摘要
目的观察比较低频电针与高频电针针刺风府穴治疗脑卒中后吞咽障碍的临床疗效。方法选取2019年1月—2020年1月期间天津中医药大学第一附属医院收治的96例脑卒中后吞咽障碍患者作为研究对象,按随机数字表法分为3组,各32例,对照组单纯进行吞咽功能训练,低频组和高频组在对照组基础上以风府穴为主穴分别以低频(2 Hz)和高频(100 Hz)电针刺激。对比3组患者治前后的标准吞咽功能评价量表(SSA)评分、口腔期通过时间、咽期延迟时间、咽期通过时间及视频透视吞咽检查(VFSS)评分结果,住院期间的肺炎发生率,营养风险筛查评分表(NRS-2002)评分及临床疗效。结果与治疗前相比,3组患者治疗后的SSA评分、口腔期通过时间、咽期延迟时间、咽期通过时间、NRS-2002评分均明显降低,VFSS评分明显升高,差异均有统计学意义(P<0.05)。3组患者治疗后的SSA评分、口腔期通过时间、咽期延迟时间、咽期通过时间、VFSS评分组间比较,差异均有统计学意义(P<0.05),高频组和低频组肺炎发生率及治疗后的NRS-2002评分均低于对照组,差异均有统计学意义(P<0.05)。高频组与低频组的肺炎发生率及治疗后的NRS-2002评分比较,差异均无统计学意义(P>0.05)。3组患者的治疗总有效率组间两两比较,差异均有统计学意义(P<0.05)。结论电针刺激风府穴对脑卒中后吞咽障碍患者的吞咽功能有显著的改善效果,不同频率电针能通过促发机体的自我调节功能来提高疗效,低频电针对吞咽功能的改善效果优于高频电针。
Objective To compare the efficacy of low frequency electroacupuncture and high frequency electroacupuncture on Fengfu point in the treatment of dysphagia after stroke.Methods Ninety-six patients with dysphagia after stroke admitted to this hospital were selected as the research object,and they were divided into 3 groups with 32 cases in each group using random number method.The control group only received swallowing function training,and the low-frequency group and the high-frequency group were based on the control group.The main acupoint Fengfu on the upper side was stimulated with low-frequency(2 Hz)and high-frequency(100 Hz)electrical acupuncture respectively.The standard Swallowing Function Assessment Scale(SSA)scores,oral passage time,pharyngeal delay time,pharyngeal passage time,and video fluoroscopic swallowing test(VFSS)score results of the three groups before and after treatment were compared.The incidence of pneumonia during hospitalization and Nutritional Risk Screening Score(NRS-2002)were recorded among the three groups.Results Compared with before treatment,the SSA scores,oral passage time,pharyngeal delay time,pharyngeal passage time,and NRS-2002 scores of the three groups after treatment were significantly reduced,and the VFSS score was significantly increased,and the differences were statistically significant.Academic significance(P<0.05).Comparison of SSA scores,oral passage time,pharyngeal delay time,pharyngeal passage time,and VFSS scores of the three groups after treatment were statistically significant(P<0.05)the incidence of pneumonia in the high-frequency and low-frequency groups.And the NRS-2002 scores after treatment were lower than those of the control group,and the differences were statistically significant(P<0.05).There was no significant difference in the incidence of pneumonia and the NRS-2002 score after treatment between the high-frequency group and the low-frequency group(P>0.05).The total effective rate of treatment of the 3 groups of patients was compared in pairs,and the differ
作者
周俊
王文熠
李澎
ZHOU Jun;WANG Wen-yi;LI Peng(The First Affiliated Hospital of Tianjin University of Traditional Chinese Medicine,National Research Center of Acupuncture and Moxibustion Clinical Medicine,Tianjin 300193)
出处
《世界中西医结合杂志》
2021年第9期1705-1709,共5页
World Journal of Integrated Traditional and Western Medicine
基金
国家中医药管理局国家中医临床研究基地业务建设科研专项课题(JDZX2015016)。
关键词
电针
高频
低频
风府穴
脑卒中后吞咽障碍
吞咽功能训练
Electroacupuncture
High Frequency
Low Frequency
Fengfu Point
Dysphagia after Stroke
Swallowing Function Training
