经皮电刺激联合球囊扩张术对颅脑损伤后吞咽障碍患者的康复效果观察

Observation on the Rehabilitation Effect of Percutaneous Electrical Stimulation Combined with Balloon Dilation on Patients with Dysphagia after Craniocerebral Injury

摘要: 目的：探究经皮电刺激联合球囊扩张术对颅脑损伤后吞咽障碍患者的康复效果。方法：选取丹江口市第一医院神经外科2020年5月~2022年5月期间收治的84例颅脑损伤后吞咽障碍患者开展研究，按照随机抽签法分为对照组(n = 42，予以常规康复指导)、观察组(n = 42，在常规康复指导基础上联合采用经皮电刺激、球囊扩张术)，为期1个月，对比两组效果。结果：干预后，观察组洼田饮水试验法评分较对照组低，SWAL-QOL评分高于对照组(P < 0.05)；观察组呛咳发生率2.38%较对照组19.05%低(P < 0.05)。结论：经皮电刺激联合球囊扩张术方案的整体作用价值较理想，利于改善患者吞咽功能，优化生活质量，降低呛咳发生率。

Abstract: Objective: To explore the rehabilitation effect of percutaneous electrical stimulation combined with balloon dilation on patients with dysphagia after craniocerebral injury. Methods: A total of 84 patients with dysphagia after craniocerebral injury admitted to the Department of Neurosurgery of the First Hospital of Danjiangkou from May 2020 to May 2022 were randomly divided into control group (n = 42, given routine rehabilitation guidance) and observation group (n = 42, combined with transcutaneous electrical stimulation and balloon dilation on the basis of routine rehabilitation guidance) according to the method of random drawing, for a period of 1 month, and the effects of the two groups were compared. Results: After intervention, the score of Kubota water swallowing test in the observation group was lower than that in the control group, and the score of SWAL-QOL was higher than that in the control group (P < 0.05); the incidence of cough in the observation group was 2.38% lower than that in the control group 19.05% (P < 0.05). Conclusion: Percutaneous electrical stimulation combined with balloon dilation has an ideal overall effect value, which is beneficial to improve the swallowing function of patients, optimize the quality of life, and reduce the incidence of cough.