本文選題：重復(fù)周圍磁刺激　切入點(diǎn)：吞咽障礙　出處：《青島大學(xué)》2017年碩士論文　論文類型：學(xué)位論文

【摘要】：目的:探討頜下肌群重復(fù)周圍磁刺激對于亞急性期腦卒中后吞咽障礙患者吞咽功能的影響。方法:選取40例亞急性期腦卒中后吞咽障礙患者,按照入院時(shí)間編號,隨機(jī)分配到治療組和對照組,治療組給予常規(guī)吞咽訓(xùn)練和頜下肌群重復(fù)周圍磁刺激治療,對照組僅給予常規(guī)吞咽訓(xùn)練,兩組患者每天治療1次,每次30分鐘,每周5天,共2周。治療前后分別行藤島一郎吞咽障礙評分、才藤氏七級評價(jià)和表面肌電圖檢查,2周后觀察對比兩組患者吞咽功能變化:藤島一郎吞咽障礙評分、才藤氏七級評價(jià)、和頜下肌群表面肌電圖吞咽時(shí)程及最大振幅的改變。結(jié)果:兩組患者治療2周后吞咽功能較前均有改善,組內(nèi)比較:兩組患者治療后較治療前藤島一郎吞咽障礙評分、才藤氏七級評價(jià)法評分改善,差異具有統(tǒng)計(jì)學(xué)意義(P0.05),表面肌電圖示最大振幅增高,吞咽時(shí)限縮短,差異具有統(tǒng)計(jì)學(xué)意義(P0.05);組間比較:治療組患者藤島一郎吞咽障礙評分高于對照組,差異具有統(tǒng)計(jì)學(xué)意義(P=0.038),才藤氏七級評價(jià)法,治療后治療組改善較對照組改善,差異具有統(tǒng)計(jì)學(xué)意義(P=0.006),治療組表面肌電圖吞咽時(shí)程較對照組縮短,差異具有統(tǒng)計(jì)學(xué)意義(P=0.005),治療組表面肌電圖吞咽最大振幅增高相對于對照組未表現(xiàn)出明顯差異(P=0.352)。結(jié)論:重復(fù)周圍磁刺激聯(lián)合常規(guī)吞咽訓(xùn)練較單純常規(guī)吞咽訓(xùn)練可以更好地改善患者吞咽功能,縮短吞咽時(shí)程,主要表現(xiàn)為提高卒中后吞咽障礙患者吞咽肌群的靈活性、協(xié)調(diào)性,因此臨床上可選擇性采用重復(fù)周圍磁刺激治療卒中后吞咽障礙。
[Abstract]:Objective: to investigate the effect of repeated peripheral magnetic stimulation of submandibular muscles on swallowing function in patients with dysphagia after subacute stroke. They were randomly assigned to the treatment group and the control group. The treatment group received routine swallowing training and repeated peripheral magnetic stimulation of the submaxillary muscle group, while the control group only received routine swallowing training. The patients in the two groups were treated once a day for 30 minutes, 5 days a week. Before and after treatment, the patients' swallowing function was evaluated and compared with that of Fujiichiro's grade 7 evaluation and surface electromyography (EMG) two weeks after treatment: Ichiro Fujiichiro's dysphagia score and Teng's grade 7 evaluation were compared and observed after 2 weeks of treatment, 2 weeks after treatment, the changes of swallowing function were compared between the two groups. Results: after two weeks of treatment, the swallowing function was improved in both groups, and the scores of dysphagia in the two groups were compared with those before treatment. The score of Caiteng's grade 7 evaluation method was improved, the difference was statistically significant (P 0.05), the maximum amplitude of surface electromyogram was increased, and the time of swallowing was shortened. Comparison between groups: the score of dysphagia in the treatment group was higher than that in the control group, and the difference was statistically significant (P < 0.05). The improvement of the treatment group was better than that of the control group after treatment. The difference was statistically significant (P < 0. 006). The duration of swallowing by EMG in the treatment group was shorter than that in the control group. The difference was statistically significant. The maximum amplitude of surface electromyogram swallowing in the treatment group was higher than that in the control group. Conclusion: repeated peripheral magnetic stimulation combined with routine swallowing training is more effective than routine swallowing training. Better improve patients' swallowing function, The main manifestation of shortening the duration of swallowing is to improve the flexibility and coordination of swallowing muscle group in patients with dysphagia after stroke, so repeated magnetic stimulation can be used to treat dysphagia after stroke.
【學(xué)位授予單位】：青島大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2017
【分類號】：R743.3;R493

【參考文獻(xiàn)】

相關(guān)期刊論文 前10條

1 毛立亞;李麗麗;毛忠南;韓艷萍;張曉凌;姚軍孝;李明;;Therapeutic Effect of Acupuncture Combining Standard Swallowing Training for Post-stroke Dysphagia:A Prospective Cohort Study[J];Chinese Journal of Integrative Medicine;2016年07期

2 劉結(jié)根;李笑蓮;林小珍;趙秀珠;劉肖虹;;重復(fù)經(jīng)顱磁刺激治療吞咽障礙對腦卒中相關(guān)性肺炎發(fā)生率的影響[J];慢性病學(xué)雜志;2016年02期

3 于帆;竇祖林;陳文華;蘭月;林拓;衛(wèi)小梅;;吞咽造影同步咽腔測壓評估腦干損傷后吞咽障礙[J];中華物理醫(yī)學(xué)與康復(fù)雜志;2016年01期

4 郄淑燕;王叢笑;宋德軍;馬全勝;汪杰;米立新;;重復(fù)周圍磁刺激治療慢性非特異性下腰痛的臨床效果[J];中國康復(fù)理論與實(shí)踐;2015年10期

5 周立富;王淑娟;元小冬;趙艷生;張亞杰;馬英;王卓;王小潔;孔元;薛寶川;;正常人吞咽活動激活腦皮質(zhì)中樞的功能性磁共振定量分析[J];中華物理醫(yī)學(xué)與康復(fù)雜志;2015年04期

6 蘇文華;閻文靜;鐘明華;林延敏;高呈飛;朱其秀;;神經(jīng)肌肉電刺激對腦卒中后吞咽障礙患者吞咽功能及其表面肌電圖的影響[J];中華物理醫(yī)學(xué)與康復(fù)雜志;2015年03期

7 洪顯釵;舒美春;留盈盈;孫海秋;林碎麗;葉維敏;;集束化護(hù)理對腦卒中吞咽功能障礙患者康復(fù)效果及生存質(zhì)量的影響研究[J];中國全科醫(yī)學(xué);2015年08期

8 張杰;李進(jìn)讓;;表面肌電圖在吞咽功能檢查及康復(fù)中的應(yīng)用[J];國際耳鼻咽喉頭頸外科雜志;2013年05期

9 韓婕;閻文靜;戴玲莉;朱其秀;;表面肌電圖在腦卒中吞咽障礙患者康復(fù)療效評估中的應(yīng)用研究[J];中國康復(fù)醫(yī)學(xué)雜志;2013年06期

10 任國平;孫智軍;漆成軍;;針灸結(jié)合康復(fù)訓(xùn)練治療腦卒中患者吞咽困難的臨床研究[J];中國醫(yī)學(xué)創(chuàng)新;2013年05期

，

本文編號：1603356