肌电生物反馈治疗慢性神经源性吞咽障碍的临床观察  

Electromyographic biofeedback therapy for treating chronic neurogenic dysphagia

作　　者：郭钢花[1] 宋垒垒[1] 李哲[1] 

机构地区：[1]郑州大学第五附属医院康复中心,450052

出　　处：《中国实用医刊》2013年第11期70-71,共2页Chinese Journal of Practical Medicine

基　　金：河南省科技攻关计划项目资助（072102310043）

摘　　要：目的观察肌电生物反馈对病程超过1个月的脑卒中或脑外伤患者吞咽障碍的影响。方法选择64例慢性神经源性吞咽障碍患者，随机分为观察组和对照组，两组均给予吞咽训练，观察组在吞咽训练的基础上给予肌电生物反馈治疗，两组于治疗前及治疗4周后进行电视透视吞咽检查（VFSS）和表面肌电图检查。结果两组患者治疗后吞咽功能均较治疗前改善，观察组的治疗有效率为84．85％，对照组为55．56％，两组患者在治疗前、后疗效比较差异均有统计学意义（P〈0．05）；观察组吞咽功能改善较显著，优于对照组，组间比较差异有统计学意义（P〈0．05）。结论在吞咽训练的基础上使用肌电生物反馈辅助性治疗慢性神经源性吞咽障碍患者，能明显提高患者的吞咽功能，是一种有效的治疗方法。Objective To observe the effect of electromyographic biofeedback therapy （EMG- BFT） on patients with dysphagia more than one month after stroke or traumatic brain injury. Methods Sixty-four patients with dysphagia were randomly divided into treatment group and control group. Both groups were given dysphagia training, while those in the treatment group were given EMGBFT and dys- phagia training. VFSS and sEMG was conducted before and after treatment to assess swallowing function. Results Both groups demonstrated statistically and clinically significant improvements in swallowing function. The effective rate was 84.85% in treatment group and 55.56% in control group, with statisti- cally significant difference between the two groups （P 〈 O. 05 ）. The improvement of swallowing function in the treatment group was significantly higher than that in control group （P 〈 O. 05 ）. Conclusions EMGBFT combined with swallowing behavior therapy can obviously improve swallowing function in pa- tients with neurogenic dysphagia, and it is a effective therapy.

关 键 词：吞咽障碍 肌电生物反馈 电视透视吞咽检查 表面肌电图 

分 类 号：R743.3[医药卫生—神经病学与精神病学]