临床医学工程2025，Vol.32Issue(3)：269-273,5.DOI:10.3969/j.issn.1674-4659.2025.03.0269
肌电生物反馈强化训练联合口唇操训练对脑卒中后吞咽障碍患者吞咽功能及营养状况的影响
Impact of Electromyographic Biofeedback Intensive Training Combined with Lip Exercise Training on Swallowing Function and Nutritional Status of Pa-tients with Post-Stroke Dysphagia
摘要
Abstract
Objective To explore the application effect of electromyographic biofeedback intensive training combined with lip exercise training in patients with post-stroke dysphagia(PSD).Methods 103 PSD patients admitted to our hospital from December 2022 to August 2024 were selected and randomly divided into two groups.On the basis of routine treatment for stroke,the control group received lip exercise training,and the observation group received electromyographic biofeedback intensive training combined with lip exercise training.The Wada water swallow test(WST)grading,upper esophageal sphincter(UES)open status,standard swallowing function assessment(SSA)score,Rosenbek penetration-aspiration scale(PAS)score,integrated electromyography of the suprahyoid muscles(iEMG)score,nutritional status,and swallowing related quality of life(SWAL-QOL)score were compared between two groups.Results After treatment,the WST grading in the observation group was significantly better than that in the control group(P<0.05).After treatment,the open status of UES in both groups improved significantly compared to that before treatment,and the open status of UES in the observation group was significantly better than that in the control group(P<0.05).After treatment,the SSA and PAS scores of both groups were significantly lower than those before treatment,and the iEMG values were significantly higher than those before treatment(P<0.05);The SSA and PAS scores in the observation group were significantly lower than those in the control group,and the iEMG value was significantly higher than that in the control group(P<0.05).After treatment,the levels of ALB and PA in both groups were significantly higher than those before treatment,and the levels of ALB and PA in the observation group were significantly higher than those in the control group(P<0.05);No statistically significant difference was found in the AMC and TSF between the two groups(P>0.05).After treatment,the SWAL-QOL scores of both groups were significantly higher than those before treatment,and the SWAL-QOL score in the observation group was significantly higher than that in the control group(P<0.05).Conclusions Electromyographic biofeedback intensive training combined with lip exercise training can obviously improve the swallowing function and nutritional status of patients with PSD,and improve their quality of life.关键词
肌电生物反馈强化训练/口唇操训练/脑卒中后吞咽障碍/吞咽功能/营养状况/生活质量Key words
Electromyographic biofeedback intensive training/Lip exercise training/Post-stroke dysphagia/Swallowing function/Nutritional status/Quality of life分类
医药卫生引用本文复制引用
李君,樊春晖,乔盼盼,桂飞飞..肌电生物反馈强化训练联合口唇操训练对脑卒中后吞咽障碍患者吞咽功能及营养状况的影响[J].临床医学工程,2025,32(3):269-273,5.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）
