| 何子龙,崔 芳,孙柳青,熊建美,李剑勇,邵 雪.神经肌肉电刺激联合吞咽康复训练对脑卒中后吞咽障碍患者吞咽功能、表面肌电图及舌骨喉复合体动度的影响[J].,2021,(17):3368-3372 |
| 神经肌肉电刺激联合吞咽康复训练对脑卒中后吞咽障碍患者吞咽功能、表面肌电图及舌骨喉复合体动度的影响 |
| The Effect of Neuromuscular Electrical Stimulation Combined with Swallowing Rehabilitation Training on Swallowing Function, Surface Electromyography and the Dynamic Degree of Hyoid Larynx Complex in Patients with Dysphagia after Stroke |
| 投稿时间：2021-02-08 修订日期：2021-02-28 |
| DOI：10.13241/j.cnki.pmb.2021.17.036 |
| 中文关键词: 神经肌肉电刺激 吞咽康复训练 脑卒中 吞咽障碍 吞咽功能 表面肌电图 舌骨喉复合体动度 |
| 英文关键词: Neuromuscular electrical stimulation Swallowing rehabilitation training Stroke Dysphagia Swallowing function Surface electromyography Dynamic degree of hyoid larynx complex |
| 基金项目:海南省卫生计生委科研项目（16A200081） |
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| 中文摘要: |
| 摘要 目的：观察吞咽康复训练、神经肌肉电刺激（NMES）联合治疗对脑卒中后吞咽障碍患者吞咽功能、表面肌电图及舌骨喉复合体动度的影响。方法：选取2018 年9月~2020年10 月期间在我院治疗的70例脑卒中后吞咽障碍患者，根据住院号尾数的奇偶将患者分为对照组和实验组，各35例。对照组仅进行吞咽康复训练，实验组在此基础上接受NMES治疗，两组均治疗2个疗程，观察治疗前后两组患者吞咽功能、表面肌电图、舌骨喉复合体动度及生活质量变化。结果：治疗2个疗程后，实验组患者的吞咽功能改善总有效率高于对照组，组间比较有显著性差异（P<0.05）。治疗2个疗程后，两组吞咽时程缩短、最大波幅值升高，且实验组的吞咽时程短于对照组，最大波幅值高于对照组（P<0.05）。治疗2个疗程后，两组舌骨上移距离、舌骨前移距离、甲状软骨上移距离、甲状软骨前移距离增大，且实验组的舌骨上移距离、舌骨前移距离、甲状软骨上移距离、甲状软骨前移距离大于对照组（P<0.05）。治疗2个疗程后，两组SWAL-QOL总分均升高，且实验组的SWAL-QOL总分高于对照组（P<0.05）。结论：NMES联合吞咽康复训练应用于脑卒中后吞咽障碍患者，可有效促进其吞咽功能改善，提高舌骨肌肌群肌力及生活质量。 |
| 英文摘要: |
| ABSTRACT Objective: To observe the effect of swallowing rehabilitation training combined with neuromuscular electrical stimulation (NMES) on swallowing function, surface electromyography and the dynamic degree of hyoid larynx complex in patients with dysphagia after stroke. Methods: 70 patients with dysphagia after stroke in our hospital from September 2018 to October 2020 were selected. According to the parity of the mantissa of the inpatient number, the patients were divided into control group and experimental group, 35 cases respectively. The control group only carried out swallowing rehabilitation training. The experimental group received NMES treatment on this basis, both groups were treated for 2 courses. The swallowing function, surface electromyography, the dynamic degree of hyoid larynx complex and quality of life in two groups were observed before and after treatment. Results: 2 courses after treatment, the total effective rate of swallowing function improvement in the experimental group was higher than that in the control group, and there was a significant difference between the groups(P<0.05). 2 courses after treatment, the duration of swallowing was shortened and the maximum amplitude value was increased in two groups , and the duration of swallowing in the experimental group was shorter than that in the control group, and the maximum amplitude of swallowing was higher than that in the control group(P<0.05). 2 courses after treatment, the hyoid bone displacement distance, hyoid bone displacement distance, thyroid cartilage displacement distance and thyroid cartilage displacement distance increased in two groups, and the hyoid bone displacement distance, hyoid bone displacement distance, thyroid cartilage displacement distance and thyroid cartilage displacement distance in the experimental group were greater than those in the control group(P<0.05). 2 courses after treatment, the total score of SWAL-QOL in two groups was increased, and the total score of SWAL-QOL in the experimental group was higher than that in the control group(P<0.05). Conclusion: NMES combined with rehabilitation training in patients with dysphagia after stroke can effectively promote the improvement of their deglutition function, improve the muscle strength of hyoid muscle group and quality of life. |
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