电刺激及针灸治疗急性卒中后吞咽障碍的疗效分析  

Analysis of curative effect of acupuncture and moxibustion for treatment of dysphagia after acute stroke and power

作　　者：毛光兰[1] 王庆志[2] 张新颖[1] 

机构地区：[1]新乡医学院第三附属医院针灸科,河南新乡453003 [2]新乡医学院基础医学院解剖学教研室,河南新乡453003

出　　处：《家庭心理医生》2015年第5期2-3,共2页Family Therapist

摘　　要：目的：探讨急性卒中后吞咽障碍治疗中，电刺激与针灸治疗的临床效果。方法：选取我院急性卒中后吞咽障碍患者64例，根据真、假性球麻痹性质将其分为A组（真性球麻痹组）与B组（假性球麻痹组），分别给予两组患者电刺激与针灸治疗，并将分组设定为A1组、A2组，B1组、B2组，观察两组治疗后临床效果。结果：A1组总有效率为81．25％，A2组总有效率为43．75％，A1组高于A2组（P〈0．05）；B1总有效率为87．50％，B2总有效率为81．25％，对比差异无意义（P〉0．05）。结论：真性球麻痹卒中吞咽障碍患者，建议行电刺激治疗；假性球麻痹卒中吞咽障碍患者，行电刺激治疗或针灸治疗均可。Objective ： Study on the treatment of dysphagia after acute stroke, electrical stimulation and clinical effect of acupuncture and moxibustion treatment. Methods： 64 cases of patients with dysphagia after acute stroke in our hospital were selected, according to the true nature of pseudobulbar palsy, and they were divided into A group （bulbar palsy group） and group B （pseudobulbar palsy group）, two groups of patients were given electrical stimulation and acupuncture treatment group, and A 1 group, A2 group is set to, B 1 group, B2group, to observe the clinical effect of the two groups after treatment. Resuhs： the total effective rate of group Al was 81.25%, the total effective rato of group A2 was 43.75% , A1 group was higher than that of group A2 （P〈0.05）; B1 the total effective rate was 87.50%, total effective rate of B2 was 81.25%, the difference had no significance （P〉O.05）. Conclusion ： the patients with bulbar paralysis stroke dysphagia, suggestions for electric stimulation therapy; patients with pseudobulbar palsy dysphagia of stroke, for electrical stimulation therapy or acupuncture treatment can be.

关 键 词：急性卒中后 吞咽障碍 真性球麻痹 假性球麻痹 

分 类 号：R743.3[医药卫生—神经病学与精神病学]