摘要
目的 评价深层咽肌神经刺激配合醒脑开窍针治疗脑卒中后咽期吞咽障碍的疗效。方法 将符合入选标准的84例脑卒中后咽期吞咽障碍患者按随机数字表法分为A、B、C组，每组28例。3组患者均接受相同的药物及康复治疗。在此基础上，A组采用深层咽肌神经刺激配合醒脑开窍针，B组采用深层咽肌神经刺激，C组采用醒脑开窍针治疗。3组均治疗4周。采用Rosenbek误吸程度分级标准评估患者误吸程度，采用吞咽困难分级量表评估患者吞咽困难程度，采用洼田饮水试验评估患者症状改善程度，评价临床疗效。结果 治疗后，B、C组误吸程度分级[（4.2±0.5）级、（4.0±0.4）级比（3.0±0.5）级，F＝6.117]高于A组（P＜0.05），吞咽困难评分[（5.3±1.3）分、（5.1±1.1）分比（7.6±1.4）分，F＝6.541]低于A组（P＜0.05）。A组总有效率[96.4%（27/28）比85.7%（24/28）、82.1%（23/28），χ2＝4.766、7.791]高于B、C组（P＜0.05）。结论 深层咽肌神经刺激配合醒脑开窍针可提高脑卒中后咽期吞咽障碍患者误吸程度分级，改善吞咽困难，提高临床疗效。
Objective To discuss the effect of deep pharyngeal muscle nerve stimulation combined with Xingnao-Kaiqiao acupuncture on patients with Pharyngeal dysphagia after stroke . Methods According to the digital table method, 99 patients with Pharyngeal dysphagia after stroke were randomly divided into A group, B group and C group, 33 cases in each group. A group received deep pharyngeal muscle nerve stimulation combined with Xingnao-Kaiqiao acupuncture; B group received deep pharyngeal nerve stimulation; and C group received Xingnao-Kaiqiao acupuncture treatment. The conventional treatment were used in all groups After 4 weeks of treatment, the relevant evaluation indexes were compared before and after treatment. Results After treatment, the Grade of aspiration （4.2 ± 0.5, 4.0 ± 0.4 vs. 3.0 ± 0.5, F=6.117） was significantly higher than A group （P〈0.05）, dysphagia score （5.3 ± 1.3, 5.1 ± 1.1 vs. 7.6 ± 1.4, F=6.541） in B and C groups was significantly lower than A group （P〈0.05）. The total effective rate [96.4% （27/28）, 85.7% （24/28） vs. 82.1% （23/28）, χ2=4.766, 7.791] of A group was significantly higher than that of B group and C group （P〈0.05）. Conclusions The deep pharyngeal nerve stimulation combined with Xingnao-Kaiqiao acupuncture could treatthe patients with dysphagia after stroke.
出处
《国际中医中药杂志》
2018年第1期14-17,共4页
International Journal of Traditional Chinese Medicine
关键词
卒中
吞咽障碍
深层咽肌神经刺激
醒脑开窍
针刺疗法
脑卒中康复
Stroke
Deglutition disorders
Deep pharyngeal nerve stimulation
Consciousness-restoringresuscitation
Acupuncture therapy
Stroke rehabilitation
