Vocastim吞咽语言治疗仪联合风池穴针刺治疗急性脑卒中后假性延髓麻痹的临床研究  

Effect of Vocastim Master and Acupuncture at Fengchi on Pseudobulbar Paralysis After Acute Stroke

作　　者：陈涛[1] 徐鹏[1] 董军立[1] 陈光辉[1] 赵斌 

机构地区：[1]湖北医药学院附属人民医院,442000

出　　处：《中西医结合心脑血管病杂志》2014年第10期1177-1179,共3页Chinese Journal of Integrative Medicine on Cardio-Cerebrovascular Disease

摘　　要：目的观察Vocastim吞咽语言治疗仪联合风池穴针刺治疗急性脑卒中后假性延髓麻痹的疗效。方法将128例急性脑卒中后假性延髓麻痹患者随机分为对照组(63例)和联合组(65例),对照组给予常规Vocastim吞咽治疗仪进行治疗,联合组给予Vocastim吞咽语言治疗仪联合风池穴针刺进行治疗,观察两组的临床治疗效果。结果两组治疗1个疗程、2个疗程后吞咽X线透视检查(VFSS)评分均较治疗前明显升高,差异有统计学意义(P<0.05或P<0.01),且两组治疗1个疗程、2个疗程后VFSS评分差异有统计学意义(P<0.05)。联合组改善吞咽障碍总有效率可达92.3%,改善构音障碍有效率可达90.8%,与对照组相比差异有统计学意义(P<0.01)。结论 Vocastim吞咽语言治疗仪联合风池穴针刺治疗急性脑卒中患者假性延髓麻痹疗效显著,能够有效改善患者吞咽、构音障碍。O bjective To explore the clinical therapeutic effect of Vocastim M aster and acupuncture at GB20（ Fengchi） on pseudobulbar paralysis after acute stroke .M ethods O ne hundred and tw enty e ight patients w ere divided in tw o groups at random , the contro l group treated w ith Vocastim M aster,the com bination group treated w ith Vocastim M aster and acupuncture .Before and after treatm ent the clinical therapeutic effectw ere observed.Results Before trea tm ent the sw alow ing function score in bo th group w ere no t different.After treatm ent the scores were different significantly betw eencombination group and controlgroup （ P〈0.05 orP〈0.01） . C om pared w ith contro lgroup ,the clinical efficacy in com bination g roup on dysarthria and dysphagia w ere significantdifferent（ P〈0.01） . C onclusion Vocastim M aster and acupuncture in treatm ent of dysarthria and dysphag ia after acute stroke is confirm ed efficacy , should be introduced.

关 键 词：急性脑卒中 吞咽障碍 构音障碍 风池穴针刺 Vocastim 吞咽语言治疗仪 

分 类 号：R743[医药卫生—神经病学与精神病学] R255.2[医药卫生—临床医学]