本文選題：重復周圍磁刺激　切入點：吞咽障礙　出處：《青島大學》2017年碩士論文　論文類型：學位論文

【摘要】：目的:探討頜下肌群重復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,按照入院時間編號,隨機分配到治療組和對照組,治療組給予常規(guī)吞咽訓練和頜下肌群重復周圍磁刺激治療,對照組僅給予常規(guī)吞咽訓練,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、和頜下肌群表面肌電圖吞咽時程及最大振幅的改變。結果:兩組患者治療2周后吞咽功能較前均有改善,組內比較:兩組患者治療后較治療前藤島一郎吞咽障礙評分、才藤氏七級評價法評分改善,差異具有統(tǒng)計學意義(P0.05),表面肌電圖示最大振幅增高,吞咽時限縮短,差異具有統(tǒng)計學意義(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)計學意義(P=0.038),才藤氏七級評價法,治療后治療組改善較對照組改善,差異具有統(tǒng)計學意義(P=0.006),治療組表面肌電圖吞咽時程較對照組縮短,差異具有統(tǒng)計學意義(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)。結論:重復周圍磁刺激聯(lián)合常規(guī)吞咽訓練較單純常規(guī)吞咽訓練可以更好地改善患者吞咽功能,縮短吞咽時程,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)調性,因此臨床上可選擇性采用重復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.
【學位授予單位】：青島大學
【學位級別】：碩士
【學位授予年份】：2017
【分類號】：R743.3;R493

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