舌压抗阻反馈训练治疗脑卒中后吞咽障碍的疗效观察  

Observation on the effect of tongue pressure resistance feedback training in the treatment of oropharyngeal dysphagia after stroke

作　　者：卓飞男 张中凯 徐乐义[1] 王哲伟[1] 林祖琛 李海燕[1] ZHOU Feinan;ZHANG Zhongkai;XU Leyi;WANG Zhewei;LIN Zuchen;LI Haiyan(Department of Rehabilitation Medicine,the First Affiliated Hospital of Wenzhou Medical University,Wenzhou,Zhejiang 325000,China)

机构地区：[1]温州医科大学附属第一医院康复医学科,浙江温州325000

出　　处：《重庆医学》2020年第18期3070-3073,共4页Chongqing medicine

基　　金：浙江省温州市科技计划项目(Y20180622)。

摘　　要：目的研究舌压抗阻反馈训练对脑卒中后吞咽障碍(OD)的康复作用。方法选取60例脑卒中后OD患者为研究对象,随机分为观察组和对照组,每组30例。对照组在接受吞咽神经肌肉电刺激的基础上给予空白动作训练,观察组在接受吞咽神经肌肉电刺激的基础上再给予舌压抗阻反馈训练。对比治疗前和治疗3周后舌压变化、吞咽功能和舌骨上肌群表面肌电图(sEMG)检测情况。结果观察组治疗后舌压峰值、舌压平均值、舌压持续时间、sEMG最大波幅值及功能性经口摄食量表(FOIS)分级均明显优于对照组,差异有统计学意义(均P<0.05)。结论舌压抗阻反馈训练可以增加脑卒中后OD患者的舌肌力量,改善其吞咽功能。Objective To study the effect of tongue pressure resistance feedback training on the rehabilitation of oropharyngeal dysphagia(OD)after stroke.Methods Sixty patients with OD after stroke were selected as the research objects and randomly divided into the observation group(n=30)and the control group(n=30).The control group was given blank exercise training on the basis of neuromuscular electrical stimulation,and the observation group was given tongue pressure resistance feedback training on the basis of neuromuscular electrical stimulation.The changes of tongue pressure,swallowing function and surface electromyography(sEMG)of suprahyoid muscles were compared before and 3 weeks after treatment.Results After tongue resistance feedback training,the peak tongue pressure,the average value of tongue pressure,the duration of tongue pressure,the maximum amplitude of sEMG of suprahyoid muscles and the functional oral intake scale(FOIS)gradation in the treatment group were significantly better than those in the control group(all P<0.05).Conclusion Tongue pressure impedance feedback training enables OD patients after stroke to increase tongue muscle strength,and improve their swallowing function.

关 键 词：舌压抗阻反馈训练 舌压 卒中 吞咽障碍 

分 类 号：R493[医药卫生—康复医学]