首页|标本配穴疗法联合神经肌肉电刺激治疗中风后吞咽功能障碍的效果

标本配穴疗法联合神经肌肉电刺激治疗中风后吞咽功能障碍的效果

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目的 探讨标本配穴疗法联合神经肌肉电刺激治疗中风后吞咽功能障碍的效果.方法 选取2020年1月—2023年8月沂水县人民医院收治的72例中风后吞咽障碍患者为研究对象,按随机数字表法将其分为对照组及观察组,每组36例.对照组采用神经肌肉电刺激治疗,观察组在对照组基础上采用标本配穴疗法,均持续8周.比较两组患者的临床疗效、吞咽功能、摄食功能、生活质量及临床症状评分.结果 观察组的治疗总有效率为94.44%,高于对照组的77.78%,差异有统计学意义(P<0.05).治疗后,观察组的标准吞咽功能评定量表评分低于对照组,功能性经口摄食量表评分高于对照组,组间差异有统计学意义(P<0.05).治疗后,观察组的世界卫生组织生存质量测定量表中各维度评分均高于对照组,组间差异有统计学意义(P<0.05).治疗后,观察组的饮水呛咳、吞咽困难、构音障碍评分均低于对照组,组间差异有统计学意义(P<0.05).结论 标本配穴疗法联合神经肌肉电刺激可加快中风后吞咽功能障碍患者的吞咽功能恢复,促进疾病症状消失,提高生活质量.
Effect of Biaoben Matching Acupoints Acupuncture Combined with Neuromuscular Electrical Stimulation in the Treatment of Post-Stroke Dysphagia
Objective To investigate the effect of Biaoben Matching Acupoints acupuncture combined with neuromuscular electrical stimulation on dysphagia after stroke.Methods A total of 72 patients with dysphagia after stroke admitted to Yishui County People's Hospital from January 2020 to August 2023 were selected as the research objects and were divided into a control group and an observation group according to random number table method, with 36 cases in each group.The control group was treated with neuromuscular electrical stimulation, and the observation group was treated with Biaoben Matching Acupoints acupuncture therapy on this basis.Both groups were treated for 8 weeks.The clinical efficacy, swallowing function, feeding function, quality of life and clinical symptom score were compared between the two groups.Results The total effective rate of the observation group was 94.44%, higher than 77.78%of the control group, the difference was statistically significant (P<0.05).After treatment, the Standardized Swallowing Assessment score of the observation group was lower than that of the control group, and the Functional Oral Intake scale score was higher than that of the control group, and the differences between the groups were statistically significant (P<0.05).After treatment, the scores in all fields of the World Health Organization Quality of Life-BREF scale in the observation group were higher than those in the control group, and the differences between the groups were statistically significant ( P<0.05 ).After treatment , the scores of drinking water choking, dysphagia and dysarthria in the observation group were lower than those in the control group, and the differences between the groups were statistically significant (P<0.05).Conclusion Biaoben Matching Acupoints acupuncture therapy combined with neuromuscular electrical stimulation can accelerate the recovery of swallowing function in patients with swallowing dysfunction after stroke, promote the disappearance of disease symptoms and improve the quality of life.

StrokeDysphagiaBiaoben matching acupoints acupuncture therapyNeuromuscular electrical stimulationSwallowing function

李应峰、王金月

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沂水县人民医院康复科,山东临沂 276000

中风 吞咽障碍 标本配穴疗法 神经肌肉电刺激 吞咽功能

2024

反射疗法与康复医学

反射疗法与康复医学

ISSN:
年,卷(期):2024.5(15)