冰刺激疗法联合肌电生物反馈治疗脑卒中后吞咽障碍的效果观察  

Effect of Ice Stimulation Therapy Combined with Electromuscular Biofeedback in Treating Swallowing Disorders after Stroke

作　　者：汤秀红 刘婷[1] 朱荣华 王彩云 王慧[1] 朱新汉 TANG Xiu-hong;LIU Ting;ZHU Rong-hua;WANG Cai-yun;WANG Hui;ZHU Xin-han(Department of Rehabilitation,Tongling Hospital of Traditional Chinese Medicine(Tongling Hospital of traditional Chinese medicine)Affiliated to Anhui University of Traditional Chinese Medicine,Tongling 244000,Anhui Province,China)

机构地区：[1]安徽中医药大学附属铜陵市中医医院(铜陵市中医医院)康复科,安徽铜陵244000

出　　处：《罕少疾病杂志》2025年第3期17-19,共3页Journal of Rare and Uncommon Diseases

基　　金：国家中医重点专科-铜陵市中医医院康复科[国中医药医政函[2012]86号];铜陵市卫计委医学科研项目[卫科研[2019]18号]。

摘　　要：目的对治疗脑卒中后吞咽障碍(DAS)中,冰刺激疗法联合肌电生物反馈的治疗效果予以研究。方法DAS共88例,均收治于2020年1月至2023年5月。运用随机抽样法分组,参照组(n=44)提供肌电生物反馈治疗,研究组(n=44)在上述基础上联合使用冰刺激疗法,.对患者临床治疗效果、吞咽功能分级情况、舌骨喉复合体运动度、营养指标、.肱三头肌皮褶厚度及满意度对比。结果总有效率经对比,差异明显(P<005),两组中以研究组更高;吞咽障碍分级情.况治疗前显示,两组并无差异(P>005),治.疗后比较,3级、4级、5级低于参照组,1级、2级高于参照组;营养相关指标经对.比,治疗前并无差异(P>005),治.疗后对比,指标具有明显差异(P<005),研究组高于参照组;患者.舌骨喉复合体运动对比,治疗前两组并无差异(P>005),治疗后比较具有显著差异(P<005),研究组改善情况优于参照组。满意度两组具有明显差异(P<005),研究组高于另一组。结论经冰刺激疗法联合肌电生物反馈治疗后,临床效果显著,值得推广用于DAS中。Objective To study the therapeutic effect of ice stimulation therapy combined with EMG biofeedback in the treatment of poststroke swallowing disorder(DAS).Methods There were 88 DAS cases,which were admitted from January 2020 to May 2023.Group grouping using the random sampling method,The reference group(n=44),The study group(n=44)combined the above,Clinical treatment effect of patients,classification of swallowing function,motion of hyoid and laryngeal complex,nutritional index,triceps skinfold thickness and satisfaction comparison.Results are always efficient by comparison,Significant difference(P<0.05).The study group was higher in the two groups.The swallowing disorder classification condition was shown before the treatment,There was no difference between the two groups(P>0.05),post-treatment comparison,Grade 3,4 and 5 are below the reference group,Level 1and2 are higher than the reference group.By comparison of nutrition-related indicators,there was no difference before treatment(P>0.05),post-treatment comparison,Indicators with obvious difference(P<0.05).The study group is higher than the reference group.Patient ison of hyoid laryngeal complex motion.There was no difference between the two groups before treatment(P>0.05),post-treatment comparisons were significant(P<0.05).The study group improved better than the reference group.Satisfaction was significantly different between the two groups(P<0.05),and the study group was higher than the other group.Conclusion The ice stimulation therapy combined with EMG biofeedback therapy should be used in DAS.

关 键 词：脑卒中 冰刺激疗法 吞咽障碍 肌电生物反馈 

分 类 号：R337.5[医药卫生—人体生理学]