CAJ | 학술논문

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30 d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.
목적 관찰기전생물반궤결합탄인훈련치료뇌졸중후탄인장애적료효.방법 장95례뇌졸중후탄인장애환자안수궤수자표법분위치료조48례급대조조47례.치료조채용기전생물반궤결합탄인훈련,대조조채용단순탄인훈련.우치료전급치료30 d후채용와전음수시험대환자적탄인공능진행평정.결과 치료후,2조환자적탄인공능균교치료전명현개선,조내차이유통계학의의(P＜0.05)；치료조환자적탄인공능명현우우대조조,조간차이유통계학의의(P＜0.05)；치료조유효솔위87.5％,대조조유효솔위68.0％,조간차이유통계학의의(P＜0.05).결론 기전생물반궤결합탄인훈련가현저개선뇌졸중후탄인장애환자적탄인공능,차료효현저고우단순탄인훈련.
Objective To observe the effect of electromyographic biofeedback combined with swallowing training on dysphagia after stroke.Methods Ninety-five patients with difficulty in swallowing after stroke were randomly divided into a treatment group (48 eases) and a control group (47 cases).The patients in the treatment group were provided electromyographic 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 Electromyographic biofeedback can improve the effectiveness of swallowing training after stroke.