针刺结合吞咽障碍治疗仪治疗脑梗死后吞咽障碍

Acupuncture combined with dysphagia therapeutic equipment on dysphagic patients with cerebral infarction

目的观察针刺结合吞咽障碍治疗仪治疗脑梗死后吞咽障碍的临床疗效。方法将80例脑梗死后吞咽障碍的患者,随机分为针刺组和针刺结合吞咽障碍治疗仪组(结合组),各40例。治疗1、2周后采用洼田饮水试验、脑卒中患者神经功能缺损程度评分标准中的吞咽困难亚量表进行评定。结果 2组均能降低洼田氏饮水试验评分(P<0.01),均能增加吞咽困难亚量表吞咽障碍程度的评分(P<0.01)。2组治疗1、2周后评分差值比较有统计学意义(P<0.05);针刺组总有效率82.5%,结合组97.5%,2组比较,P<0.05。结论针刺结合吞咽障碍治疗仪治疗脑梗死后吞咽障碍,能刺激咽喉部肌肉,恢复吞咽功能。

Objective To observe the clinical effect of acupuncture combined with dysphagia therapeutic equipm ent on dysphagic patients with cerebral infarction. Methods The 80 dysphagic patients with cerebral infarction were selected and randomly divided into acupuncture group and acupuncture combined with therapeutic equipment group（ combination group）,40 cases in each group. After one week or two weeks of treatment,watian water drinking experiment and dysphagia scale in the neurological function injury severity score of patients with cerebral infarction were used to evaluate the therapeutic effect. Results Scores of watian water drinking experiment were decreased in both the two groups（ P〈 0. 01）,and scores of the dysphagia level in the dysphagia scale were increased in both the two groups（ P〈 0.01）; comparing the score difference between the two groups after one and two weeks of treatment had significant difference（ P〈 0. 05）. The total effective rate of acupuncture group was 82. 5% and total effective rate of combination group was 97. 5%,comparing between the two groups,P〈 0. 05. Conclusion Acupuncture combined with dysphagia therapeutic equipment on 80 dysphagic patients with cerebral infarction can further recover the swallowing function with quick effect,short course of treatment and high cure rate.