《中国康复理论与实践》

《中国康复理论与实践》 ›› 2010, Vol. 16 ›› Issue (10): 981-983.

• 论文 • 上一篇    下一篇

针刺联合经皮神经电刺激治疗肝豆状核变性吞咽困难的临床研究

韩永升，韩咏竹，李凯，周志华，毛玉强，李钦潘   

  1. 安徽中医学院神经病学研究所附属医院，安徽合肥市 230061。
  • 收稿日期:2010-08-04 修回日期:1900-01-01 出版日期:2010-10-25 发布日期:2010-10-25
  • 通讯作者: 韩咏竹

Acupuncture and Transcutaneous Electrical Nerve Stimulation on Dysphagia for Hepatolenticular Degeneration

HAN Yong-sheng, HAN Yong-zhu, LI Kai, et al   

  1. Institute of Neurology, Anhui Traditional Chinese Medical College, Hefei 230061, Anhui, China
  • Received:2010-08-04 Revised:1900-01-01 Published:2010-10-25 Online:2010-10-25

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被引次数

14

摘要： 目的探讨肝豆状核变性患者吞咽困难的有效治疗方案。方法将60例肝豆状核变性合并吞咽困难患者分为3组：A组(针刺+经皮神经电刺激+吞咽功能训练)，B组(针刺+吞咽功能训练)，C组(经皮神经电刺激+吞咽功能训练)，1个疗程15 d，共治疗2个疗程。应用洼田饮水试验及标准化床边吞咽功能检查表(SSA)进行疗效评价。结果第1个疗程后A组疗效明显优于B组、C组，A组的两种评分差值明显高于B组、C组(P＜0.01)。第2个疗程后3组之间饮水试验及SSA评分无显著性差异(P＞0.05)。结论针刺联合经皮神经电刺激和吞咽功能训练综合治疗能够有效改善肝豆状核变性患者的吞咽功能。

关键词: 肝豆状核变性, 吞咽困难, 针刺, 经皮神经电刺激, 吞咽功能训练

Abstract: ObjectiveTo study the clinical efficcacy of combined therapy of acupuncture, transcutaneous electrical nerve stimulation and swallowing function training in the treatment of dysphagia for hepatolenticular degeneration.MethodsSixty patients with dysphagia for hepatolenticular degeneration were divided into three groups: group A treated with acupuncture, transcutaneous electrical nerve stimulation and swallowing function training, group B treated with acupuncture and swallowing function training, and group C treated with transcutaneous electrical nerve stimulation and swallowing function training. The three groups had all been treated for two courses of treatment(30 d).ResultsThe therapeutic effect of group A outweighed groups B and C and the socres of water swallow test and standardized bedside swallowing assessment(SSA) were higher in group A than in groups B and Cafter the first course of treatment(P＜0.01), while there were no significant difference among the three groups (P>0.05) after the second course of treatment.ConclusionCombined therapy of acupuncture, transcutaneous electrical nerve stimulation and swallowing function training is effective to improve the swallowing function of hepatolenticular degeneration following dysphagia.

Key words: hepatolenticular degeneration, dysphagia, acupuncture, transcutaneous electrical nerve stimulation, swallowing function training