脑卒中患者吞咽功能障碍评价中表面肌电的意义分析

Analysis of Surface Electromyography in Evaluation of Swallowing Dysfunction in Stroke Patients

目的:探讨脑卒中患者吞咽功能障碍评价中表面肌电的意义。方法:选取某院脑卒中病人及康复医学科与神经科门诊吞咽功能正常病人各32例,观察组行康复医学科常规药物及吞咽功能训练,并用表面肌电图行吞咽功能评价。结果:洼田饮水试验观察组治疗4周、8周后吞咽功能评分显著下降,与治疗前、对照组比较差异明显(P<0.05);观察组3组肌群吞咽时程3次检查结果,与对照组比较差异明显。结论:在脑卒中吞咽功能障碍康复评估中,sEMG为无创、简单检查手段,值得推广应用。

Objective： To investigate the significance of surface electromyography in the evaluation of swallowing dysfunction in stroke patients. Methods： 32 stroke patients and 32 rehabilitation medicine and neurology clinic patients were taken as the subkects, who were with normal . the observation group received routine drug rehabilitation medicine and swallowing function training, and then evaluate swallowing function by surface electromyography. Results; The scores of swallowing function were significantly decreased in the observation group at 4 weeks and 8 weeks water swallow test, and there was significant difference between the control group and the reuslts before the test; 3 results of the examination of swallowing time in the observation group was significantly different from the control group. Conclusion： In the evaluation of rehabilitation of stroke dysphagia, sEMG is a noninvasive and simple method, which is worthy of popularization and application.