Therapeutic efficacy of swallowing neuromuscular electrical stimulation combined with acupuncture for post-stroke dysphagia  

电刺激吞咽神经肌肉联合针刺治疗脑卒中后吞咽障碍疗效观察（英文）

作　　者：赵见文[1] 王志勇[1] 曹文忠[2] 张颜伟[1] 宋书昌[1] 康伟格[1] 杨京花[1] 

机构地区：[1]河北省沧州中西医结合医院脑病科 [2]河北省沧州中西医结合医院中医健康保健中心

出　　处：《World Journal of Acupuncture-Moxibustion》2015年第1期19-23,共5页世界针灸杂志（英文版）

摘　　要：Objective To seek a better therapy for treating post-stroke dysphagia. Methods Patients with stroke and swallowing disorders were randomly divided into ordinary acupuncture group （group A, 58 cases） and swallowing neuromuscular electrical stimulation combined with acupuncture group （group B, 62 cases）. Two-group patients were given the same basic internal medical treatment. In addition, group A was given normal acupuncture treatment with the choice of local points： Junjin （金津 EX-HN 12）, Yuye（玉液 EX-HN 23）, Fengchi （风池 GB 20）, Yifeng （翳风 TE 17）, Lianquan （廉泉 CV 23）, Wangu （完骨 GB 12）. Group B was given swallowing neuromuscular electrical stimulation combined with acupuncture： GB 20, Fengfu （风夜 GV 16）, TE 17, Yiming （翳明 EX-HN 14）, Yamen （哑门 GV 15）, Tianrong（天容 SI 17）, Tianchuang （天窗 SI 16）, CV 23, the uniform reinforcing-reducing manipulation was used; EX- HN 12, EX-HN 13, the piercing and blood-letting method （1-2 mL blood） was used; at the same time, the swallowing neuromuscular electrical stimulation therapy device was used to electrically stimulate the nerves and muscles in the throat and neck at specific output pulse current （50-100 Hz）. Treatment was made twice a day, 30 minutes each time. Two weeks after the treatment, the patients were assessed in symptoms improvement and clinical efficacy. Results The total effective rate in group B was 91.4% and 75.8% in group A; in the total efficiency comparison in both groups, χ^2=5.232, P〈0.05. The difference in improvement of symptoms with post-stroke dysphagia treated with above mentioned combination treatment was statistically significant between both groups （P〈0.05）. Conclusion The above mentioned swallowing neuromuscular electrical stimulation combined with acupuncture treatment has a better clinical effect when compared with ordinary acupuncture.目的：为治疗脑卒中后吞咽障碍寻找更好的方法。方法：将伴有吞咽障碍的脑卒患者按随机数字表法随机分为普通针刺组（A组，58例）和电刺激吞咽神经肌肉联合针刺组（B组，62例）。两组患者均给予相同的内科基础治疗，A组给予普通针刺治疗，选用局部穴位：金津、玉液、风池、翳风、廉泉、完骨，B组给予电刺激吞咽神经肌肉联合针刺治疗：风池透风府，翳风、翳明、哑门、天容、天窗、廉泉采用平补平泻，金津、玉液采用点刺放血1～2mL，同时使用吞咽神经肌肉电刺激治疗仪输出特定的脉冲电流（50～100Hz）对喉颈部神经肌肉进行电刺激。每日治疗2次，每次30min，治疗2周结束后评估患者吞咽障碍症状改善情况及临床疗效。结果：B组的总有效率为91．4％，A组的总有效率为75．8％。B组与A组总有效率比较，χ^2=5．232，P〈0．05。吞咽神经肌肉电刺激联合针刺治疗对脑卒中后吞咽障碍症状的改善情况优于A组，组间差异有统计学意义（P〈0．05）。结论：电刺激吞咽神经肌肉联合针刺治疗对脑卒中后吞咽障碍的改善具有较好的临床效果，其疗效优于普通针刺治疗。

关 键 词：STROKE swallowing disorders or dysphagia swallowing neuromuscular electrical stimulation acupuncture therapy 

分 类 号：R246.6[医药卫生—针灸推拿学]