吞咽训练结合吞咽电刺激治疗帕金森重度吞咽障碍患者的疗效观察

被引：7

作者：

谭嘉升

刘中良

陈映武

机构：

[1] 澳门镜湖医院康复科

来源：

中华物理医学与康复杂志 | 2019年 / 41卷 / 12期

关键词：

吞咽电刺激; 帕金森病; 吞咽障碍;

D O I：

暂无

中图分类号：

R742.5 [震颤麻痹综合征]; R493 [医学康复（康复疗法）];

学科分类号：

100204 [神经病学]; 100232 [康复医学];

摘要：

目的观察常规吞咽训练联合吞咽电刺激治疗帕金森重度吞咽障碍患者的疗效。方法采用随机分组软件将36例帕金森重度吞咽障碍患者分为观察组及对照组。对照组给予常规吞咽训练, 观察组给予吞咽电刺激及常规吞咽训练。于治疗前、治疗15 d后分别采用改良曼恩吞咽功能评估量表(MMASA)、标准吞咽功能评定量表(SSA)对2组患者吞咽功能进行评定。结果治疗后对照组MMASA评分[(62.0±8.2)分]较治疗前无明显改变(P>0.05), SSA评分[ (28.2±4.0)分]较治疗前明显下降(P<0.05);观察组MMASA评分[ (77.9±12.6)分]、SSA评分[ (32.9±3.6)分]均较治疗前及对照组明显改善(P<0.05);治疗后观察组患者拔管率(47.1%)明显优于对照组(15.8%), 组间差异具有统计学意义(P<0.05)。结论吞咽电刺激联合常规吞咽训练对帕金森重度吞咽障碍患者具有显著疗效, 该联合疗法值得临床进一步研究、推广。

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