针刺联合低频电刺激治疗急性脑梗死后吞咽功能障碍临床观察  

作　　者：胡春燕 王静敏 曹改杰 

机构地区：[1]河南省鹤壁市人民医院康复医学科,河南鹤壁458030

出　　处：《实用中医药杂志》2024年第4期607-609,共3页Journal of Practical Traditional Chinese Medicine

摘　　要：目的:观察针刺联合低频电刺激治疗急性脑梗死(ACI)后吞咽功能障碍的效果。方法:92例随机分为A组和B组各46例,两组均用低频电刺激疗法治疗,A组加用针刺治疗。结果:A组总有效率较B组高(P<0.05),治疗后A组洼田饮水试验、SSA评分较B组低(P<0.05),治疗后A组舌骨下肌群、颏下肌群AEMG较B组低而持续时间较B组短(P<0.05),治疗后A组ALB、PA、Hb水平较B组高(P<0.05),治疗后A组血清IGF-1、VEGF、BDNF水平较B组高(P<0.05)。结论:针刺联合低频电刺激治疗ACI后吞咽功能障碍效果较好。Objective:To observe the effect of acupuncture combined with low-frequency electrical stimulation on swallowing dysfunction after acute cerebral infarction(ACI).Methods:Ninety-two cases were randomly divided into group A and B,with 46 cases in each group.Both groups were treated with low-frequency electrical stimulation therapy,and group A were treated with acupuncture.Results:The total effective rate of group A was higher than that of group B(P<0.05).After treatment,the scores of the Watian drinking water test and SSA in group A were lower than those in group B(P<0.05).After treatment,the AEMG of the subhyoid muscle group and submental muscle group in group A was lower than that in group B,and the duration was shorter than that in group B(P<0.05).After treatment,the levels of ALB,PA and Hb in group A were higher than those in group B(P<0.05).After treatment,the levels of serum IGF-1,VEGF and BDNF in group A were higher than those in group B(P<0.05).Conclusion:Acupuncture combined with low-frequency electrical stimulation is effective in the treatment of swallowing dysfunction after ACI.

关 键 词：急性脑梗死 吞咽功能障碍 针刺 低频电刺激 

分 类 号：R255.243.9[医药卫生—中医内科学]