表面肌电触发电刺激联合吞咽训练在神经性吞咽障碍患者康复治疗中的应用观察

Application of Surface Electromyography Triggered Electrical Stimulation Combined with Swallowing Training in Rehabilitation Treatment of Patients with Neurological Dysphagia

目的探究表面肌触发电刺激与吞咽训练联合应用于治疗神经性吞咽障碍患者的康复效果。方法研究对象为本院康复科2018年6月至2019年6月收治的80例脑血管意外后神经性吞咽障碍患者,根据诊疗顺序号码尾号单双数分为观察组与对照组。观察组予以吞咽训练加以表面肌触发电刺激协同治疗,对照组仅予以吞咽训练,6周后以功能性经口摄食FOIS评分、标准吞咽功能SSA评分、洼田饮水试验及视频透视吞咽检查(VFSS)结果比较两组的康复效果。结果经6周治疗后,观察组康复效果为95.00%,显著优于对照组(77.50%,P<0.05);干预后,观察组FOIS评分、VFSS评分均高于对照组,SSA评分低于对照组(P均<0.05)。结论表面肌电触发电刺激与吞咽训练联合应用于神经性吞咽障碍的康复效果显著,值得临床推广。

Objective To explore the rehabilitation effect of surface electromyography triggered electrical stimulation combined with swallowing training in rehabilitation treatment of patients with neurological dysphagia.Methods Eighty patients with neurological dysphagia after cerebrovascular accident admitted to the rehabilitation department of our hospital from June 2018 to June 2019 were divided into observation groups and control groups according to the serial number of the treatment order.The observation group was given swallowing training plus surface electromyography triggered electrical stimulation synergistic treatment,and the control group only received swallowing training.After six weeks,the rehabilitation effect of the two groups was compared by functional oral feeding FOIS score,standard swallowing function SSA score,water swallow test,and video fluoroscopy(VFSS).Results After six weeks of treatment,the recovery effect of the observation group was 95.00%,which was significantly better than that of the control group(77.50%).The difference was statistically significant(P<0.05).The FOIS score,SSA score,and VFSS score of the observation group were higher than those of the control group,and the difference was statistically significant(P<0.05).Conclusions The combination of surface electromyography triggered electrical stimulation,and swallowing training is effective in the recovery of neurological dysphagia,worthy of clinical promotion.