基于姿势控制的PNF训练联合肌电生物反馈干预应用于脑出血后吞咽障碍患者中的临床效果  

Clinical Effect of PNF Training Based on Posture Control Combined with Electromyographic Biofeedback Intervention in Patients with Dysphagia after Cerebral Hemorrhage

作　　者：张程程 王进 ZHANG Chengcheng;WANG Jin(Department of Critical Care Medicine,Jining Third People's Hospital(Yanzhou District People's Hospital),Jining 272100,China)

机构地区：[1]济宁市第三人民医院(兖州区人民医院)重症医学科,山东济宁272100

出　　处：《反射疗法与康复医学》2024年第20期51-54,共4页Reflexology And Rehabilitation Medicine

摘　　要：目的探讨基于姿势控制的本体感觉肌肉促进技术(PNF)训练联合肌电生物反馈干预应用于脑出血后吞咽障碍患者中的临床效果。方法选取济宁市第三人民医院2021年6月—2023年6月收治的80例脑出血后吞咽障碍患者为研究对象,按随机数字表法将其分为对照组和观察组,每组40例。对照组采用肌电生物反馈干预,观察组在对照组的基础上进行基于姿势控制的PNF训练干预,两组均干预1个月。比较两组患者的摄食能力、吞咽障碍及吞咽指标、并发症发生情况。结果观察组1个月内误吸、吸入性肺炎的发生率分别为7.50%、2.50%,均低于对照组的30.00%、27.50%,组间差异有统计学意义(P<0.05)。干预后,观察组的经口摄食功能量表评分高于对照组,吞咽造影检查评分低于对照组,上扩约肌开放时间、咽收缩持续时间均长于对照组,上扩约肌开放程度大于对照组,组间差异有统计学意义(P<0.05)。结论基于姿势控制的PNF训练联合肌电生物反馈干预可有效改善脑出血后吞咽障碍患者的吞咽功能,减轻其吞咽障碍程度,降低患者误吸、吸入性肺炎发生概率。Objective To investigate the clinical effect of proprioceptive neuromuscular facilitation(PNF)training based on posture control combined with electromyographic biofeedback intervention in patients with dysphagia after cerebral hemorrhage.Methods A total of 80 patients with dysphagia after intracerebral hemorrhage admitted to Jining Third People's Hospital from June 2021 to June 2023 were selected as the research objects,and were divided into a control group and an observation group accorrding to random number table method,with 40 cases in each group.The control group received electromyographic biofeedback intervention,and the observation group received PNF training intervention based on posture control on the basis of the control group,both groups were intervention for 1 month.The oral feeding capacity,dysphagia and dysphagia indicators,occurrence of complications were compared between the groups.Results The incidence rates of aspiration pneumonia and aspiration pneumonia in the observation group were 7.50%and 2.50%,respectively,which were lower than 30.00%and 27.50%in the control group,the differences between the groups were statistically significant(P<0.05).After intervention,the Functional Oral Intake Scale score of the observation group was higher than that of the control group,the Video Fluroscopic Swallowing Study score was lower than that of the control group,the opening time of the upper dilator muscle and the duration of pharyngeal contraction were longer than that of the control group,and the opening degree of the upper dilator muscle was greater than that of the control group,the differences between the groups were statistically significant(P<0.05).Conclusion PNF training based on postural control combined with electromyographic biofeedback intervention can effectively improve the swallowing function of patients with dysphagia after cerebral hemorrhage,reduce the degree of dysphagia,and reduce the incidence of aspiration and aspiration pneumonia.

关 键 词：脑出血 吞咽障碍 姿势控制 肌电生物反馈 

分 类 号：R473[医药卫生—护理学]