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目的观察电刺激仪治疗老年痴呆伴吞咽障碍患者临床效果。方法选取医院收治的老年痴呆伴吞咽功能障碍患者60例为研究对象,应用吞咽神经和肌肉电刺激仪(雅思牌)进行治疗和护理,根据哇田饮水试验得分和营养状态分析应用效果。结果治疗后,患者吞咽功能较治疗前有明显改善。体质量指数(BMI)、血红蛋白2项与治疗前比较,差异无统计学意义(P>0.05);血清总蛋白、白蛋白与球蛋白与治疗前比较,差异有统计学意义(P<0.01或P<0.05)。结论对于老年痴呆伴吞咽障碍患者进行吞咽神经和肌肉电刺激仪治疗,能够显著提高吞咽功能改善速度,加快吞咽障碍患者的康复速度,提高护理质量。
Objective To observe the clinical effect of electro-stimulator on patients with senile dementia and swallowing disorders. Methods Sixty patients with senile dementia and swallowing dysfunction admitted to hospital were enrolled in the study. The patients were treated and swallowed by the swallowing nerve and muscle electric stimulator (IELTS brand). The application effect was analyzed according to the Waddy drinking water test score and nutritional status. Results After treatment, patients swallowing function improved significantly than before treatment. There was no significant difference in body mass index (BMI) and hemoglobin between the two groups before treatment (P> 0.05), and there was a significant difference between total serum albumin, albumin and globulin before treatment (P <0.01 or P <0.05). Conclusion The treatment of swallowing nerve and muscle stimulation in patients with Alzheimer’s disease and swallowing can significantly improve the swallowing function, speed up the rehabilitation of swallowing patients and improve the quality of nursing.