评价交叉电项针联合吞咽康复训练治疗缺血性脑卒中后吞咽障碍临床效果  

Evaluating the Clinical Effect of Cross Electro-nape-acupuncture Combined with Swallowing Rehabilitation Training in Treating Swallowing Disorder after Ischemic Stroke

作　　者：刘铭 李芝慧 白静蓉[1] 杨仕年 陈岑 LIU Ming;LI Zhihui;BAI Jingrong;YANG Shinian;CHEN Cen(Department of Rehabilitation Medicine,Chengdu Integrated TCM and Western Medicine Hospital,Chengdu,Sichuan Province,610041 China;Department of Emergency Medicine,Chengdu Integrated TCM and Western Medicine Hospital,Chengdu,Sichuan Province,610041 China)

机构地区：[1]成都市中西医结合医院康复医学科,四川成都610041 [2]成都市中西医结合医院急诊科,四川成都610041

出　　处：《世界复合医学》2023年第11期13-15,19,共4页World Journal of Complex Medicine

摘　　要：目的研究在缺血性脑卒中后吞咽障碍治疗中采用交叉电项针联合吞咽康复训练的价值。方法随机选取2021年10月—2022年10月成都市中西医结合医院收治的90例缺血性脑卒中后吞咽障碍患者为研究对象,根据信封法进行分成参考组、观察组,每组45例。分别应用常规电项针联合吞咽康复训练、交叉电项针联合吞咽康复训练。比较两组治疗效果、吞咽功能、症状积分和并发症。结果观察组治疗有效率为95.56%,高于参考组的80.00%,差异有统计学意义(χ^(2)=5.075,P=0.024)。治疗后,观察组吞咽功能优于参考组,差异有统计学意义(P<0.05)。治疗后,观察组症状积分优于参考组,差异有统计学意义(P<0.05)。观察组并发症发生率低于参考组,差异有统计学意义(P<0.05)。结论在缺血性脑卒中后吞咽障碍治疗中采取交叉电项针联合吞咽康复训练,可以提高治疗效果,缓解临床症状,促进吞咽功能恢复,减少并发症。Objective To study cross electro-nape-acupuncture combined with swallowing rehabilitation training in the treatment of swallowing disorders after ischemic stroke.Methods 90 patients with dysphagia after ischemic stroke admitted to Chengdu Combined Hospital of Traditional Chinese and Western Medicine from October 2021 to October 2022 were randomly selected and divided into reference group and observation group according to the envelope method,with 45 cases in each group.Conventional electric collar needle combined with swallowing rehabilitation training and crossed electric collar needle combined with swallowing rehabilitation training were applied respectively.The treatment effect,swallowing function,symptom score and complications of the two groups were compared.Results The effective rate of treatment in the observation group was 95.56%,which was higher than 80.00%in the reference group,and the difference was statistically significant(χ^(2)=5.075,P=0.024).After treatment,the swallowing function of the observation group was better than that of the reference group,and the difference was statistically significant(P<0.05).After treatment,the symptom score of the observation group was better than that of the reference group,and the difference was statistically significant(P<0.05).The complication rate of the observation group was lower than that of the reference group,and the difference was statistically significant(P<0.05).Conclusion Adopting cross electro-nape-acupuncture combined with swallowing rehabilitation training in the treatment of swallowing disorders after ischemic stroke can improve the therapeutic effect,alleviate the clinical symptoms,promote the recovery of swallowing function,and reduce the complications.

关 键 词：吞咽障碍 交叉电项针 吞咽康复训练 

分 类 号：R246[医药卫生—针灸推拿学]