腹针联合经皮穴位电刺激治疗脑卒中后吞咽障碍患者的疗效和安全性  

Efficacy and safety of abdominal needle combined with transcutaneous acupoint electrical stimulation for the treatment of patients with dysphagia after cerebral stroke

作　　者：吕开月 廖喜琳[2] 程树锦 黄子津 林继成 李思明[1] 金欣 周晓燕[1] LYU Kaiyue;LIAO Xilin;CHENG Shujin;HUANG Zijin;LIN Jicheng;LI Siming;JIN Xin;ZHOU Xiaoyan(Department of Rehabilitation Medicine,Ruikang Hospital Affiliated to Guangxi University of Chinese Medicine,Nanning 530011,Guangxi,China;School of Chinese Medicine Affiliated to Guangxi University of Chinese Medicine,Nanning 530022,Guangxi,China;School of Basic Medicine,Guangxi Medical University,Nanning 530021,Guangxi,China)

机构地区：[1]广西中医药大学附属瑞康医院康复医学科,广西南宁市530011 [2]广西中医药大学附设中医学校,广西南宁市530022 [3]广西医科大学基础医学院,广西南宁市530021

出　　处：《广西医学》2023年第18期2213-2218,共6页Guangxi Medical Journal

基　　金：广西壮族自治区中医药管理局自筹经费科研课题(GZZC2020124);广西壮族自治区卫生健康委员会自筹经费科研课题(Z20211576)。

摘　　要：目的探讨腹针联合经皮穴位电刺激治疗脑卒中后吞咽障碍患者的疗效和安全性。方法将60例脑卒中后吞咽障碍患者随机分为对照组和观察组,各30例。给予对照组常规对症治疗及经皮穴位电刺激治疗,观察组在对照组的基础上加用腹针治疗,治疗时间均为4周。比较两组患者治疗前后洼田饮水试验评级、中文版吞咽障碍造影评分量表(VDS)得分、吞咽障碍特异性生活质量(SWAL-QOL)量表得分,以及临床疗效,记录治疗期间两组患者的并发症发生情况。结果治疗后,两组患者洼田饮水试验评级优于治疗前,VDS得分低于治疗前,SWAL-QOL量表评分高于治疗前,且观察组上述指标优于对照组(P<0.05)。观察组的临床疗效优于对照组(P<0.05),两组患者并发症发生率比较,差异无统计学意义(P>0.05)。结论腹针联合经皮穴位电刺激治疗可提高脑卒中后吞咽障碍患者的吞咽功能及生活质量,安全性较好。Objective To investigate the efficacy and safety of abdominal needle combined with transcutaneous acupoint electrical stimulation for the treatment of patients with dysphagia after cerebral stroke.Methods A total of 60 patients with dysphagia after cerebral stroke were randomly divided into control group or observation group,with 30 cases in each group.The control group received routine symptomatic treatment and transcutaneous acupoint electrical stimulation for treatment,based on which the observation group additionally received abdominal needle for treatment.The therapeutic duration was 4 weeks.The pre-and post-treatment Kubota water swallowing test classification,Video-Fluoroscopic Dysphagia Scale(VDS)score in Chinese version,Swallowing Quality of Life(SWAL-QOL)scale score,and clinical efficacy were compared between patients of the two groups.The occurrence of complications during treatment was recorded in both groups.Results After treatment,patients in both groups obtained a superior classification of Kubota water swallowing test,a lower VDS score,and a higher SWAL-QOL scale score as compared with before treatment,as well as the observation group exhibited superior indices as above to compared with the control group(P<0.05).The clinical efficacy of the observation group was superior to that of the control group(P<0.05).There was no statistically significant difference in the incidence rate of complications between patients of the two groups(P>0.05).Conclusion Abdominal needle combined with transcutaneous acupoint electrical stimulation therapy can improve swallowing function and quality of life in patients with dysphagia after cerebral stroke,exerting a relatively good safety.

关 键 词：脑卒中 吞咽障碍 腹针 经皮穴位电刺激 临床疗效 生活质量 

分 类 号：R245[医药卫生—针灸推拿学]