“三廉泉”针刺结合表面肌电生物反馈治疗脑外伤后吞咽功能障碍患者的效果研究  

Study on the Effect of"Sanlianquan"Acupuncture Combined with Surface Electromyography Biofeedback in the Treatment of Patients with Swallowing Dysfunction after Brain Injury

作　　者：朱达斌 林秀瑶[1] 许云辉[1] ZHU Dabin;LIN Xiuyao;XU Yunhui(Rehabilitation Department,Quanzhou First Hospital,Quanzhou 362000,China;不详)

机构地区：[1]泉州市第一医院康复科,福建泉州362000

出　　处：《中国医学创新》2024年第23期6-10,共5页Medical Innovation of China

基　　金：泉州市科技计划项目(2022NS058)。

摘　　要：目的:研究“三廉泉”针刺结合表面肌电生物反馈(sEMGBF)治疗脑外伤后吞咽功能障碍患者的效果。方法:选取2021年7月—2023年7月泉州市第一医院收治的100例脑外伤后吞咽功能障碍患者开展试验,将其以电脑编号奇偶数字法随机分作结合组(n=50)及常规组(n=50)。常规组开展常规治疗,结合组则于常规组的基础上增用“三廉泉”针刺结合sEMGBF治疗。比较两组疗效、洼田饮水试验结果、表面肌电图(sEMG)检查结果、肺部感染情况。结果:结合组总有效率高于常规组,差异有统计学意义(P<0.05)。结合组洼田饮水试验1级人数占比高于常规组,而4级人数占比低于常规组,差异均有统计学意义(P<0.05)。治疗后,两组舌骨上、下肌群最大波幅值均高于治疗前,且结合组均高于常规组,而两组舌骨上、下肌群吞咽所需时长均短于治疗前,且结合组均短于常规组,差异均有统计学意义(P<0.05)。治疗后,两组临床肺部感染评分(CPIS)均低于治疗前,且结合组低于常规组,差异均有统计学意义(P<0.05)。结论:“三廉泉”针刺结合sEMGBF治疗脑外伤后吞咽功能障碍患者的效果较佳,可有效促进吞咽功能恢复,改善sEMG指标与肺部感染状况。Objective:To study the effect of"Sanlianquan"acupuncture combined with surface electromyography biofeedback(sEMGBF)in the treatment of patients with swallowing dysfunction after brain injury.Method:A total of 100 patients with swallowing dysfunction after brain injury admitted to Quanzhou First Hospital from July 2021 to July 2023 were selected to carry out the experiment.They were randomly divided into the combined group(n=50)and the conventional group(n=50)by computer numbered odd-even number method.The conventional group was treated with routine treatment,and the combined group was treated with"Sanlianquan"acupuncture combined with sEMGBF on the basis of conventional group.The curative effect,results of water swallow test,surface electromyography(sEMG)and pulmonary infection were compared between the two groups.Result:The total effective rate of combined group was higher than that of conventional group,the difference was statistically significant(P<0.05).The population proportion of grade 1 in water swallow test in the combination group was higher than that of the conventional group,while the population proportion of grade 4 was lower than that of the conventional group,the differences were statistically significant(P<0.05).After treatment,the maximum amplitude of the upper and lower hyoid muscle group in both groups were higher than those before treatment,and those in the combined group were higher than those in the conventional group,while the swallowing time of the upper and lower hyoid muscle group in both groups were shorter than those before treatment,and those in the combined group were shorter than those in the conventional group,the differences were statistically significant(P<0.05).After treatment,the clinical pulmonary infection score(CPIS)of two groups were lower than those before treatment,and that in the combined group was lower than that in the conventional group,the differences were statistically significant(P<0.05).Conclusion:"Sanlianquan"acupuncture combined with sEMGBF is effective in the tr

关 键 词：脑外伤 吞咽功能障碍 “三廉泉”针刺 表面肌电生物反馈 

分 类 号：R651.15[医药卫生—外科学]