《中国康复理论与实践》

《中国康复理论与实践》 ›› 2010, Vol. 16 ›› Issue (9): 824-826.

• 论文 • 上一篇    下一篇

综合康复治疗对急性脑梗死患者呑咽障碍的疗效观察

王金良，谭峰，丁德权，万赛英，吴海科，黄涛，李广兴   

  1. 广州中医药大学附属佛山市中医院神经内科，广东佛山市 528000。
  • 收稿日期:2010-04-28 修回日期:2010-08-18 出版日期:2010-09-25 发布日期:2010-09-25

Effects of Comprehensive Rehabilitation on Dysphagia in patients after Acute Cerebral Infarction

WANG Jin-liang, TAN Feng, DING De-quan, et al   

  1. Department of Neurology, Foshan Hospital of Traditional Chinese Medicine Guangzhou University of Traditional Chinese Medicine, Foshan 528000, Guangdong, China
  • Received:2010-04-28 Revised:2010-08-18 Published:2010-09-25 Online:2010-09-25

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被引次数

30

摘要： 目的探讨电针结合神经肌肉电刺激（NMES）对急性脑梗死（ACI）吞咽障碍的疗效。方法180例ACI吞咽障碍患者随机分为功能训练组（45例）、电针治疗组（45例）、NMES组（45例）和综合治疗组（45例）4组。治疗前和治疗3周后采用洼田试验评分评定疗效。结果4组治疗后洼田试验评分均优于治疗前（P<0.05）；电针治疗组、NMES组和综合治疗组治疗后洼田试验评分和临床有效率优于功能训练组（P<0.05），综合治疗组较NMES组、电针治疗组更优（P<0.05），电针治疗组与NMES组洼田试验评分和有效率无显著性差异（P＞0.05）。结论综合康复治疗可以明显提高急性脑梗死吞咽障碍的疗效。

关键词: 急性脑梗死, 电针, 神经肌肉电刺激, 吞咽障碍

Abstract: ObjectiveTo observe the effects of electro-acupuncture combined neuromuscular electrical stimulation (NMES) on dysphagia in patients after acute cerebral infarction (ACI).Methods180 ACI patients with dysphagia were divided into the function training group (n=45)，electro-acupuncture group (n=45), NMES group (n=45) and comprehensive rehabilitation group (electro-acupuncture combined with NMES group, n=45). They were assessed with drinking water test before and 3 weeks after treatment. ResultsThe drinking water test scores improved after treatment in all the 4 groups (P<0.05), and more in the electro-acupuncture group, NMES group and comprehensive rehabilitation group than in the function training group (P<0.05). The drinking water test scores improved the most in comprehensive rehabilitation group (P<0.05). ConclusionThe electro-acupuncture combined NMES can effectively improve the therapeutic effect on dysphagia in patients after ACI.

Key words: acute cerebral infarction, electro-acupuncture, neuromuscular electrical stimulation, dysphagia