透刺吞咽针法与普通针刺法治疗脑梗死后吞咽功能障碍的效果及对吞咽功能、表面肌电图的影响

Effects of penetrating-needling and swallowing technique of acupunctureand ordinary acupuncture in the treatment of swallowing dysfunction after cerebral infarction and the influence on swallowing function and surface electromyogram

目的:分析“透刺吞咽针法”与普通针刺法治疗脑梗死后吞咽功能障碍的效果及对吞咽功能、表面肌电图的影响。方法:选取2015年6月至2020年6月在我院接受治疗的100例脑梗死后吞咽功能障碍患者,根据随机数字表法分为对照组与观察组,各50例,对照组实施普通针刺法治疗,观察组实施“透刺吞咽针法”治疗,对比两组吞咽功能、表面肌电图等的具体变化。结果:治疗后,两组患者吞咽功能分级结果均明显改善,但两组之间对比无统计学差异(P>0.05);观察组临床恢复总效率明显高于对照组,两组患者洼田饮水评分均明显降低,观察组洼田饮水评分明显低于对照组,两组患者最大波幅值明显升高而吞咽时间明显减少,观察组最大波幅值明显高于对照组而吞咽时间明显低于对照组,对比均有统计学差异(P<0.05)。两组不良事件发生情况与安全性评价结果对比无统计学差异(P>0.05)。结论“透刺吞咽针法”可进一步提高脑梗死后吞咽功能障碍患者的恢复效率,改善其吞咽功能,增强相关吞咽肌群的恢复能力,且安全有保障,具有一定的临床推广治疗价值。

Objective:To analyze the effects of penetrating-needling and swallowing technique of acupuncture andordinary acupuncture in the treatment of swallowing dysfunction after cerebral infarction and the influence on swallowing function and surface electromyogram.Methods From June 2015 to June 2020,100 patients with swallowing dysfunction after cerebral infarctionwere selected.According to random number table method,they were divided into control group and observation group,with 50 cases in each group.The control group received ordinary acupuncture while the observation group received penetrating-needling and swallowing technique of acupuncture.Changes of swallowing function and surface electromyogramwere compared between the two groups.Results After treatment,the classification results ofswallowing function in the two groups were significantly improved,but there were no statistical differences between the two groups(P>0.05).The total clinical recovery efficiency of the observation group was significantly higher than that of the control group.The Kubota drinking testscores of the two groups were significantly reduced,and the observation group had significantly lower scores thanthe control group.The maximum amplitude was significantly increased and the swallowing time was significantly reduced.Besides,the maximum amplitude of the observation group was significantly higher than that of the control group and the swallowing time was significantly shorter than the control group(P<0.05).There were no statistical differences between the two groups in terms of adverse events and safety(P>0.05).Conclusion Penetrating-needling and swallowing technique of acupuncturecan further improve the recovery efficiency and swallowing function of patients with swallowing dysfunction after cerebral infarction,and enhance the recovery ability of related swallowing muscles,with safety.