肌电生物反馈疗法与醋冰刺激对脑梗死吞咽障碍患者吞咽功能的影响研究

Study on the Effect of Electromyographic Biofeedback Therapy and Vinegar Ice Stimulation on Swallowing Function in Patients with Dysphagia of Cerebral Infarction

目的:探究肌电生物反馈疗法与醋冰刺激对脑梗死吞咽障碍患者吞咽功能的影响。方法:选取2021年3月—2022年3月样本医院收治的58例脑梗死吞咽障碍患者作为研究对象,按随机数表法将其分为常规组和实验组,每组各29例。常规组患者采取常规吞咽训练治疗,实验组患者采取肌电生物反馈疗法与醋冰刺激治疗。比较两组患者治疗前后吞咽功能分级、功能性经口摄食量表(FOIS)评分、标准吞咽功能评价量表(SSA)评分及生活质量。结果:实验组患者洼田饮水实验1级、2级例数均多于常规组患者,实验组患者3、4、5级例数均少于常规组患者,差异有统计学意义(t=0.095、0.496、0.698、0.988、1.072,P<0.05)。治疗后,两组患者FOIS评分均高于治疗前,实验组患者FOIS评分高于常规组患者,差异有统计学意义(t=6.439,P<0.05);治疗后,两组患者SSA评分均低于治疗前,实验组患者SSA评分低于常规组患者,差异有统计学意义(t=7.735,P<0.05)。治疗后,两组患者生活质量各项评分均高于治疗前,且实验组患者均高于常规组患者,差异有统计学意义(t=7.019、3.390、5.366、7.634、2.616、6.371、0.902、3.224、5.999、3.304,P<0.05)。结论:肌电生物反馈疗法与醋冰刺激对脑梗死吞咽障碍患者的治疗效果显著,能够改善患者的临床症状,提高其吞咽功能,预后价值良好。

Objective:To investigate the effect of adopting electromyographic biofeedback therapy with vinegar ice stimulation on swallowing function in patients with cerebral infarction dysphagia.Methods:58 cases of cerebral infarction swallowing patients admitted to the hospital from March 2021 to March 2022 were selected as the study subjects,and they were divided into the conventional group and the experimental group according to the method of random number table,with 29 cases in each group.The conventional group was treated with conventional swallowing training,and the experimental group was treated with myoelectric biofeedback therapy and vinegar ice stimulation.The swallowing function grading,FOIS score,SSA score and quality of life of the two groups were compared before and after treatment.Results:The number of cases of grade 1 and 2 in the experimental group of Puddle Field Drinking Water Experiment were more than that of the conventional group,and the number of cases of grade 3,4 and 5 in the experimental group were less than that of the conventional group,and the difference was statistically significant(t=0.095,0.496,0.698,0.988,1.072;P<0.05).After treatment,the FOIS scores of patients in both groups were higher than before treatment,and the FOIS scores of the experimental group were higher than those of the conventional group,and the difference was statistically significant(t=6.439,P<0.05).After treatment,the SSA scores of patients in both groups were lower than before treatment,and the SSA scores of the experimental group were lower than those of the conventional group,and the difference was statistically significant(t=7.735,P<0.05).After treatment,all the scores of quality of life of patients in both groups were higher than those before treatment,and the experimental group was higher than the conventional group,and the difference was statistically significant(t=7.019,3.390,5.366,7.634,2.616,6.371,0.902,3.224,5.999,3.304;P<0.05).Conclusion:The therapeutic effect of electromyographic biofeedback therapy and vinegar ice stimulation on patients with dysphagia in cerebral infarction is remarkable,which can improve the clinical symptoms of the patients,improve their swallowing function,and have good prognostic value.