摘要
目的观察肌内效贴联合Vitalstim电刺激疗法对脑卒中后吞咽障碍的疗效。方法选择2021年1月—2023年1月于湖南中医药大学第一附属医院针灸推拿康复科、神经外科收治的脑卒中后吞咽障碍患者90例作为研究对象,采用随机数字表法分为肌内效贴组、Vitalstim电刺激组和联合组,每组30例。3组在常规吞咽康复治疗基础上(包括吞咽训练、冰刺激,每日1次,每次20 min,10次为1个疗程,共治疗2个疗程),分别给予肌内效贴治疗(每日1次,每次至少12 h,10次为1个疗程,共治疗2个疗程)、Vitalstim电刺激疗法(每日1次,每次20 min,10次为1个疗程,共治疗2个疗程)以及二者联用。治疗后对比3组临床总有效率、误吸发生率、标准吞咽功能评定量表(SSA)、洼田饮水试验(WST)、功能性经口摄食评价量表(FOIS)及营养状况指标。结果3组治疗后WST评级结果较治疗前明显改善(P<0.05);联合组均较Vitalstim电刺激组和肌内效贴组更为明显(P<0.05);Vitalstim电刺激组和肌内效贴组比较,差异无统计学意义(P>0.05)。总有效率比较,联合组较肌内效贴组、Vitalstim电刺激组均提高(P<0.05);Vitalstim电刺激组和肌内效贴组比较,差异无统计学意义(P>0.05)。误吸发生率比较,联合组较肌内效贴组和Vitalstim电刺激组均降低(P<0.05);Vital⁃stim电刺激组与肌内效贴组比较,差异均无统计学意义(P>0.05)。3组治疗后SSA评分均有所降低(P<0.05);其中联合组较Vitalstim电刺激组和肌内效贴组均更为明显(P<0.05);Vitalstim电刺激组较肌内效贴组SSA评分降低更加明显(P<0.05)。3组治疗后FOIS评分均升高(P<0.05);其中联合组均较Vitalstim电刺激组和肌内效贴组更明显(P<0.05);Vitalstim电刺激组和肌内效贴组比较,差异无统计学意义(P>0.05)。营养指标比较,3组治疗后BMI、ALB、Hb指标均提高(P<0.05);其中联合组较Vitalstim电刺激组和肌内效贴组更为明显(P<0.05);Vitalstim电刺激组和肌�
Objective To observe the efficacy of kinesio taping combined with Vitalstim electrical stimulation therapy in patients with post-stroke dysphagia.Methods A total of 90 patients with post-stroke dysphagia treated in the Department of Acupuncture,Tuina and Rehabilitation and Neurosurgery Department of the First Hospital of Hunan University of Chinese Medicine from January 2021 to January 2023 were selected as the study subjects.They were randomly divided into kinesio tape group,Vitalstim electrical stimulation group,and combined group,with 30 cases in each group.All three groups received conventional swallowing rehabilitation treatment(including swallowing training,ice stimulation,1 time per day,20 minutes each time,10 times for 1 course of treatment,and a total of 2 courses of treatment).In addition,the kinesio tape group was treated with kinesio taping therapy(1 time per day and kept for at least 12 hours,10 sessions for 1 course of treatment,and a total of 2 courses of treatment),the Vitalstim electrical stimulation group received Vitalstim electrical stimulation therapy(1 time per day,20 minutes each time,10 times for a course of treatment,and a total of 2 courses of treatment)and the combined group was treated with the combination of the two.After treatment,the three groups were compared in terms of clinical efficacy,incidence of aspiration,standardized swallowing assessment(SSA),water swallowing test(WST),functional oral intake scale(FOIS),and indicators of nutritional status.Results The water swallowing test ratings of all three groups after treatment improved significantly compared with those before treatment(P<0.05),with the combined group showing a more pronounced improvement than those of the Vitalstim electrical stimulation group and the kinesio tape group(P<0.05),while there was no significant difference between the Vitalstim electrical stimulation group and the kinesio tape group(P>0.05).In terms of total effective rate,the combined group was significantly higher than that of the kinesio tape group an
作者
付珊珊
唐健
FU Shanshan;TANG Jian(The First Hospital of Hunan University of Chinese Medicine,Changsha,Hunan 410007,China)
出处
《康复学报》
CSCD
2024年第5期500-507,共8页
Rehabilitation Medicine
基金
湖南省中医药科研计划项目(D2022056)
湖南省卫生健康委员会2023年度科研计划课题一般指导课题(D202319016142)
2021年度校级科研基金与联合基金项目(2021XJJJ048)
湖南中医药大学第一附属医院2022年中医药人才培养重点学科(针灸科)开放基金(ZJ202206)。
