摘要
目的:比较针刺配合康复训练与电刺激配合康复训练治疗脑卒中后吞咽障碍的疗效。方法:选取97例脑卒中后发生吞咽障碍的患者,随机分为针刺组(32例)、电刺激组(35例)和康复组(30例)。康复组给予常规治疗(神经内科常规治疗方法及康复训练),针刺组给予常规治疗配合针刺治疗,穴取风池、扶突、额三针等;电刺激组给予常规治疗配合电刺激治疗。采用洼田饮水试验、咯痰功能计分及吞咽功能透视检查进行吞咽功能疗效评估。结果:治疗后针刺组总有效率为96.9%(31/32),电刺激组为94.3%(33/35),均优于康复组的66.7%(20/30)(P<0.01)。治疗后各组吞咽功能较治疗前均有显著改善(均P<0.05),治疗后针刺组与电刺激组均优于康复组(均P<0.05)。结论:针刺和电刺激配合康复训练比单纯的康复训练疗效更好,针刺与电刺激治疗吞咽障碍的疗效相当。
Objective To compare the therapeutic effects between acupuncture and electric stimulation on post- stroke dysphagia on the basis of rehabilitation training. Methods Ninety-seven patients with post-stroke dysphagia were randomly divided into an acupuncture group （group A, n=32）, an electric stimulation group （group B, n= 35） and a rehabilitation training group（group C, n= 30）. In group C, the conventional therapy （conventional therapy of neurologic internal medicine and rehabilitation training） was applied. Ingroup A, the combination of conventional therapy and acupuncture was applied. The acupoints of Fengchi （GB 20）, Futu （LI 18）, three-needles on the forehead, etc. were selected. In group B, the combination of conventional therapy and electric stimulation was a- dopted. Watian drinking water experiment, stethocatharsis {unction scoring and video fluoroscopic swallowing study （VFSS） were used to evaluate swallowing function of patients. Results After treatment, the total effective rate was 96.9% （31/32） in group A and was 94.3% （33/35） in group B, which was superior to that of 66.7% （20/30） in group C （P〈0.01）. After treatment, the swallowing function in group A, group B and group C were all improved significantly as compared with that before treatment （all P〈0.05）. After treatment, the effects in group A and B were superior to that in group C （both P〈0.05）. Conclusion The therapeutic effect of the combination of either acupuncture or electric stimulation with rehabilitation training is better than that of simple rehabilitation training. The efficacy on dysphagia is equal between acupuncture and electric stimulation.
出处
《中国针灸》
CAS
CSCD
北大核心
2010年第12期969-973,共5页
Chinese Acupuncture & Moxibustion
基金
广东省中医药局基金资助项目:A-1007229
关键词
脑卒中
吞咽障碍
针刺疗法
电刺激
随机对照试验
Stroke
Deglutition Disorders
Acupuncture Therapy
Electric Stimulation
Randomized Controlled Trial （RCT）
