项丛刺联合表面肌电生物反馈治疗脑卒中后吞咽困难的效果  

Effect of nape cluster needling combined with surface electromyography biofeedback on dysphagia after stroke

作　　者：田智 武昌 严静怡 TIAN Zhi;WU Chang;YAN Jingyi(Department of Rehabilitation,Nanjing Tongren Hospital,Jiangsu Province,Nanjing211110,China)

机构地区：[1]南京同仁医院康复科,江苏南京211110

出　　处：《中国医药导报》2023年第4期100-103,共4页China Medical Herald

基　　金：江苏省自然科学基金项目(BK20172538)。

摘　　要：目的探究项丛刺联合表面肌电生物反馈治疗脑卒中后吞咽困难的效果。方法选取2019年10月至2021年10月南京同仁医院收治的82例脑卒中后吞咽困难患者,采用随机数字表法将其分为对照组(41例,表面肌电生物反馈治疗)和项丛刺组(41例,项丛刺联合表面肌电生物反馈治疗),共治疗28 d。统计两组治疗前后洼田饮水试验等级、吞咽功能评分、生活质量评分,评价两组治疗后的疗效与安全性。结果本研究中,共3例患者退出,最终对照组纳入40例,项丛刺组纳入39例。治疗后,两组洼田饮水试验评级均优于治疗前,且项丛刺组优于对照组,差异有统计学意义(P<0.05)。治疗后,两组标准吞咽功能评价量表(SSA)评分低于治疗前,吞咽困难特异性生活质量表(SWAL-QOL)评分高于治疗前,且项丛刺组SSA评分低于对照组,SWAL-QOL评分高于对照组,差异有统计学意义(P<0.05)。项丛刺组疗效优于对照组,差异有统计学意义(P<0.05)。治疗期间两组均未出现不良反应。结论项丛刺联合表面肌电生物反馈治疗脑卒中后吞咽困难的效果确切,可以有效改善脑卒中后吞咽困难患者的吞咽功能和生活质量,安全性较高。Objective To explore the effect of nape cluster needling combined with surface electromyography biofeedback in the treatment of dysphagia after stroke.Methods A total of 82 patients with dysphagia after stroke admitted to Nanjing Tongren Hospital from October 2019 to October 2021 were selected and divided into control group(41 cases,surface electromyography biofeedback therapy)and nape cluster needling group(41 cases,nape cluster needling combined with surface electromyography biofeedback therapy)by random number table method.The patients were treated for a total of 28 days.The Kubota drinking water test grade,swallowing function score,and quality of life score of the two groups were counted before and after treatment,and the efficacy and safety of the two groups after treatment were evaluated.Results In this study,a total of three patients withdrew,including 40 patients in control group and 39 patients in the nape cluster needling group in the final.After treatment,the Kubota drinking water test rating of the two groups was better than that before treatment,and the nape cluster needling group was better than the control group,the differences were statistically significant(P<0.05).After treatment,the scores of standardized swallowing assessment(SSA)of two groups were lower than those before treatment,the scores of swallowing-quality of life(SWAL-QOL)of two groups were higher than those before treatment,and the scores of SSA of the nape cluster needling group were lower than the control group,and the scores of SWAL-QOL were higher than the control group,the differences were statistically significant(P<0.05).The curative effect of the nape cluster needling group was better than that of the control group,and the difference was statistically significant(P<0.05).There were no adverse reactions in both groups during treatment.Conclusion In the treatment of dysphagia after stroke,the combined effect of nape cluster needling and surface electromyography biofeedback is accurate,which can effectively improve the swallowing

关 键 词：项丛刺 表面肌电生物反馈 脑卒中 吞咽困难 康复科 

分 类 号：R743.3[医药卫生—神经病学与精神病学]