临床医学工程2025，Vol.32Issue(3)：253-256,4.DOI:10.3969/j.issn.1674-4659.2025.03.0253
电针治疗仪联合早期吞咽训练对颅脑损伤后气管切开患者吞咽功能及拔管时间的影响
Impact of Electroacupuncture Therapeutic Instrument Combined with Early Swallowing Training on Swallowing Function and Extubation Time of Patients with Tracheotomy After Craniocerebral Injury
摘要
Abstract
Objective To explore the impact of electroacupuncture therapeutic instrument combined with early swallowing training on swallowing function and extubation time of patients with tracheotomy after craniocerebral injury.Methods 78 patients with tracheotomy after craniocerebral injury were randomly divided into the two groups.The control group was given early swallowing training intervention,and the observation group was given electroacupuncture therapeutic instrument combined with early swallowing training intervention.After 4 weeks of the intervention,the swallowing function assessment scale[Kubota drinking water test score,repeated saliva swallowing test(RSST)score and functional oral food intake scale(FOIS)score],swallowing surface electromyography,swallowing imaging index[video fluoroscopic swallowing study(VFSS)score]were used to evaluate the swallowing function of the two groups,and the extubation time and incidences of misaspiration and aspiration pneumonia of the two groups were recorded.Results After 4 weeks of the intervention,the Kubota drinking water test score and RSST score of the observation group were significantly lower than those of the control group,and the FOIS score,the maximum amplitude of sEMG and VFSS score were significantly higher than those of the control group,and the swallowing time and extubation time were significantly shorter than those of the control group(P<0.05).The incidences of misaspiration and aspiration pneumonia of the observation group were 30.77%and 2.56%,respectively,significantly lower than 53.85%and 15.38%of the control group(P<0.05).Conclusions Electroacupuncture therapeutic instrument combined with early swallowing training has a good improvement effect on the swallowing function of patients with tracheotomy after craniocerebral injury,which is beneficial to shorten the extubation time and reduce the occurrence of complications of patients.关键词
电针治疗仪/早期吞咽训练/颅脑损伤/气管切开/吞咽功能/拔管时间Key words
Electroacupuncture therapeutic instrument/Early swallowing training/Tracheotomy/Craniocerebral injury/Swallowing function/Extubation time分类
医药卫生引用本文复制引用
王猛,桂飞飞..电针治疗仪联合早期吞咽训练对颅脑损伤后气管切开患者吞咽功能及拔管时间的影响[J].临床医学工程,2025,32(3):253-256,4.基金项目
河南省医学科技攻关计划联合共建项目(项目编号:LHGJ20210558) （项目编号:LHGJ20210558）
