揿针埋针治疗脑卒中后吞咽障碍的临床观察  

作　　者：孙丹[1] 徐纬[1] 沈咏慧[1] 李世民[1] 陈娜[1] 付甜[1] 

机构地区：[1]杭州市第三人民医院,310009

出　　处：《浙江临床医学》2017年第4期671-672,共2页Zhejiang Clinical Medical Journal

基　　金：杭州市卫生科技计划项目（2014A29）

摘　　要：目的观察揿针埋针治疗对脑卒中后吞咽障碍的疗效。方法脑卒中后吞咽障碍患者80例，按随机数字法分为观察组及对照组，每组各40例。两组患者均给予常规处理，吞咽功能训练，对照组患者另给予神经肌肉电刺激治疗，观察组在上述基础上辅以揿针埋针治疗。两组于治疗前及治疗2个疗程后采用洼田饮水试验，藤岛吞咽功能评分标准对吞咽功能进行评价。结果治疗后两组患者吞咽功能均较治疗前有改善（P〈0．05）；两组患者治疗前后洼田饮水试验，藤岛吞咽功能评定差异均有统计学意义（P〈0．05）。结论揿针埋针配合神经肌肉电刺激并吞咽功能训练治疗脑卒中后吞咽障碍，可显著改善患者的吞咽功能，进一步提高临床疗效。Objective To observe the effect of press-needle embedding treatment on dysphagia in stroke patients. Methods 80 patients with dysphagia after stroke were randomly divided into treatment group and control group. 40 patients in each group were given conventional treatment and swallowing training. In the control group, the patients were treated with neuromuscular electrical stimulation. The treatment group was supplemented with press-needle embedding therapy. 2 groups were evaluated on the bases of water-swallowing test and swallowing function evaluation criteria before the treatment and after 2 treatment periods. Results The swallowing function of the two groups were improved after treatment （ P〈0.05 ） . There were significant differences between water-swallowing test and swallowing function evaluation criteria in the two groups before and after treatment （ P〈0.05 ） . Conclusion Press-needle embedding combined with neuromuscular electrical stimulation and swallowing function training for dysphagia after stroke can significantly improve patients＇ swallowing function and further improve the clinical curative effect.

关 键 词：揿针 埋针 神经肌肉电刺激 吞咽障碍 

分 类 号：R493[医药卫生—康复医学]