“三廉泉”针刺联合表面肌电生物反馈治疗对脑外伤后吞咽功能障碍患者生活质量影响分析  

Analysis of the Impact of"Sanlianquan"Acupuncture Combined with Surface Electromyographic Biofeedback Therapy on the Quality of Life of Patients with Swallowing Dysfunction after Brain Trauma

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

机构地区：[1]泉州市第一医院康复医学科,福建泉州362000

出　　处：《中外医疗》2024年第28期5-9,共5页China & Foreign Medical Treatment

基　　金：泉州市科技计划项目(2022N002S)。

摘　　要：目的分析临床中针对脑外伤后引起的吞咽功能障碍患者实施“三廉泉”针刺、表面肌电生物反馈联合治疗的效果。方法随机选取2021年9月—2024年3月泉州市第一医院收治的120例脑外伤后吞咽功能障碍患者为研究对象,根据不同治疗方法分为4组,各30例。分别给予常规治疗(A组)、针刺治疗(B组)、表面肌电生物反馈治疗(C组)和针刺结合表面肌电生物反馈治疗(D组)。对比4组患者的洼田饮水试验、治疗效果、表面肌电图结果、肺部感染和生活质量结果。结果洼田饮水试验结果中,D组构成明显优于A组、B组、C组,差异有统计学意义(P<0.05)。D组的治疗总有效率为100.00%(30/30),均高于A组的73.33%(22/30)、B组的90.00%(27/30)、C组的96.67%(29/30),差异有统计学意义(χ^(2)=14.074,P<0.05)。治疗后,D组的最大波幅值均高于A组、B组、C组,且D组的吞咽时程短于A组、B组、C组,差异有统计学意义(P均<0.05)。治疗后,D组的临床肺部感染评分(Clinical Pulmonary Infection Score,CPIS)量表中各项指标评分均低于A组、B组、C组,并且D组的生活质量评分高于A组、B组、C组,差异有统计学意义(P均<0.05)。结论临床中针对脑外伤后引起的吞咽功能障碍患者实施“三廉泉”针刺与表面肌电生物反馈联合治疗可以有效改善患者的吞咽功能障碍,并提高临床疗效,改善患者的表面肌电图结果,并进一步提高患者的生活质量。Objective To analyze the effect of"Sanlianquan"acupuncture and surface electromyographic biofeedback in patients with swallowing dysfunction after brain trauma.Methods A total of 120 patients with swallowing dysfunction after traumatic brain injury admitted to Quanzhou First Hospital from September 2021 to March 2024 were randomly selected as observation objects and divided into four groups according to different treatment methods,with 30 cases in each group.Conventional treatment(group A),acupuncture treatment(group B),surface electromyography biofeedback treatment(group C),and acupuncture combined with surface electromyography biofeedback treatment(group D)were given respectively.The results of Watian drinking water test,treatment effect,surface electromyogram results,pulmonary infection and quality of life of each group were compared.Results In the results of Watian drinking water test,the composition of group D was significantly better than that of group A,group B and group C,and the difference was statistically significant(P<0.05).The total effective rate of treatment in group D was 100.00%(30/30),which was higher than 73.33%(22/30)in group A,90.00%(27/30)in group B and 96.67%(29/30)in group C,the difference was statistically significant(χ^(2)=14.074,P<0.05).After treatment,the maximum amplitude of group D was higher than that of group A,group B and group C,and the swallowing duration of group D was shorter than that of group A,group B and group C,the difference was statistically significant(all P<0.05).After treatment,the scores of each index in the Clinical Pulmonary Infection Score(CPIS)scale of group D were lower than those of group A,group B and group C,and the quality of life score of group D was higher than that of group A,group B and group C,the differences were statistically significant(all P<0.05).Conclusion In clinical practice,the combined treatment of"Sanlianquan"acupuncture and surface electromyographic biofeedback for patients with swallowing dysfunction caused by brain trauma can effectively

关 键 词：三廉泉 表面肌电生物反馈 吞咽功能障碍 生活质量 

分 类 号：R743.3[医药卫生—神经病学与精神病学]