体表神经肌肉电刺激联合吞咽训练在吞咽功能障碍儿童中的应用
Application of Surface Neuromuscular Electrical Stimulation Combined with Swallowing Training in Children with Dysphagia
DOI: 10.12677/ns.2026.154135, PDF,    科研立项经费支持
作者: 易 慧, 周秀芳, 李慧卉*：十堰市人民医院(湖北医药学院附属人民医院)儿童康复科，湖北 十堰；葛权虎：十堰市人民医院(湖北医药学院附属人民医院)超声影像中心，湖北 十堰
关键词: 儿童吞咽障碍；神经肌肉电刺激；吞咽训练；Pediatric Dysphagia； Neuromuscular Electrical Stimulation； Swallowing Training
摘要: 目的：研究神经肌肉电刺激(NMES)联合吞咽训练在儿童吞咽障碍治疗中的作用。方法：选择符合纳入标准的吞咽障碍儿童60例为研究对象，采用随机数字表法分为观察组和对照组，每组30例，对照组仅接受吞咽功能训练，观察组则在吞咽功能训练的基础上，再给予神经肌肉电刺激治疗。在治疗前和治疗12周后，评价两组患儿吞咽功能和洼田饮水试验分级，比较治疗后两组疗效。结果：治疗后观察组患儿吞咽功能(SSA)得分高于对照组，差异有统计学意义(P < 0.05)。观察组临床疗效明显高于对照组，差异有统计学意义(P < 0.05)。结论：NMES联合吞咽训练可有效改善患儿吞咽功能，有较好的康复治疗效果。
Abstract: Objective: To investigate the effect of neuromuscular electrical stimulation (NMES) combined with swallowing training in the treatment of dysphagia in children. Methods: A total of 60 children with dysphagia who met the inclusion criteria were selected as the research subjects. They were divided into an observation group and a control group by random number table method, with 30 cases in each group. The control group only received swallowing function training, while the observation group was given neuromuscular electrical stimulation on the basis of swallowing function training. Before treatment and 12 weeks after treatment, the swallowing function and Kubota water swallowing test grades of the two groups were evaluated, and the curative effects of the two groups after treatment were compared. Results: After treatment, the swallowing function score (SSA) of the observation group was higher than that of the control group, and the difference was statistically significant (P < 0.05). The clinical efficacy of the observation group was significantly higher than that of the control group, and the difference was statistically significant (P < 0.05). Conclusion: NMES combined with swallowing training can effectively improve the swallowing function of children and has a good rehabilitation effect.
文章引用：易慧, 葛权虎, 周秀芳, 李慧卉. 体表神经肌肉电刺激联合吞咽训练在吞咽功能障碍儿童中的应用[J]. 护理学, 2026, 15(4): 315-321. https://doi.org/10.12677/ns.2026.154135

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