| 颜渊红,陈祥科,赵光强.镜像疗法引导的运动想象训练联合体外膈肌起搏器对脑卒中后吞咽障碍病人吞咽功能及生存质量的影响[J].安徽医药,2023,27(11):2229-2232. |
| 镜像疗法引导的运动想象训练联合体外膈肌起搏器对脑卒中后吞咽障碍病人吞咽功能及生存质量的影响 |
| Impacts of mirror therapy-guided motor imagery training combined with external diaphragm pacemaker on swallowing function and quality of life in patients with dysphagia after stroke |
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| DOI：10.3969/j.issn.1009-6469.2023.11.024 |
| 中文关键词: 吞咽障碍 镜像疗法 运动想象训练 体外膈肌起搏器 脑卒中 |
| 英文关键词: Deglutition disorders Mirror therapy Motor imagery training External diaphragm pacemaker Stroke |
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| 中文摘要: |
| 目的探讨镜像疗法引导的运动想象训练( MIT)联合体外膈肌起搏器( EDP)对脑卒中后吞咽障碍( DAS)病人吞咽功能及生存质量的影响。方法选取 2019年 1月至 2021年 10月三亚市人民医院收治的 DAS病人 78例，按随机数字表法分为对照组 39例，实施镜像疗法引导的 MIT，观察组 39例，实施镜像疗法引导的 MIT+EDP治疗。判定两组吞咽障碍干预效果，并比较干预前、干预 4周后表面肌电图结果及吞咽障碍特异性生活质量量表( SWAL-QOL)评分。结果观察组干预总有效率为 94.87%，明显高对照组的 76.92%(P<0.05)；干预后，两组吞咽最大波幅及 SWAL-QOL评分均较干预前明显增高( P<0.05)吞咽时程均较干预前明显缩短( P<0.05)，且观察组吞咽最大波幅［( 671.20±65.29)μV比( 568.14±57.68)μV］及 SWAL-QOL评分，［( 161.41±17.89)分比( 139.46±16.72)分］明显较对照组高( P<0.05)吞咽时程［( 1.05±0.29)s比(1.31±0.36)s］明显较对照组短(P<0.05)。结论镜像疗法引导的 MIT联合 EDP对 DAS进行干预，，可明显改善病人吞咽功能及表面肌电图结果，有效提升其生活质量。 |
| 英文摘要: |
| Objective To investigate the impacts of mirror therapy-guided motor imagery training (MIT) combined with external diaphragm pacemaker (EDP) on swallowing function and quality of life in patients with dysphagia after stroke (DAS).Methods Seventy-eight DAS patients accepted by Sanya People′s Hospital from January 2019 to October 2021 were separated into the control group (n= 39, mirror therapy-guided MIT) and the research group (n=39, mirror therapy-guided MIT+EDP therapy). The effect of the swallowingdisorder intervention in the two groups was determined, and the results of surface electromyography and the swallowing disorder-specific quality of life scale (SWAL-QOL) score before and after 4 weeks of intervention were compared.Results The effective rate of intervention in the study group was 94.87%, significantly higher than 76.92% in the control group (P<0.05);after intervention, the maximum amplitude of swallowing and SWAL-QOL score in both groups were obviously higher after intervention (P<0.05), and the duration of swallowing was obviously shorter after intervention (P<0.05), the maximum amplitude of swallowing [(671.20±65.29) μV vs. (568.14± 57.68) μV] and the SWAL-QOL score [(161.41±17.89) points vs. (139.46±16.72) points] in the study group were obviously higher than control group (P<0.05), and the swallowing duration [(1.05±0.29)s vs. (1.31±0.36)s] was obviously shorter than control group (P<0.05). Conclusion Mirror therapy-guided MIT combined with EDP intervention on DAS can obviously ameliorate patients′ swallowing function and surface electromyography results, and usefully ameliorate quality of living. |
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