针刺联合肌电生物反馈对卒中后吞咽障碍患者进食能力及吞咽功能的影响OA
Effects of acupuncture combined with electromyographic biofeedback on feeding ability and swallowing function in patients with poststroke dysphagia
目的:观察针刺联合肌电生物反馈(EMGBF)对卒中后吞咽障碍患者进食能力及吞咽功能的影响.方法:选取106例卒中后吞咽障碍患者,按随机数字表法分为观察组和对照组,每组53例.两组均进行常规康复训练.对照组患者加用EMGBF;观察组在对照组治疗方案基础上加用针刺法.治疗后比较两组临床疗效,观察洼田饮水试验(WST)分级、表面肌电图(sEMG)、吞咽功能评价(SSA)评分及血清淀粉样蛋白A(SAA)的变化情况.结果:治疗后,观察组疗效优于对照组(P<0.05).治疗后两组WST分级与同组治疗前均有统计学差异(P<0.01);且观察组分级优于对照组(P<0.01).与同组治疗前相比,治疗后两组吞咽时间、SSA评分及血清SAA水平均显著降低(P<0.05),sEMG最大波幅及吞咽造影检查(VFSS)评分均显著升高(P<0.05),且观察组变化优于对照组(P<0.05).两组不良反应比较无统计学差异(P>0.05).结论:在常规康复训练基础上加用针刺联合EMGBF治疗卒中后吞咽障碍的疗效优于EMGBF,可以改善患者的进食能力和吞咽功能,降低患者血清SAA水平.
Objective:To observe the effects of acupuncture combined with electromyographic biofeedback(EMGBF)on feeding ability and swallowing function in patients with poststroke dysphagia. Methods:A total of 106 patients with poststroke dysphagia were selected and divided into an observation group and a control group according to the random number table method,with 53 cases in each group.Both groups received routine rehabilitation training.The control group additionally received EMGBF therapy,while the observation group additionally received acupuncture therapy on the basis of the treatment protocol used in the control group.After treatment,the clinical efficacy was compared between the two groups,and changes in the water swallowing test(WST)grade,surface electromyography(sEMG),standardized swallowing assessment(SSA)score,and serum amyloid A(SAA)level were observed. Results:After treatment,the clinical efficacy in the observation group was superior to that in the control group(P<0.05).After treatment,the WST grade in each group was significantly different from that before treatment(P<0.01),and the grading in the observation group was superior to that in the control group(P<0.01).Compared with before treatment in the same group,the swallowing time,SSA score,and serum SAA level significantly decreased after treatment in both groups(P<0.05),while the maximum amplitude of sEMG and videofluoroscopic swallowing study(VFSS)score significantly increased(P<0.05);the changes in the observation group were superior to those in the control group(P<0.05).There was no statistically significant difference in the adverse reactions between the two groups(P>0.05). Conclusion:On the basis of routine rehabilitation training,acupuncture combined with EMGBF is superior to EMGBF alone in the treatment of poststroke dysphagia.It can improve feeding ability and swallowing function and reduce the serum SAA level in the patients.
邓煜;郑苏;全超;龚佳欣;孔谐和
医药卫生
针刺疗法肌电生物反馈表面肌电血清淀粉样蛋白A中风后遗症吞咽障碍
Acupuncture TherapyElectromyographic BiofeedbackSurface ElectromyographySerum Amyloid A ProteinPoststroke SyndromeDeglutition Disorders
《针灸推拿医学（英文版）》 2026 (3)
240-246,7
This study was supported by Traditional Chinese Medicine Research Project of Health and Family Planning Commission of Hubei Province(湖北省卫生健康委员会中医药科研项目,No.ZY2021Q015).
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