Dynamics of full recovery of swallowing function in patients with acute ischemic stroke undergone neuromuscular electrical stimulation



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Abstract

Dysphagia in acute stroke occurs in 20-90% of patients. The results of the examination and treatment of 112 patients with acute ischemic stroke are presented. The main group (group I, n = 55) received standard therapy of dysphagia and the patients of comparison group (group II, n = 57) - sessions of neuromuscular electrical stimulation. Full recovery (total score on a scale of FOIS ≥ 6) observed in 22 (38.5%) patients in Group I and only in 9 (16.3%) in group II (χ2 Yates correction = 5.85, p = 0.0156). After the treatment only 2 patients (3.5%) of group I had a nasogastric tubes and 10 patients in group II (18,2%) (χ2 Yates correction = 4.86, p = 0.0275). Aspiration pneumonia occurred in 3 (5.3%) patients in group I and in 11 (20.0%) patients in group II (χ2 Yates correction = 4.29, p = 0.0383). The factors of a poor prognosis for recovery of swallowing function were detected. A statistically significant correlation between the duration of submental muscle contraction group and on a scale MASA (r = -0,63, p <0,05) was revealed.

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Динамика восстановления функции глотания у больных с инсультом на фоне комплексного лечения с применением нейромышечной электростимуляции
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I A Strel'nikova

I A Strelnikova

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