摘要
目的探讨皮内针联合经颅磁刺激(TMS)在脑卒中后吞咽障碍患者中的应用效果。方法选取2020年6月至2021年2月安徽中医药大学第一附属医院针灸康复一科收治的60例脑卒中后吞咽功能障碍患者作为研究对象,采用随机数字表法分为对照组(20例)、皮内针组(20例)以及联合组(20例)。对照组方案为脑卒中基础治疗和吞咽训练治疗3周,皮内针组在对照组的基础上加用皮内针治疗3周,联合组在皮内针组基础上加用经颅磁刺激治疗3周。观察比较三组治疗3周后洼田饮水试验(WST)及改良吞咽能力评价量表(MMASA)评分的变化情况。结果治疗后,三组WST评分均低于本组治疗前,差异有统计学意义(P<0.05);治疗后,皮内针组WST评分与对照组比较,差异无统计学意义(P>0.05);治疗后,联合组WST评分低于对照组及皮内针组,差异有统计学意义(P<0.05)。治疗后,三组MMASA评分均高于本组治疗前,差异有统计学意义(P<0.05);治疗后,皮内针组及联合组MMASA评分均高于对照组,差异有统计学意义(P<0.05);治疗后,联合组MMASA评分高于皮内针组,差异有统计学意义(P<0.05)。结论皮内针有利于脑卒中后吞咽功能恢复,且联合经颅磁刺激疗效更佳。
Objective To investigate the effect of intradermal needle combined with transcranial magnetic stimulation in patients with dysphagia after stroke.Methods A total of 60 patients with poststroke swallowing dysfunction,admitted from the First Department of Acupuncture and Rehabilitation of the First Affiliated Hospital of Anhui University of Chinese Medicine from June 2020 to February 2021,were selected as the research subjects and divided into control group(20 cases),intradermal needle group(20 cases)and combined group(20 cases).The control group protocol was the basic treatment of stroke and swallowing training for 3 weeks,the endothelial needle group was treated with 3 weeks to the control group,and the combined group was treated with transscranial magnetic stimulation to the group for 3 weeks.The changes in the avada drinking water test(WST)and the modified swallowing capacity evaluation scale(MMASA)scores after 3 weeks of treatment in the three groups were compared.Results After treatment,the WST scores of the three groups were lower than those before the treatment,and the differences were statistically significant(P<0.05).After treatment,the WST score of the intradermal needle group was compared with the control group,and the difference was not statistically significant(P>0.05).After treatment,the WST score of the combined group was lower than that of the control group and the intradermal needle group,the difference was statistically significant(P<0.05).After treatment,the MMASA scores of the three groups were higher than those of this group before treatment,and the differences were statistically significant(P<0.05).After treatment,the MMASA scores of the intradermal needle group and the combined group were higher than those of the control group,and the differences were statistically significant(P<0.05).After treatment,the MMASA score of the combined group was higher than that of the intradermal needle group,the difference was statistically significant(P<0.05).Conclusion Intradermal acupuncture is beneficial t
作者
吴琦
肖洪波
龚悦诚
储著红
WU Qi;XIAO Hongbo;GONG Yuecheng;CHU Zhuhong(Graduate School,Anhui University of Chinese Medicine,Anhui Province,Hefei 230031,China;Department of Acupuncture and Rehabilitation,The First Affiliated Hospital of Anhui University of Chinese Medicine,Anhui Province,Hefei 230031,China)
出处
《中国当代医药》
CAS
2022年第5期132-135,共4页
China Modern Medicine
关键词
皮内针
经颅磁刺激
脑卒中
吞咽障碍
Intradermal needle
Transcranial magnetic stimulation
Stroke
Dysphagia
