吞咽障碍治疗仪穴位刺激治疗假性球麻痹58例

Treating 58 Cases of Pseudobulbar Paralysis by Dysphagia Therapeutic Apparatus of Scupoint Stimulation

[目的]探讨利用吞咽障碍治疗仪对脑梗塞后假性球麻痹(PBP)患者进行穴位电刺激的治疗作用。[方法]58例脑梗塞后假性球麻痹患者随机分为常规组和观察组,两组均进行早期吞咽康复治疗,同时观察组使用Vitastim吞咽治疗仪对天突、人迎、廉泉、风池、翳风进行穴位电刺激治疗。常规组则用Vitastim吞咽治疗仪进行常规电刺激治疗。治疗28天后评价两组的治疗效果。[结果]观察组总有效率达87.50%,常规组总有效率达73.00%。两组有效率比较有显著性差异(P<0.05)。[结论]脑梗塞后假性球麻痹患者在康复治疗中运用吞咽障碍治疗仪电刺激相关穴位与常规电刺激治疗相比疗效提高更显著。

[Objective]To discuss the therapeutic effect of using therapeutic apparatus for dysphagia to treat patients with Pseudo Bulbar Palsy（PBP） after cerebral infarction by stimulating acupuncture points with electricity.[Methods]Divide 58 cases of patients with PBP after cerebral infarction into the control group and the observation group at random,providing both groups with early dysphagia rehabilitation.Moreover,use Vitastim therapeutic apparatus for dysphagia to stimulate these acupuncture points of patients in the observation group： Tiantu,Renying,Lianquan,Fengchi,Yifeng.While for the patients in the control group,use Vitastim therapeutic apparatus for dysphagia to conduct conventional electrical stimulation treatment for them.Evaluate the therapeutic effects of both groups after 28 days＇ treatment.[Results]The total effective rate of the observation group is 87.50% and that of the control group amounts to 73.00%,with remarkable difference between the two groups＇ effective rates.[Conclusion]When treating patients with PBP after cerebral infarction,during the process of rehabilitation,the way of using therapeutic apparatus for dysphagia to stimulate corresponding acupuncture points is more effective than that of using conventional electrical stimulation treatment.