摘要
目的探讨电针结合神经肌肉电刺激(NMES)对急性脑梗死(ACI)吞咽障碍的疗效。方法 180例ACI吞咽障碍患者随机分为功能训练组(45例)、电针治疗组(45例)、NMES组(45例)和综合治疗组(45例)4组。治疗前和治疗3周后采用洼田试验评分评定疗效。结果 4组治疗后洼田试验评分均优于治疗前(P<0.05);电针治疗组、NMES组和综合治疗组治疗后洼田试验评分和临床有效率优于功能训练组(P<0.05),综合治疗组较NMES组、电针治疗组更优(P<0.05),电针治疗组与NMES组洼田试验评分和有效率无显著性差异(P>0.05)。结论综合康复治疗可以明显提高急性脑梗死吞咽障碍的疗效。
Objective To observe the effects of electro-acupuncture combined neuromuscular electrical stimulation（NMES）on dysphagia in patients after acute cerebral infarction（ACI）.Methods180 ACI patients with dysphagia were divided into the function training group（n=45）,electro-acupuncture group（n=45）,NMES group（n=45）and comprehensive rehabilitation group（electro-acupuncture combined with NMES group,n=45）.They were assessed with drinking water test before and 3 weeks after treatment.ResultsThe drinking water test scores improved after treatment in all the 4 groups（P〈0.05）,and more in the electro-acupuncture group,NMES group and comprehensive rehabilitation group than in the function training group（P〈0.05）.The drinking water test scores improved the most in comprehensive rehabilitation group（P〈0.05）.ConclusionThe electro-acupuncture combined NMES can effectively improve the therapeutic effect on dysphagia in patients after ACI.
出处
《中国康复理论与实践》
CSCD
2010年第9期824-826,共3页
Chinese Journal of Rehabilitation Theory and Practice
基金
佛山市科技发展专项资金资助(项目编号:200708067)
关键词
急性脑梗死
电针
神经肌肉电刺激
吞咽障碍
acute cerebral infarction
electro-acupuncture
neuromuscular electrical stimulation
dysphagia
