论文部分内容阅读
目的探讨电刺激疗法对急性脑梗死伴吞咽困难、心理障碍患者的疗效。方法将本院接收的78例伴吞咽困难及心理障碍的脑梗死患者随机分为对照组和实验组。对照组采用常规药物治疗及吞咽训练,实验组在对照组的基础上加用神经肌肉电刺激疗法治疗,比较治疗前后两组患者的情绪状态量表(Poms)评分及自尊及人际行为评定量表(RSEQ-30)评分。结果对照组治疗前后情绪状态量表评分及自尊及人际行为评定量表评分并无明显区别,实验组患者治疗后情绪状态量表评分显著低于治疗前(P<0.05),而自尊与人际行为评定量表评分治疗后显著高于治疗前(P<0.05);治疗后情绪状态量表评分显著低于对照组,而自尊及人际行为评定量表评分显著高于对照组(P<0.05)。治疗前,两组患者吞咽障碍分级评分差异无统计学意义(P>0.05),治疗后,实验组患者吞咽障碍分级评分显著高于对照组患者(P<0.01)。结论神经肌肉电刺激疗法改善脑梗死患者吞咽困难,减轻患者的心理障碍。
Objective To investigate the effect of electrical stimulation on acute cerebral infarction with dysphagia and mental disorders. Methods 78 cases of cerebral infarction patients with dysphagia and mental disorders received in our hospital were randomly divided into control group and experimental group. The control group received routine drug treatment and swallowing training. The experimental group was treated with neuromuscular electrical stimulation therapy on the basis of the control group. The Poms score, self-esteem and interpersonal rating scale were compared between the two groups before and after treatment (RSEQ-30) score. Results Before and after treatment, the scores of emotional state scale and self-esteem and interpersonal behavior scale were not significantly different in the control group. The score of emotional state scale in the experimental group was significantly lower than that before treatment (P <0.05), while the self-esteem and interpersonal behavior The assessment scale score was significantly higher after treatment than before treatment (P <0.05). After treatment, the score of emotional state scale was significantly lower than that of the control group, while the score of self-esteem and interpersonal behavior scale was significantly higher than that of the control group (P <0.05). Before treatment, there was no significant difference in the grading score of dysphagia between the two groups (P> 0.05). After treatment, the dysphagia score of the experimental group was significantly higher than that of the control group (P <0.01). Conclusion Neuromuscular electrical stimulation therapy can improve dysphagia and alleviate the psychological disturbance in patients with cerebral infarction.