针灸推拿医学（英文版）2026，Vol.24Issue(3)：240-246,7.DOI:10.1007/s11726-026-1574-9
针刺联合肌电生物反馈对卒中后吞咽障碍患者进食能力及吞咽功能的影响
Effects of acupuncture combined with electromyographic biofeedback on feeding ability and swallowing function in patients with poststroke dysphagia
摘要
Abstract
Objective:To observe the effects of acupuncture combined with electromyographic biofeedback(EMGBF)on feeding ability and swallowing function in patients with poststroke dysphagia. Methods:A total of 106 patients with poststroke dysphagia were selected and divided into an observation group and a control group according to the random number table method,with 53 cases in each group.Both groups received routine rehabilitation training.The control group additionally received EMGBF therapy,while the observation group additionally received acupuncture therapy on the basis of the treatment protocol used in the control group.After treatment,the clinical efficacy was compared between the two groups,and changes in the water swallowing test(WST)grade,surface electromyography(sEMG),standardized swallowing assessment(SSA)score,and serum amyloid A(SAA)level were observed. Results:After treatment,the clinical efficacy in the observation group was superior to that in the control group(P<0.05).After treatment,the WST grade in each group was significantly different from that before treatment(P<0.01),and the grading in the observation group was superior to that in the control group(P<0.01).Compared with before treatment in the same group,the swallowing time,SSA score,and serum SAA level significantly decreased after treatment in both groups(P<0.05),while the maximum amplitude of sEMG and videofluoroscopic swallowing study(VFSS)score significantly increased(P<0.05);the changes in the observation group were superior to those in the control group(P<0.05).There was no statistically significant difference in the adverse reactions between the two groups(P>0.05). Conclusion:On the basis of routine rehabilitation training,acupuncture combined with EMGBF is superior to EMGBF alone in the treatment of poststroke dysphagia.It can improve feeding ability and swallowing function and reduce the serum SAA level in the patients.关键词
针刺疗法/肌电生物反馈/表面肌电/血清淀粉样蛋白A/中风后遗症/吞咽障碍Key words
Acupuncture Therapy/Electromyographic Biofeedback/Surface Electromyography/Serum Amyloid A Protein/Poststroke Syndrome/Deglutition Disorders分类
医药卫生引用本文复制引用
邓煜,郑苏,全超,龚佳欣,孔谐和..针刺联合肌电生物反馈对卒中后吞咽障碍患者进食能力及吞咽功能的影响[J].针灸推拿医学（英文版）,2026,24(3):240-246,7.基金项目
This study was supported by Traditional Chinese Medicine Research Project of Health and Family Planning Commission of Hubei Province(湖北省卫生健康委员会中医药科研项目,No.ZY2021Q015). （湖北省卫生健康委员会中医药科研项目,No.ZY2021Q015）
