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通舌针法辅治脑卒中后吞咽障碍临床观察

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摘要 目的:观察通舌针法辅治缺血性脑卒中(IS)后吞咽障碍的疗效。方法:80例按随机数字表法分成两组各40例。两组均采取常规干预措施。并用神经肌肉电刺激(NMES)治疗。观察组加用通舌针法。结果:治疗后两组洼田饮水试验与SSA评分均降低,观察组降低更明显(P<0.05)。总有效率观察组高于对照组(P<0.05)。两组椎-基底动脉最大峰值流速(Vs)、血流平均流速(Vm)均增加,血管阻力指数(RI)均下降而观察组改善更优(P<0.05)。结论:通舌针法辅治脑卒中后吞咽障碍可提高疗效。 Objective:To observe the curative effect of Tongshe Acupuncture on dysphagia after ischemic stroke(IS).Methods:Eighty cases were randomly divided into two groups,with 40 cases in each group.Both groups were treated with routine intervention measures and neuromuscular electrical stimulation(NMES),and the observation group were treated with Tongshe Acupuncture in addition.Results:After treatment,both the Kubota Water Swallowing Test(KWST)and Swallowing Screening Assessment(SSA)scores decreased in two groups,with a more significant reduction observed in the observation group(P<0.05).The total effective rate was higher of the observation group than that of the control group(P<0.05).The maximum peak flow velocity(Vs)and mean flow velocity(Vm)of the vertebrobasilar artery increased,while the vascular resistance index(RI)decreased in both groups.However,the improvements were more significant in the observation group(P<0.05).Conclusion:Tongshe Acupuncture as an adjuvant therapy for dysphagia after stroke could enhance the curative effect.
出处 《实用中医药杂志》 2024年第10期2048-2050,共3页 Journal of Practical Traditional Chinese Medicine
关键词 脑卒中 吞咽障碍 通舌针法 Stroke Dysphagia Tongshe Acupuncture
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