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| 间歇性θ短阵脉冲刺激联合吞咽训练对脑卒中后吞咽障碍患者吞咽功能、表面肌电图及生活质量的影响 |
| Effects of Intermittent θ Short Array Pulse Stimulation Combine With Swallowing Training on Swallowing Function, Surface Electromyography and Quality of Life in Patients With Dysphagia After Stroke |
| 投稿时间：2024-06-18 修订日期：2024-06-18 |
| DOI： |
| 中文关键词: 间歇性θ短阵脉冲刺激 吞咽训练 脑卒中后吞咽障碍 吞咽功能 表面肌电图 生活质量 |
| 英文关键词: Intermittent θ short array pulse stimulation Swallowing training Dysphagia after stroke Swallowing function Surface electromyography Quality of life |
| 基金项目:江苏省自然科学基金项目（BK20172538） |
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| 中文摘要: |
| 目的：研究经吞咽训练和间歇性θ短阵脉冲刺激（iTBS）联合治疗后，脑卒中后吞咽障碍患者吞咽功能、表面肌电图及生活质量的变化情况。方法：采用随机数字表法，将我院2020年6月~2023年6月期间接收的88例脑卒中后吞咽障碍患者分为对照组（采用吞咽训练治疗）和研究组（采用iTBS联合吞咽训练治疗），各为44例。对比两组治疗前后吞咽功能、表面肌电图及生活质量的变化情况。结果：研究组治疗后洼田饮水试验（WST）分级改善效果优于对照组（U=8.436，P<0.05）。研究组治疗后标准吞咽功能评定量表（SSA）评分低于对照组；电视透视吞咽功能检查（VFSS）评分高于对照组（P<0.05）。研究组治疗后波形平均值（AEMG）、波形面积（IEMG）、峰值（Apex）高于对照组（P<0.05）。研究组治疗后吞咽障碍特异性生活质量量表（SWAL-QOL）评分高于对照组（P<0.05）。结论：经吞咽训练和iTBS联合治疗后，脑卒中后吞咽障碍患者的吞咽功能、表面肌电图得到明显改善，有助于改善患者的生活质量。 |
| 英文摘要: |
| Purpose: To study the combine treatment of swallowing training and intermittent θ short array pulse stimulation (iTBS), changes of surface electromyography, swallowing function and quality of life in patients with dysphagia after stroke. Methods: The random number table method was used, 88 patients with dysphagia after stroke received in our hospital from June 2020 to June 2023 were divided into control group (treated with swallowing training) and study group (treated with iTBS combine with swallowing training), 44 cases in each group. The changes of swallowing function, surface electromyography and quality of life before and after treatment were compared between two groups. Results: The improvement effect of WST grading in study group was better than that in control group after treatment (P<0.05). The standard swallowing function rating scale (SSA) score in study group was lower than that in control group; the video fluoroscopy swallowing function test (VFSS) score was higher than that in control group after treatment (P<0.05). The average waveform (AEMG), waveform area (IEMG) and peak value (Apex) in study group were higher than those in control group after treatment (P<0.05). The quality of life score in study group was higher than that in control group after treatment (P<0.05). Conclusion: After swallowing training and iTBS combine treatment, the swallowing function and surface electromyography of patients with dysphagia after stroke are significantly improve, which is helpful to improve the quality of life of patients. |
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