drinking water test score VFSS score
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