低频电刺激联合吞咽训练对脑梗死后吞咽障碍患者康复的影响
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信阳市中心医院

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The influence of low-frequency electrical stimulation combined with swallowing training on the rehabilitation of patients with dysphagia after cerebral infarction
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    摘要:

    目的 分析低频电刺激联合吞咽训练对脑梗死后吞咽障碍患者康复效果的影响。方法 选取2022年3月-2024年3月期间本院诊疗的64例脑梗死患者作为研究对象。随机将患者分为对照组和观察组,每组各32例。对照组接受常规吞咽训练,观察组接受低频电刺激联合吞咽训练。分析比较两组干预前、干预4周的舌骨喉复合体活动度(舌骨上移、舌骨前移、甲状软骨上移、甲状软骨前移距离)、吞咽功能[吞咽功能评价量表(SSA)]及生活质量[特异性吞咽障碍生活质量量表(SWAL-QOL)]。结果 干预4周,两组的舌骨上移、舌骨前移、甲状软骨上移、甲状软骨前移距离均比干预前显著提高,且观察组干预后的舌骨上移、舌骨前移、甲状软骨上移、甲状软骨前移距离均显著长于对照组(P<0.05)。干预4周,两组的SSA评分均比干预前显著降低,且观察组的SSA评分显著低于对照组(P<0.05)。干预4周,两组的SWAL-QOL评分均比干预前显著提高,且观察组的SWAL-QOL评分显著高于对照组(P<0.05)。结论 脑梗死后吞咽障碍患者接受低频电刺激联合吞咽训练,能改善患者的舌骨喉复合体活动度和吞咽功能,提高生活质量。

    Abstract:

    Objective To analyze the effect of low-frequency electrical stimulation combined with swallowing training on the rehabilitation effect of patients with dysphagia after cerebral infarction. Methods: Sixty-four patients with cerebral infarction diagnosed and treated in our hospital from March 2022 to March 2024 were selected as the research subjects. The patients were randomly divided into the control group and the observation group, with 32 cases in each group. The control group received conventional swallowing training, while the observation group received low-frequency electrical stimulation combined with swallowing training. The activity of the hyoid laryngeal complex (hyoid upward displacement, hyoid forward displacement, thyroid cartilage upward displacement, distance of thyroid cartilage forward displacement), swallowing function [Swallowing Function Assessment Scale (SSA)] and quality of life [Specific Dysphagia Quality of Life Scale (SWAL-QOL)] of the two groups before the intervention and 4 weeks after the intervention were analyzed and compared. Results: After 4 weeks of intervention, the upward displacement of the hyoid bone, forward displacement of the hyoid bone, upward displacement of the thyroid cartilage, and the distance of forward displacement of the thyroid cartilage in both groups were significantly increased compared with those before the intervention. Moreover, the upward displacement of the hyoid bone, forward displacement of the hyoid bone, upward displacement of the thyroid cartilage, and the distance of forward displacement of the thyroid cartilage in the observation group after the intervention were significantly longer than those in the control group (P < 0.05). After 4 weeks of intervention, the SSA scores of both groups were significantly lower than those before the intervention, and the SSA score of the observation group was significantly lower than that of the control group (P < 0.05). After 4 weeks of intervention, the SWAL-QOL scores of both groups were significantly increased compared with those before the intervention, and the SWAL-QOL score of the observation group was significantly higher than that of the control group (P < 0.05). Conclusion: For patients with dysphagia after cerebral infarction, receiving low-frequency electrical stimulation combined with swallowing training can improve the activity of the hyoid laryngeal complex and swallowing function of the patients, and enhance the quality of life.

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张春林.低频电刺激联合吞咽训练对脑梗死后吞咽障碍患者康复的影响[J].四川生理科学杂志,2025,47(12):

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  • 收稿日期:2025-06-06
  • 最后修改日期:2025-09-08
  • 录用日期:2025-09-21
  • 在线发布日期: 2026-01-04
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