电针基于不同参数治疗脑卒中后吞咽障碍的研究进展  

Research Progress of EA in Treatment of Post-Stroke Dysphagia Based on Different Parameters

作　　者：范秀玉 毛忠南 张晓凌 支晓东 姚军孝 毛立亚 杜小正 王欣[1] 柳驰 汪强 FAN Xiuyu;MAO Zhongnan;ZHANG Xiaoing;ZHI Xiaodong;YAO Junxiao;MAO Liya;DU Xiaozheng;WANG Xin;LIU Chi;WANG Qiang(Gansu University of Chinese Medicine,Lanzhou 730000,China;Affiliated Hospital of Gansu University of Chinese Medicine,Lanzhou China)

机构地区：[1]甘肃中医药大学,甘肃兰州730000 [2]甘肃中医药大学附属医院,甘肃兰州730000

出　　处：《中医药信息》2023年第6期76-81,共6页Information on Traditional Chinese Medicine

基　　金：甘肃省重点人才项目(甘组通字〔2019〕39号);甘肃省卫生行业科研计划项目(GSWSKY-2019-31);甘肃省自然科学基金项目(21JR11RA151);甘肃省科技计划项目(20YF8WA097)。

摘　　要：电针作为目前卒中后吞咽障碍康复治疗的主要有效手段,其相关参数的量化问题还未规范统一,本文通过梳理既往发表的电针治疗卒中后吞咽障碍的相关文献,围绕常用刺激穴位、电针频率、波形、刺激时间、电流强度等相关参数,对当前电针治疗卒中后吞咽障碍的研究进展予以综述,归纳各刺激参数在卒中后吞咽障碍康复治疗中的具体应用,并通过总结常用穴位、电针频率、波形、刺激时间、电流强度中的最佳疗效参数发现,电针参数不同,产生的疗效亦不同,首选廉泉、风池、夹廉泉、翳风;低频比高频治疗效果更明显、脑保护作用更强,尤其是2 Hz的频率;刺激时间以30 min/次最常用;电流强度方面以1mA和2mA常用。Electro-acupuncture(EA)as the main effective means for post-stroke dysphagia rehabilitation,its related parameters of quantity have not been unified.This study reviewed related literature about EA treating post-stroke dysphagia,in terms of common acupoints,EA frequency,waveform,stimulating duration,current intensity and relevant parameters.It is found that different EA parameters have corresponding different effects.Lianquan(RN23),Fengchi(GB20),Jialianquan,and Yifeng(SJ17)are primarily selected.The therapeutic effect and cerebral protection are better with low-frequency EA than those with high-frequency EA.The EA frequency of 2Hz,stimulating duration of 30 min/time,and current intensities of 1mA and 2mA are commonly applied.

关 键 词：电针 不同参数 脑卒中 吞咽障碍 

分 类 号：R246.6[医药卫生—针灸推拿学]