电火针治疗脑卒中后假性延髓麻痹致吞咽障碍的效果研究  

Clinical effect of electric fire acupuncture on swallowing disorder caused by false bulbar paralysis after stroke

作　　者：范红兵 李麦 李中正 苏莹 FAN Hong-bing;LI Mai;LI Zhong-zheng;SU Ying(Dalian Rehabilitation Recuperation Center of Joint Logistics Support Force,Dalian 116000,Liaoning Province,China;School of Integrative Medicine,Tianjin University of Traditional Chinese Medicine,Tianjin 301617,China)

机构地区：[1]联勤保障部队大连康复疗养中心,辽宁大连116000 [2]天津中医药大学中西医结合学院,天津301617

出　　处：《医疗卫生装备》2025年第3期64-68,共5页Chinese Medical Equipment Journal

基　　金：军队科研项目。

摘　　要：目的:探究电火针治疗脑卒中后假性延髓麻痹(pseudobulbar palsy,PBP)致吞咽障碍患者的效果。方法:前瞻性选取2023年7—12月某院门诊收治的82例脑卒中后PBP致吞咽障碍患者,按随机数字表法分为观察组(41例,电火针+西医基础治疗)和对照组(41例,西医基础治疗干预),比较2组的临床总有效率、症状评分和滕岛一郎疗效评分。采用SPSS 23.0软件进行统计学分析。结果:治疗后,观察组的临床总有效率为95.1%,高于对照组(78.0%),差异有统计学意义(P<0.05);观察组的构音障碍、饮水呛咳、吞咽困难等症状评分均低于对照组,差异有统计学意义(P<0.05);观察组的滕岛一郎疗效评分高于对照组,差异有统计学意义(P<0.05)。结论:采用电火针+西医基础治疗脑卒中后PBP致吞咽障碍患者效果显著,适合在医疗机构中全面推广。Objective To explore the therapeutic effect of electric fire acupuncture in patients with swallowing disorder caused by pseudobulbar palsy(PBP)after stroke.Methods Prospectively selected 82 patients with post-stroke PBP resulting in dysphagia admitted to the outpatient department of some hospital from July to December 2023 were divided into an observation group(41 cases treated by electro-fire acupuncture and routine western therapy)and a control group(41 cases by routine western therapy)according to the randomized numerical table method.The two groups were compared in terms of total clinical effective rate,symptom score and Ichiro Fujishima efficacy score.SPSS 23.0 software was used for statistical analysis.Results After treatment,the observation group had the total clinical effective rate(95.1%)higher than that of the control group(78.0%),the symptom score involving in dysarthria,choking on drinking water and dysphagia lower while Ichiro Fujishima efficacy score higher than those of the control group,with all the differences being significant(all P<0.05).Conclusion The electro-fire acupuncture combined with routine western therapy behaves well in treating patients with swallowing disorder caused by pseudobulbar palsy(PBP)after stroke,and thus is worthy promoting in medical institutions widely.

关 键 词：电火针 脑卒中 假性延髓麻痹 吞咽障碍 

分 类 号：R318[医药卫生—生物医学工程] R245-33[医药卫生—基础医学]