温针灸联合神经肌肉电刺激治疗卒中后吞咽功能障碍临床研究
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R246.6;R743.3

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Clinical Study of Warm Needling Combined with Neuromuscular Electrical Stimulation for Post-Stroke Dysphagia
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    摘要:

    目的:观察温针灸联合神经肌肉电刺激(NMES) 治疗卒中后吞咽功能障碍的临床疗效。方法:选择92 例卒中后吞咽功能障碍患者,按照随机数字表法分为研究组和对照组各46 例。对照组行基础西医治疗联合NMES 干预,研究组在对照组疗的基础上加用温针灸。治疗3 个疗程后,比较2 组吞咽功能、舌骨喉复合体动度、中医证候疗效。结果:治疗后,研究组总有效率为97.83%,高于对照组的69.57%,差异有统计学意义(P<0.05)。治疗后,2 组标准吞咽功能评价量表(SSA) 评分均较治疗前降低(P<0.05),舌骨喉复合体动度各指标均较治疗前增大(P<0.05);研究组SSA 评分低于对照组,舌骨喉复合体动度各指标均大于对照组。结论:温针灸联合NMES 治疗卒中后吞咽功能障碍疗效显著,可有效恢复患者的吞咽功能及舌骨喉复合体动度。

    Abstract:

    Abstract:Objective:To observe the clinical effect of warm needling combined with neuromuscular electrical stimulator (NMES) for post-stroke dysphagia. Methods:A total of 92 cases of patients with post-stroke dysphagia were divided into the study group and the control group according to the random number table method,46 cases in each group. The control group was treated with routine western medicine and NMES, and the study group was additionally treated with warm needling based on the treatment of the control group. After three courses of treatment, the swallowing function, the hyolaryngeal structural movement and the curative effect evaluating by Chinese medicine syndrome were compared between the two groups. Results:After treatment,the total effective rate was 97.83% in the study group,higher than that of 69.57% in the control group,the difference being significant(P<0.05). After treatment,the scores of Standardized Swallowing Assessment (SSA) in the two groups were decreased when compared with those before treatment(P<0.05), and each index of hyolaryngeal structural movement in the two groups were increased(P<0.05). In the study group, the score of SSA was lower than that in the control group,and each index of hyolaryngeal structural movement was bigger than that in the control group. Conclusion:The therapy of warm needling combined with NMES has significant curative effect in treating post-stroke dysphagia,which can effectively recovery the swallowing function and hyolaryngeal structural movement.

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乐维,裴磊,施赟华.温针灸联合神经肌肉电刺激治疗卒中后吞咽功能障碍临床研究[J].新中医,2020,52(18):126-128

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  • 在线发布日期: 2020-09-20
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