| 马金娜,宁丽娜,王再岭,侯振民,熊杰.针刺结合低频电刺激治疗脑梗死后吞咽障碍的疗效观察[J].中国康复,2014,29(6):406-408 |
| 针刺结合低频电刺激治疗脑梗死后吞咽障碍的疗效观察 |
| Clinical observation of acupuncture combined with low-frequency electrical stimulation for dysphagia after cerebral infarction |
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| DOI： |
| 中文关键词: 吞咽障碍 针刺 低频电刺激 |
| 英文关键词: swallow disability acupuncture low-frequency electric stimulation |
| 基金项目:武警后勤学院附属医院种子基金（FMY201103） |
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| 中文摘要: |
| 目的：观察针刺结合低频电刺激治疗脑梗死后吞咽障碍的疗效。方法：脑梗死后吞咽障碍患者120例，随机分为针刺组、电刺激组及综合组各40例。3组均按常规对症支持治疗。针刺组加用针刺治疗，电刺激组加用电刺激治疗，综合组联合以上两种方法治疗。采用洼田饮水实验、脑卒中患者神经功能缺损程度评分标准中的吞咽困难亚量表进行评定临床疗效。结果：治疗1及2周后，3组洼田氏饮水试验评分均较治疗前呈逐渐下降趋势（P<0.01），且各时间点综合组评分更低于针刺组及电刺激组（P<0.01），针刺组与电刺激组评分各时间点比较均差异无统计学意义；治疗1及2周后，3组吞咽困难亚量表吞咽障碍程度评分均较治疗前呈逐渐上升趋势（P<0.01），且各时间点综合组评分更高于针刺组及电刺激组（P<0.01），针刺组与电刺激组评分各时间点比较均差异无统计学意义；治疗2周后，3组临床疗效比较，综合组总有效率均明显高于针刺组及电刺激组（P<0.01），针刺组与电刺激组比较差异无统计学意义。结论：针刺结合低频电刺激法明显提高脑梗死后吞咽障碍患者的吞咽功能。 |
| 英文摘要: |
| Objective:To observe the clinical effect of acupuncture combined with low-frequency electrical stimulation for dysphagia after cerebral infarction. Methods: 120 patients with dysphagia after cerebral infarction were randomly divided into an acupuncture group, an electric stimulation group and a comprehensive group. All patients in the three groups were given conventional symptomatic treatment, the patients in acupuncture group were given acupuncture treatment, those in electric stimulation group were given low-frequency electric stimulation treatment and those in comprehensive group given both the two treatments. Watian water drinking test and dysphagia scale were used to evaluate the therapeutic effect. Results: One and 2 weeks after treatment, the Watian drinking water test score in all 3 groups showed a gradually declined trend (P<0.01), and the score in comprehensive group was significantly lower than in acupuncture group and electric stimulation group at each time point (P<0.01), but there was no significant difference between acupuncture group and electric stimulation group. One and 2 weeks after treatment, the dysphagia scale score in all 3 groups was increased as compared with that before the treatment (P<0.01), and the score in comprehensive group was significantly greater than in acupuncture group and electric stimulation group at each time point (P<0.01), but there was no significant difference between acupuncture group and electric stimulation group. Two weeks after treatment, total effective rate in comprehensive group was higher than in the other two groups (P<0.01), but there was no significant difference between acupuncture group and electric stimulation group. Conclusion: Acupuncture combined with low-frequency electrical stimulation is significantly effective for treating dysphagia after cerebral infarction. |
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