CAJ | 학술논문

目的：探讨神经肌肉电刺激治疗对脑梗死吞咽障碍患者焦虑抑郁状态的影响。方法选取有吞咽障碍的脑梗死患者126例，洼田氏饮水试验吞咽功能 III 级（52例）、IV 级（45例）、V 级（29例），各级之间进行 Hamilton 焦虑量表及 Hamilton 抑郁量表测试比较。126例患者再随机分为治疗组（66例）和对照组（60例）均给予常规药物治疗及吞咽训练，治疗组加用神经肌肉电刺激治疗，治疗前后均给予 Hamilton 焦虑量表及 Hamilton 抑郁量表测试。结果患者焦虑、抑郁评分与吞咽障碍的严重程度呈相关性，吞咽障碍程度越严重者，焦虑、抑郁越严重，并经过平均2个疗程的分组治疗，与治疗前及对照组比较，治疗组 Hamilton 焦虑量表中躯体性焦虑、精神性焦虑及总分有不同程度改善（P＜0．05），Hamilton 抑郁量表中焦虑、体质量、认识障碍、阻滞、绝望感及总分有不同程度改善（P＜0．05）。结论脑梗死患者焦虑、抑郁程度与吞咽障碍的严重程度有相关性，神经肌肉电刺激治疗可以改善脑梗死患者的焦虑抑郁状态。
목적：탐토신경기육전자격치료대뇌경사탄인장애환자초필억욱상태적영향。방법선취유탄인장애적뇌경사환자126례，와전씨음수시험탄인공능 III 급（52례）、IV 급（45례）、V 급（29례），각급지간진행 Hamilton 초필량표급 Hamilton 억욱량표측시비교。126례환자재수궤분위치료조（66례）화대조조（60례）균급여상규약물치료급탄인훈련，치료조가용신경기육전자격치료，치료전후균급여 Hamilton 초필량표급 Hamilton 억욱량표측시。결과환자초필、억욱평분여탄인장애적엄중정도정상관성，탄인장애정도월엄중자，초필、억욱월엄중，병경과평균2개료정적분조치료，여치료전급대조조비교，치료조 Hamilton 초필량표중구체성초필、정신성초필급총분유불동정도개선（P＜0．05），Hamilton 억욱량표중초필、체질량、인식장애、조체、절망감급총분유불동정도개선（P＜0．05）。결론뇌경사환자초필、억욱정도여탄인장애적엄중정도유상관성，신경기육전자격치료가이개선뇌경사환자적초필억욱상태。
Objective To study the effect of neuromuscular electrical stimulation to anxiety-depression in patients with cerebral infarction.Methods 126 patients with post-stroke dysphagia, swallowing function divided into III class(n=52), IV class(n=45), V class(n=29)according to via the water swallow tests,Patients were evaluated with scores of Hamilton anxiety rating scale( HAMA), Hamilton depression( HAMD) at different levels,then 126 patients with post – stroke dysphagia were randomized into the treatment group(n=66) and the control group(n =60).Patients in two groups received conventional drug therapy and swallowing function training, while the patients in the treatment group received NES in addition.Patients were evaluated with scores of Hamilton anxiety rating scale (HAMA) and Hamilton depression ( HAMD) before and after treatment.Results The scores of depression and anxiety were positively correlated swallowing dysfunction severity.After treatment for two courses , somatic anxiety, psychic anxiety and the total of the treatment group in HAMA were improved (P<0.05),anxiety, body weight, cognitive disturbance, inhibition, hopeleness the total of the treatment group in HAMD were improved (P<0.05) than those before treatment and those in control group.Conclusion Depression and anxiety of patients with post-stroke dysphagia were positively correlated swallowing dysfunction severity.Neuromuscular electrical stimulation applied in patients with cerebral infarction could improve anxiety-depression.