表面肌电图在环咽肌失弛缓患者吞咽障碍评定中的应用

doi:10.3969/j.issn.1006-9771.2020.11.005

Abstract

Abstract:

Objective To apply surface electromyography (sEMG) in assessment of swallow function for patients with cricopharyngeal achalasia.Methods From January, 2015 to December, 2019, 48 patients with dysphagia after ischemic stroke accepted videofluoroscopic swallowing study (VFSS); those with cricopharyngeal achalasia were as observation group (n = 24), and those without cricopharyngeal achalasia were as control group (n = 24). Other 24 healthy subjects were as healthy group. They accepted sEMG at infrahyoid muscles and submental muscles as they were resting, and swallowing nothing (saliva), water, thick fluid and semiliquid food. The root mean square (RMS) of sEMG was recorded. The correlation of RMS and VFSS was anlyzed.Results The RMS of both muscle groups increased with the difficuty of swallowing in all the groups (F > 77.652, P< 0.001). For every condition, the RMS of both muscle groups was the most in the observation group, and then for the control group and the healthy group (F > 42.505, P< 0.001). The RMS of both muscle groups positively correlated with VFSS score (r > 0.548, P <0.05).Conclusion sEMG can be used to quantitatively assess the contraction of submental muscles and infrahyoid muscles in cricopharyngeal achalasia patients after ischemic stroke, which may help to evaluate swallowing function.

Key words: stroke, cerebral ischemia, dysphagia, cricopharyngeal achalasia, surface electromyography

CLC Number:

R743.3

WANG Hui-ling,FENG Xiao-dong,LI Rui-qing,LAN Xiao-yan,ZHAO Wei,ZHANG Ming. Application of Surface Electromyography in Assessment of Dysphagia after Cricopharyngeal Achalasia[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2020, 26(11): 1275-1279.

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References 24

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组别	n	性别(男/女, n)	年龄(岁)	身高(cm)	体质量(kg)
健康组	24	10/14	52.37±6.59	170.54±6.41	62.79±6.05
对照组	24	12/12	53.04±7.38	168.20±6.53	62.41±4.28
观察组	24	7/17	55.58±7.50	167.83±4.46	59.50±5.09
χ²/F值		1.072	1.337	1.618	2.888
P值		0.425	0.269	0.206	0.062

组别	n	皮质和白质	桥脑	延髓	基底节区	多发性	大脑半球
对照组	24	2	8	7	4	2	1
观察组	24	0	2	22	0	0	0

组别	n	静息	空吞咽	吞咽水	吞咽浓流质	吞咽糊状	F值	P值
健康组	24	0.79±0.16	6.76±0.97	10.32±1.68	13.02±1.41	15.50±0.99	77.654	< 0.001
对照组	24	6.27±1.97	16.55±2.89	13.90±2.50	15.13±2.27	17.58±2.56	77.652	< 0.001
观察组	24	6.26±1.58	28.75±4.65	28.72±6.38	30.15±3.48	34.85±3.15	171.803	< 0.001
F值		42.505	284.242	137.124	323.852	462.993
P值		< 0.001	< 0.001	< 0.001	< 0.001	< 0.001

组别	n	静息	空吞咽	吞咽水	吞咽浓流质	吞咽糊状	F值	P值
健康组	24	2.19±0.61	5.54±1.46	7.83±2.05	12.04±1.40	15.29±2.30	98.327	< 0.001
对照组	24	6.26±1.49	17.48±2.63	14.25±2.51	16.11±2.28	17.66±2.86	92.311	< 0.001
观察组	24	7.13±2.64	28.52±4.55	25.13±2.42	26.78±4.87	29.91±1.72	176.012	< 0.001
F值		52.091	318.842	160.626	246.709	269.014
P值		< 0.001	< 0.001	< 0.001	< 0.001	< 0.001

Application of Surface Electromyography in Assessment of Dysphagia after Cricopharyngeal Achalasia

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