针刺联合吞咽电刺激对老年痴呆伴吞咽障碍患者舌骨喉复合体动度的影响  

Effect of Acupuncture Combined with Swallowing Electrical Stimulation on the Range of Motion of Hyolaryngeal Complex in Senile Dementia Coupled with Deglutition Disorder

作　　者：李晓彦[1] 高敏 王雪争[1] 杨军静[1] LI Xiao-yan;GAO Min;WANG Xue-zheng;YANG Jun-jing(First Hospital of Shijiazhuang,Shijiazhuang 050011,China)

机构地区：[1]石家庄市第一医院,石家庄050011

出　　处：《上海针灸杂志》2020年第10期1253-1258,共6页Shanghai Journal of Acupuncture and Moxibustion

摘　　要：目的观察针刺联合吞咽电刺激治疗老年痴呆伴吞咽障碍患者舌骨喉复合体动度及营养状态的影响。方法选取216例老年痴呆伴吞咽障碍患者作为研究对象,依据建档顺序分为两组,每组108例。对照组予以吞咽功能训练,观察组在此基础上予以针刺舌三针联合吞咽电刺激治疗。统计两组治疗总有效率;对比两组治疗前后洼田饮水试验评分、舌骨喉复合体动度、营养状态及生活质量(SWAL-QOL)评分。结果观察组治疗后洼田饮水试验评分低于对照组(P<0.05);观察组总有效率为93.5%,高于对照组的83.3%(P<0.05);观察组治疗后舌骨上移、下移度均高于对照组(P<0.05),两组治疗后甲状软骨上移、下移度比较差异无统计学意义(P>0.05);观察组治疗后血红蛋白、球蛋白、白蛋白、血清总蛋白水平均高于对照组(P<0.05);观察组治疗后SWAL-QOL评分高于对照组(P<0.05)。结论在吞咽功能训练基础上针刺舌三针联合吞咽电刺激治疗老年痴呆伴吞咽障碍患者,可提高舌骨上移、下移度,改善吞咽功能及营养状态,效果更为显著,且患者生活质量较高。Objective To observe the effects of acupuncture plus swallowing electrical stimulation on the range of motion of hyolaryngeal complex and nutritional status in senile dementia coupled with deglutition disorder.Method A total of 216 elderly patients with dementia and deglutition disorder were enrolled as the subjects and divided into two groups according to the filing sequence,with 108 cases in each group.The control group was intervened by swallowing function training,and the observation group was given additional triple tongue needle acupuncture plus swallowing electrical stimulation.The total effective rate was estimated in both groups;the Kubota’s water swallowing test score,range of motion of hyolaryngeal complex,nutritional status and Swallowing-Related Quality of Life(SWAL-QOL)score were compared between the two groups before and after treatment.Result After treatment,the Kubota’s water swallowing test score was lower in the observation group than in the control group(P<0.05);the total effective rate was 93.5%in the observation group,higher than 83.3%in the control group(P<0.05);the ranges of hyoid bone in moving up and down were greater in the observation group than in the control group after treatment(P<0.05),while the between-group differences in the ranges of thyroid cartilage in moving up and down were statistically insignificant after treatment(P>0.05);after treatment,the levels of hemoglobin,globulin,albumin and total serum protein were higher in the observation group than in the control group(P<0.05);after treatment,the SWAL-QOL score was higher in the observation group than in the control group(P<0.05).Conclusion In addition to swallowing function training,triple tongue needle acupuncture plus swallowing electrical stimulation can enlarge the ranges of hyoid bone in moving up and down and improve the swallowing function and nutritional status in elderly patients with dementia and deglutition disorder,producing more significant efficacy and better quality of life.

关 键 词：针刺疗法 痴呆 吞咽障碍 吞咽实时电刺激 舌三针 舌骨喉复合体动度 营养状态 吞咽障碍特异性生活质量量表 

分 类 号：R246.6[医药卫生—针灸推拿学]