针康结合治疗脑卒中恢复期吞咽障碍患者的临床疗效研究

发布时间：2018-02-10 19:33

本文关键词： 脑卒中吞咽障碍针刺康复训练表面肌电　出处：《新疆医科大学》2017年硕士论文　论文类型：学位论文

【摘要】：目的:通过临床研究,观察针刺结合康复训练治疗对脑卒中恢复期吞咽障碍患者吞咽功能的临床疗效,并探讨表面肌电(Surface Electromyograp,sEMG)检查在脑卒中吞咽障碍患者评估中的应用价值。方法:采用洼田饮水试验筛选出90例脑卒中恢复期吞咽障碍患者,随机分为三组,干预过程中脱落5例,故对最终85例受试者进行分析,A组(28例):单纯针刺组,B组(29例):常规康复训练组,C组(28例):针刺+常规康复训练组,在干预前和干预四周结束后各评定1次,各研究对象分别采用标准吞咽功能评价量表(SSA)和表面肌电检查进行评定,分析A、B、C三组的疗效。结果:(1)在治疗方面,三组在治疗前差异无统计学意义(p0.05),具有可比性;三组治疗后SSA及sEMG评分,差异具有统计学意义(p0.05),提示针刺结合常规康复训练在改善脑卒中恢复期吞咽障碍方面优于单纯针刺组或常规康复训练组;(2)在治疗4周结束时,三组患者的sEMG(平均波幅、峰值)和SSA得分较组内治疗前改善(p0.05),且治疗后,针刺结合常规康复训练的sEMG和SSA得分优于单纯针刺组或常规康复训练组(p0.05)。结论:针刺结合常规康复训练能够有效的改善脑卒中恢复期吞咽障碍患者的吞咽功能,且sEMG在脑卒中后吞咽障碍评定方面有一定应用价值。
[Abstract]:Objective: to observe the clinical effect of acupuncture combined with rehabilitation training on swallowing function of patients with convalescent dysphagia after stroke. To explore the value of surface electromyograpstics EMG in evaluating the patients with stroke dysphagia, 90 patients with deglutition disorder were selected by depression-drinking water test, and were randomly divided into three groups. Therefore, the final 85 subjects were analyzed in group A (n = 28): acupuncture group (n = 29): group B (n = 29); group C (n = 28); group A (n = 28); group A (n = 28); group A (n = 28); group A: group A (n = 28); group C: group C (n = 28); All the subjects were evaluated by SSAs and EMG. Results: there was no significant difference before treatment among the three groups (P 0.05), and there was no significant difference between the three groups (P 0.05). The scores of SSA and sEMG in the three groups after treatment were significantly different (P 0.05). It suggested that acupuncture combined with routine rehabilitation training was superior to acupuncture group or routine rehabilitation training group in improving the dysphagia disorder in convalescent stage of stroke.) at the end of 4 weeks of treatment, acupuncture combined with routine rehabilitation training training group was better than acupuncture group in improving dysphagia disorder in convalescent stage of stroke. The sEMG (mean amplitude, peak) and SSA scores in the three groups were better than those in the pre-treatment group (P 0.05), and after treatment, The scores of sEMG and SSA of acupuncture combined with routine rehabilitation training were better than those of simple acupuncture group or routine rehabilitation training group. Conclusion: acupuncture combined with routine rehabilitation training can effectively improve the swallowing function of patients with convalescent dysphagia after stroke. SEMG is valuable in assessing dysphagia after stroke.
【学位授予单位】：新疆医科大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R743.3;R493

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