低频脉冲穴位电刺激配合康复训练对脑卒中患者吞咽功能的影响  

The efficacy of low-frequency electrical acupoint stimulation plus rehabilitation training in improving the swallowing function of stroke survivors

作　　者：李利红[1] 党宇生[1] 叶天申[2] 高明慧[1] 杨迎民[3] 陈炳[3] 谢文霞[2] 

机构地区：[1]温州医学院附属第一医院康复系,温州325000 [2]温州医学院附属第一医院康复理疗科 [3]温州市中医院康复科

出　　处：《中华物理医学与康复杂志》2012年第4期275-278,共4页Chinese Journal of Physical Medicine and Rehabilitation

基　　金：浙江省中医药科技计划项目（2009SA004）

摘　　要：目的观察穴位低频脉冲电刺激配合康复训练对脑卒中患者吞咽功能的影响。方法将脑卒中后吞咽障碍患者80例按随机数字表法分成实验组和对照组，每组患者40例。实验组采用低频脉冲穴位电刺激联合康复训练进行治疗，10d为1个疗程，连续治疗2个疗程；对照组采用低频脉冲非穴位电刺激联合康复训练进行治疗，10d为1个疗程，连续治疗2个疗程。2组患者均于治疗前和治疗2个疗程后（治疗后）采用洼田饮水试验评定吞咽功能，并进行组间和组内比较。结果治疗后，2组患者的洼田饮水试验评分与组内治疗前比较，差异均有统计学意义（P〈0．05）。实验组患者治疗后的洼田饮水试验评分为（2．95±0．21）分，与对照组治疗后的（3．65±0．19）分比较，差异有统计学意义（P〈0．05）；且2组患者治疗前、后洼田饮水试验测定评分差值比较，实验组为（1．25±0．78）分，对照组为（0．70±0．72）分，差异有统计学意义（P〈0．05）。2组治疗的疗效比较，实验组的总有效率为87．5％，显著优于对照组的55．0％，差异有统计学意义（P〈0．05）。结论低频脉冲穴位电刺激联合康复训练可显著改善脑卒中后吞咽障碍患者的吞咽功能，且疗效显著优于低频脉冲非穴位电刺激联合康复训练。Objective To test the efficacy of low-frequency electrical acupoint stimulation plus rehabilitation training in improving swallowing function after stroke. Methods Eighty dysphagic stroke patients were randomly allocated into 2 groups of 40. Patients in the experimental group received low-frequency electrical acupoint stimulation plus 2 courses of rehabilitation training. Control group patients received the same protocol, but The electrical stimulation was not over acupoints. Their swallowing function was assessed using the Kubota water drinking test. Results After treatment, both groups showed significantly lower Kubota scores compared with pre-treatment. Prepost test difference was 1.25 ± 0.78 in the experimental group and 0.70 ± 0.72 in the control group, a significant difference. The total recovery rate in the experimental group was 87.5%. In the control group it was 55%. The improvement in swallowing function was significantly better in the experimental group. Conclusion Both groups showed a significant improvement in swallowing function, but low-frequency electrical acupoint stimulation increased the effectiveness of the rehabilitation training.

关 键 词：吞咽功能障碍 穴位 低频脉冲电刺激 脑卒中 

分 类 号：R743.3[医药卫生—神经病学与精神病学]