脑卒中后吞咽功能障碍患者两种治疗效果比较

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Abstract Objective To observe the effect of respiratory training combined with low-frequency electrical stimulation on swallowing function and respiratory function of patients with dysphagia after stroke.Methods One hundred and two patients with dysphagia after stroke admitted to our hospital between April 2018 and August 2019 were selected as the subjects and divided into the control group and the observation group using the random number table method, with 51 cases in each. The control group received conventional treatment, namely, swallowing function training, while the observation group additionally received breathing training and low-frequency electrical stimulation.The clinical efficacy of the two groups was evaluated by the bottom-field drinking water test, and the therapeutic effect in the two groups was assessed and compared with PEF, FEV, FVC and swallow function as observation indexes.Results There was no significant difference in pulmonary function measurements of PEF, FEV₁ and FVC between the two groups before treatment (P>0.05). After one month of treatment, the pulmonary function of the observation group was as follows: PEF=5.46±1.01(L/s), FEV₁=2.92±0.59(L/s), and FVC=3.76±0.83(L), which were significantly higher than 4.27±0.94(L/s), FEV₁=2.38±0.66(L/s) and FVC=2.67±0.61(L)in the control group (P＜ 0.05). Lung function in the observation group was more significantly improved than in the control group (P＜0.05).There was no significant difference in the score of VFSS between the two groups before treatment. After one month of treatment, the score of VFSS in both groups was significantly higher (P＜0.05), especially in the observation group (VFSS=9.01±0.67).After treatment, the apparent therapeutic efficiency of the observation group was 84.31%, compared with 60.78% in the control group. The therapeutic effect of the observation group was significantly better than that of the control group (P＜0.05).Conclusions On the basis of swallowing function training, breathing training combined with low-frequency electrical stimulation can significantly improve the swallowing function and respiratory function of patients with swallowing function dysfunction after stroke, promote the remodeling of nerve function, and have a good therapeutic effect.

Key words： breathing training low-frequency electrical stimulation stroke dysphagia curative effect

Received: 15 January 2020

ZTFLH:	R743
	R49

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	Articles by authors
	LU Shanheng
	JIANG Wenyu
	WU Juan
	XUE Li
	GAO Min
	PANG Xingfei
	WU Shengjie

Cite this article:

LU Shanheng,JIANG Wenyu,WU Juan等. Effects of respiratory training combined with low-frequency electrical stimulation on swallowing and respiratory function in patients with dysphagia after stroke[J]. Med. J. Chin. Peop. Armed Poli. Forc., 2020, 31(10): 834-838.

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http://journal08.magtechjournal.com/Jwk_wjyx/EN/ OR http://journal08.magtechjournal.com/Jwk_wjyx/EN/Y2020/V31/I10/834

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