摘要
目的:探讨皮层咽部舌根针刺法结合颊肌电刺激对脑卒中后吞咽障碍患者的疗效。方法:根据前瞻性随机对照研究方法,92例脑卒中后伴吞咽障碍的患者被随机均分为常规康复组和电刺激针刺组(在常规康复组的基础上接受颊肌电刺激联合皮层-咽部-舌根序贯针刺治疗),两组均连续治疗4周。观察比较两组治疗前后功能性经口摄食量表(FOIS)、洼田饮水试验(WST)分级以及治疗总有效率。结果:与治疗前比较,治疗后两组FOIS等级显著升高,WST分级显著降低,P均=0.001;与常规康复组比较,电刺激针刺组治疗后FOIS等级[(4.41±0.47)级比(5.45±0.21)级]升高更显著,WST分级[(2.76±0.27)级比(2.02±0.23)级]降低更显著,P均=0.001。电刺激针刺组总有效率高于常规康复组(95.65%比84.78%),但无显著差异,P=0.160。结论:皮层咽部舌根针刺法结合颊肌电刺激治疗脑卒中后吞咽障碍患者,摄食和饮水疗效显著,值得临床推广。
Objective:To explore therapeutic effect of cortex-pharynx-tongue root acupuncture(CPTA)combined buccal muscle electrical stimulation(BMES)on patients with dysphagia after stroke.Methods:According to prospective randomized controlled method,a total of 92 patients with dysphagia after stroke were randomly and equally divided into routine rehabilitation group and electrical stimulation acupuncture group(ESP group,received BMES combined sequential CPTA based on routine rehabilitation group),both groups were continuously treated for four weeks.Classes of functional oral intake scale(FOIS)and water swallowing test(WST)before and after treatment,and total effective rate were observed and compared between two groups.Results:Compared with before treatment,there was significant rise in FOIS class,and significant reduction in WST class in two groups after treatment,P=0.001 all;compared with routine rehabilitation group after treatment,there was significant rise in FOIS class[(4.41±0.47)classes vs.(5.45±0.21)classes]and significant reduction in WST class[(2.76±0.27)classes vs.(2.02±0.23)classes]in ESP group,P=0.001 both.Total effective rate of ESP group was higher than that of routine rehabilitation group(95.65%vs.84.78%),but without significant difference,P=0.160.Conclusion:Cortex-pharynx-tongue root acupuncture combined buccal muscle electrical stimulation possesses significant therapeutic effect for ingestion and drinking water in patients with dysphagia after stroke,which is worth extending.
作者
兰昌桂
LAN Chang-gui(Department of TCM Rehabilitation,Chongqing Three Gorges Central Hospital,Wanzhou,Chongqing,404000,China)
出处
《心血管康复医学杂志》
CAS
2019年第6期788-791,共4页
Chinese Journal of Cardiovascular Rehabilitation Medicine
关键词
卒中
吞咽障碍
针刺疗法
电刺激治疗
Stroke
Deglutition disorders
Acupuncture therapy
Electric stimulation therapy
