摘要
目的:探讨醒脑开窍针结合神经肌肉电刺激对脑卒中后吞咽障碍患者的疗效。方法:选择2015年6月至2017年1月我院收治的96例脑卒中后吞咽障碍患者为研究对象。患者被随机均分为电刺激组(在常规治疗基础上接受神经肌肉电刺激治疗)和联合治疗组(在电刺激组基础上加用醒脑开窍针治疗),两组均连续治疗6周。观察比较两组治疗前后吞咽障碍特异性生活质量量表(SWAL-QOL)评分、表面肌电信号(sEMG)最大波幅和洼田饮水试验分级。结果:与治疗前比较,治疗后两组SWAL-QOL评分和sEMG最大波幅均显著升高,洼田饮水试验分级均显著降低,P均=0.001。与电刺激组比较,联合治疗组治疗后SWAL-QOL评分[(154.67±26.82)分比(198.73±32.55)分]和sEMG最大波幅[(718.56±86.71)μV比(979.82±85.42)μV]升高更显著,洼田饮水试验分级[(2.82±0.71)级比(1.62±0.45)级]降低更显著,P均=0.001。结论:醒脑开窍针治疗结合神经肌肉电刺激治疗脑卒中后吞咽障碍患者,治疗效果显著优于单纯神经肌肉电刺激治疗,值得临床推广。
Objective:To explore therapeutic effect of Xingnaokaiqiao acupuncture combined neuromuscular electrical stimulation on patients with dysphagia after stroke.Methods:A total of 96 patients with dysphagia after stroke,who were treated in our hospital from Jun 2015 to Jan 2017,were selected.Patients were randomly and equally divided into electrical stimulation group(ES group,received neuromuscular electrical stimulation based on routine treatment)and combined treatment group(received additional Xingnaokaiqiao acupuncture based on ES group),both groups were continuously treated for six weeks.Score of swallow quality of life questionnaire(SWAL-QOL),maximal amplitude of surface electromyography(sEMG)and grade of Kubota's drinking test were observed and compared between two groups before and after treatment.Results:Compared with before treatment,there were significant rise in SWAL-QOL score and sEMG maximal amplitude,and significant reduction in Kubota's drinking test grade in two groups after treatment,P=0.001 all.Compared with ES group after treatment,there were significant rise in SWAL-QOL score[(154.67±26.82)scores vs.(198.73±32.55)scores]and sEMG maximal amplitude[(718.56±86.71)μV vs.(979.82±85.42)μV],and significant reduction in Kubota’s drinking test grade[(2.82±0.71)grades vs.(1.62±0.45)grades]in combined treatment group,P=0.001 all.Conclusion:Compared with pure neuromuscular electrical stimulation,Xingnaokaiqiao acupuncture combined neuromuscular electrical stimulation possesses significant better therapeutic effect on patients with dysphagia after stroke,which is worth extending.
作者
徐颖
XU Ying(Department of Rehabilitation,Shunyi Hospital of Beijing Hospital of Traditional Chinese Medicine,Shunyi,Beijing,101300,China)
出处
《心血管康复医学杂志》
CAS
2019年第1期100-103,共4页
Chinese Journal of Cardiovascular Rehabilitation Medicine
关键词
卒中
吞咽障碍
醒脑开窍
经皮神经电刺激
Stroke
Deglutition disorders
Consciousness restor resuscitat
Transcutaneous electric nerveStimulation
