芒针透刺联合康复训练对中风后吞咽障碍患者吞咽功能、表面肌电图的影响  

Effect of Elongated Needle Penetration Combined with Rehabilitation Training on Swallowing Function and Surface Electromyography in Patients with Dysphagia after Stroke

作　　者：柳星 周婷[1] 卢会琴 江娜[1] 杨娅[1] 程红亮[1] Liu Xing;Zhou Ting;Lu Huiqin;Jiang Na;Yang Ya;Cheng Hongliang(The Second Affiliated Hospital of Anhui University of Chinese Medicine,Anhui,Hefei 230061,China)

机构地区：[1]安徽中医药大学第二附属医院,安徽合肥230061 [2]上海中医药大学附属曙光医院安徽医院,安徽合肥230031

出　　处：《中国中医急症》2023年第9期1604-1607,共4页Journal of Emergency in Traditional Chinese Medicine

基　　金：安徽中医药大学临床科研项目(自然重大)(2021efylc04);安徽省卫生健康委科研项目(AHWJ2021b034);安徽省中医药管理局—广德张氏芒针疗法流派工作室(皖中医药发展秘[2021]30号);重大疾病治疗重点专科建设项目(皖财社[2022]622号)。

摘　　要：目的观察芒针透刺联合康复训练对中风后吞咽障碍患者吞咽功能、表面肌电图的影响。方法选取中风后吞咽功能障碍住院患者65例随机分为观察组33例与对照组32例,对照组给予常规毫针针刺配合康复训练治疗,观察组在对照组的治疗基础上联合芒针透刺天突,足三里透刺三阴交治疗,两组均治疗4周。观察两组患者临床疗效、吞咽功能、表面肌电图等指标情况。结果两组患者治疗后吞咽功能均得到明显改善,两组患者治疗后标准吞咽功能评定量表(SSA)评分较同组治疗前明显降低(P<0.01),且观察组更优(P<0.05);两组患者治疗后表面肌电图(sEMG)波幅较本组治疗前明显上升(P<0.01),且观察组波幅上升明显(P<0.05)。两组患者治疗后吞咽时间均较治疗前明显缩短(P<0.01),且治疗组低于对照组(P<0.05)。结论芒针透刺联合康复训练能够有效改善中风后吞咽障碍患者吞咽肌运动功能并促进吞咽功能恢复。Objective:To observe the effect of penetration with elongated needle and rehabilitation training on swallowing function and surface electromyography of patients with dysphagia after stroke.Methods:A total of 65inpatients with dysphagia after stroke were randomly divided into the observation group(33 cases)and control group(32 cases).The control group was treated with conventional filiform needle acupuncture combined with rehabilitation training;on this basis,the observation group was treated with the combination of penetrating Tiantu with elongated needle and pricking from Sanyinjiao to Zusanli.Both groups were treated for 4 weeks.The clinical efficacy,swallowing function,surface electromyography were observed.Results:The swallowing function of patients in both groups was significantly improved after treatment.The score of the standardized swallowing assessment(SSA)in both groups was significantly lower than that in the same group before treatment(P<0.01),and the observation group was better(P<0.05);the amplitude of surface electromyography(sEMG)in the two groups after treatment was significantly higher than that before treatment(P<0.01),and the observation group was better(P<0.05).The swallowing time of patients in both groups after treatment was significantly shorter than that before treatment(P<0.01),and the observation group was better(P<0.05).Conclusion:The combination of elongated needle penetration and rehabilitation training can effectively improve the motor function of swallowing muscles and promote the recovery of swallowing function in patients with dysphagia after stroke.

关 键 词：吞咽障碍 芒针 吞咽功能 表面肌电图 

分 类 号：R743.3[医药卫生—神经病学与精神病学]