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肌电生物反馈结合吞咽训练治疗脑卒中后吞咽障碍的疗效观察 被引量:22

The effect of electromyographic biofeedback combined with swallowing training on dysphagia after stroke
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摘要 目的观察肌电生物反馈结合吞咽训练治疗脑卒中后吞咽障碍的疗效。方法将95例脑卒中后吞咽障碍患者按随机数字表法分为治疗组48例及对照组47例。治疗组采用肌电生物反馈结合吞咽训练,对照组采用单纯吞咽训练。于治疗前及治疗30d后采用洼田饮水试验对患者的吞咽功能进行评定。结果治疗后,2组患者的吞咽功能均较治疗前明显改善,组内差异有统计学意义(P〈0.05);治疗组患者的吞咽功能明显优于对照组,组间差异有统计学意义(P〈0.05);治疗组有效率为87.5%,对照组有效率为68.0%,组间差异有统计学意义(P〈0.05)。结论肌电生物反馈结合吞咽训练可显著改善脑卒中后吞咽障碍患者的吞咽功能,且疗效显著高于单纯吞咽训练。 Objective To observe the effect of electromyographic biofeedback combined with swallo- wing training on dysphagia after stroke. Methods Ninety-five patients with difficulty in swallowing after stroke were randomly divided into a treatment group (48 cases) and a control group (47 cases). The patients in the treatment group were provided eleetromyographic biofeedback and swallowing training; the patients in the control group received swallowing training only. The therapeutic effect was assessed with Kubota's drinking water test before treatment and 30d after treatment. Results Swallowing in both groups improved after treatment. The total recovery rate in the treatment group was 87. 5% , and in the control group it was 68.0% , a significant difference. Conclusion Eleetromyographic biofeedback can improve the effectiveness of swallowing training after stroke.
出处 《中华物理医学与康复杂志》 CAS CSCD 北大核心 2012年第10期752-754,共3页 Chinese Journal of Physical Medicine and Rehabilitation
关键词 脑卒中 吞咽障碍 肌电生物反馈 吞咽训练 Stroke Dysphagia Biofeedback Swallowing training
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