不同波形参数电针治疗中风后吞咽困难的疗效分析  

Efficacy Analysis of Electroacupuncture with Different Waveform Parameters in Treating Post-Stroke Dysphagia

作　　者：李响 于川 LI Xiang;YU Chuan(Pinggu District Traditional Chinese Medicine Hospital,Beijing 101200,China)

机构地区：[1]北京市平谷区中医医院,北京101200

出　　处：《中医药信息》2024年第10期49-53,共5页Information on Traditional Chinese Medicine

基　　金：北京市平谷区中医医院院级课题项目(pgzyy2021-04)。

摘　　要：目的:探讨不同波形参数的电针治疗中风后吞咽困难的临床疗效差异。方法:选择符合纳入标准的60例中风后吞咽困难患者,依据随机数字表随机分为疏密波组(2/100 Hz)和疏波组(2 Hz),每组各30例。参照中国针灸学会发布的《循证针灸临床实践指南》,选择廉泉、夹廉泉、风池、供血、翳风、列缺、照海、通里和内关穴,分别给予不同波形参数进行电针治疗,每日1次,每周治疗6 d,两组均治疗4周。采用洼田饮水试验及标准吞咽功能评定量表(SSA量表)比较两组患者治疗前、治疗2周及治疗4周后的吞咽功能变化,并比较临床疗效。结果:疏密波组临床总有效率为93.33%(28/30),疏波组临床总有效率为76.67%(23/30),两组比较差异有统计学意义(P<0.05)。与治疗前比较,治疗2周和4周后两组患者洼田饮水试验分级评分、SSA评分均降低(P>0.05);与疏波组患者治疗4周后比较,疏密波组洼田饮水试验分级评分、SSA评分降低(P<0.05)。结论:2/100 Hz疏密波与2 Hz疏波治疗方案均能改善患者的吞咽功能,但疏密波远期疗效优于疏波。Objective:To explore the clinical efficacy differences of electroacupuncture with different waveform parameters in treating post-stroke dysphagia.Methods:Sixty patients with post-stroke dysphagia meeting the inclusion criteria were randomly divided into two groups using a random number table:the sparse-dense wave group(2/100 Hz)and the sparse wave group(2 Hz),with 30 patients in each group.Based on the"Evidence-Based Acupuncture Clinical Practice Guidelines"published by the Chinese Acupuncture Society,acupuncture points including Lianquan(LI4),Jialianquan(LI11),Fengchi(GB20),Gongxue(ST36),Yifeng(TE5),Lieque(LU7),Zhaohai(KD6),Tongli(PC8),and Neiguan(PC6)were selected.Different waveform parameters were applied in electroacupuncture treatment,administered once daily,6 days a week,for 4 weeks.The changes in swallowing function were assessed using the Water Swallowing Test and the Standard Swallowing Assessment(SSA)scale before treatment,after 2 weeks,and after 4 weeks.Clinical efficacy was compared between the two groups.Results:The total clinical effective rate was 93.33%(28/30)in the sparse-dense wave group and 76.67%(23/30)in the sparse wave group,with a statistically significant difference(P<0.05).Compared to before treatment,the Water Swallowing Test scores and SSA scores decreased in both groups after 2 and 4 weeks of treatment(P>0.05).The sparse-dense wave group showed a more significant reduction in Water Swallowing Test scores and SSA scores after 4 weeks compared to the sparse wave group(P<0.05).Conclusion:Both the 2/100 Hz sparse-dense wave and 2 Hz sparse wave treatment protocols can improve swallowing function in patients,but the sparse-dense wave shows superior long-term efficacy compared to the sparse wave.

关 键 词：中风 电针 疏波 疏密波 吞咽困难 吞咽功能 

分 类 号：R246.6[医药卫生—针灸推拿学]