呼吸肌训练对脑卒中后吞咽障碍患者的疗效观察  

Observation on the Efficacy of Respiratory Muscle Training on Patients with Dysphagia After Stroke

作　　者：黎月桃 叶慧敏 LI Yuetao;YE Huimin(Foshan Second People's Hospital/Foshan Hospital Affiliated to Southern Medical University,Foshan 528000,China)

机构地区：[1]佛山市第二人民医院/南方医科大学附属佛山医院,广东佛山528000

出　　处：《临床医学工程》2023年第10期1349-1350,共2页Clinical Medicine & Engineering

基　　金：佛山市医学科研项目(项目编号:20210218)。

摘　　要：目的 观察常规吞咽功能训练联合呼吸肌训练对脑卒中后吞咽障碍患者的疗效。方法 50例脑卒中后吞咽障碍患者随机分为两组各25例,对照组予以常规吞咽功能训练,观察组予以常规吞咽功能训练联合呼吸肌训练,比较两组的吞咽功能、呼吸肌功能以及表面肌电图(sEMG)检测结果。结果 治疗后,观察组的吞咽障碍程度评分、最大吸气压力、吸气峰值流速均高于对照组(P<0.05)。治疗后,观察组的sEMG最大波幅高于对照组,吞咽时程短于对照组(P<0.05)。结论 常规吞咽功能训练联合呼吸肌训练可显著改善脑卒中后吞咽障碍患者的吞咽功能及呼吸肌功能。Objective To observe the efficacy of routine swallowing function training combined with respiratory muscle training on patients with dysphagia after stroke.Methods 50 patients with dysphagia after stroke were randomly divided into two groups,with 25 cases in each group.The control group was given routine swallowing function training,while the observation group was given routine swallowing function training combined with respiratory muscle training.The swallowing function,respiratory muscle function and surface electromyography(sEMG)test results were compared between the two groups.Results After treatment,the dysphagia score,maximum inspiratory pressure and peak inspiratory flow rate in the observation group were higher than those in the control group(P<0.05).After treatment,the maximum amplitude of sEMG in the observation group was higher than that in the control group,and the swallowing duration was shorter than that in the control group(P<0.05).Conclusions Routine swallowing function training combined with respiratory muscle training can significantly improve the swallowing function and respiratory muscle function of patients with dysphagia after stroke.

关 键 词：脑卒中 吞咽障碍 呼吸肌训练 表面肌电图 

分 类 号：R743.3[医药卫生—神经病学与精神病学]