传统的吞疗法加上神经肌肉电刺激在多发性硬化症的有效性:一个随机对照试验
Maria Grazia Grasso1, Giampaolo Brichetto2, Marco Rovaris3
1Santa Lucia Foundation IRCCS, Via Ardeatina, 306 Rome, Italy.
Multiple sclerosis and related disorders
|February 14, 2026
概括
神经肌肉电刺激 (NMES) 与吞疗法相结合,是一种安全有效的治疗方法,用于治疗患有多发性硬化症 (pwMS) 的人的吞困难,特别是那些严重残疾的人.
科学领域:
- 神经学 神经学
- 康复医学 康复医学 康复医学
- 吞障碍 吞障碍 吞障碍
背景情况:
- 缺食症是患有多发性硬化症 (pwMS) 的人常见和严重的问题.
- 目前的补偿策略对于pwMS的吞障碍并不能完全恢复吞功能.
- 神经肌肉电刺激 (NMES) 显示出缺食症的潜力,但在pwMS中缺乏强有力的证据.
研究的目的:
- 评估NMES与标准吞疗法相结合的可行性和有效性,用于pwMS的吞障碍.
- 为了比较NMES加治疗与假刺激加治疗.
主要方法:
- 这是一项双盲,随机,安慰剂对照试验,涉及101名失性 pwMS.
- 参与者接受了NMES加上常规的吞练习 (TST-NMES) 或假刺激加上相同的治疗 (TST-S).
- 使用ASHA评分测量结果,疾病严重程度通过EDSS进行评估.
主要成果:
- 两组患者的消化障碍随着时间的推移而有所改善.
- 在TST-NMES组中,严重残疾患者 (EDSS ≥7) 显示出显著更大的ASHA评分改善.
- 基线ASHA分数预测了结果,而EDSS只影响了对照组. 没有报告任何不良影响.
结论:
- 与标准吞疗法相结合的NMES是一种可行且有效的干预措施,用于pwMS的吞障碍.
- 这些好处在残疾较严重的人群中尤为明显.
- 需要进一步的大规模随机试验来证实这些发现.
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