辨证针刺联合低频电刺激治疗脑卒中后吞咽障碍的效果评价

Effect evalation of syndrome differentiation acupuncture combined with low frequency stimulation in treatment of dysphagia after stroke

目的探讨辨证针刺联合低频电刺激治疗脑卒中后吞咽障碍的效果。方法选取2013年3月~2015年9月间在我院住院治疗脑卒中后吞咽障碍患者88例,按照平均分配法分为两组,观察组和对照组每组各44例患者,低频电刺激干预应用于对照组患者,辨证针刺联合低频电刺激治疗应用于观察组患者,两组患者治疗时间1次/d,5次/周,连续治疗5周为1个疗程,随访半年。治疗前后均进行洼田饮水试验检测对比吞咽功能,观察两组治疗后及随访时治疗效果情况。结果治疗5周后,两组吞咽功能评分较治疗前明显改善(P<0.05),两组间吞咽功能评分比较,观察组较对照组明显改善(P<0.05);随访6个月与治疗前比较,两组吞咽功能评分改善显著(P<0.05),两组间吞咽功能评分比较,观察组较对照组明显改善(P<0.05);随访时观察组有效率明显高于对照组,两组间比较差异明显(P<0.05);两组治疗后与随访时组内有效率比较,无明显差异(P>0.05)。结论辨证针刺联合低频电刺激治疗脑卒中后吞咽障碍,患者的吞咽状态得到明显改善,治疗效果明显高于单独使用低频电刺激干预,联合方法治疗脑卒中后吞咽障碍值得临床推广使用。

Objective To explore the effect of syndrome differentiation acupuncture combined with Low frequency stimulation in treatment of dysphagia after stroke. Methods 88 patients with dysphagia after stroke in our hospital from March 2013 to September 2015 were selected and divided into observation group and control group with 44 cases in each according to average distribution method. Patients in control group were treated with low frequency stimulation intervention, and patients in observation group were treated with syndrome differentiation acupuncture combined with low frequency stimulation. All the patients in the two groups were with treatment time of 1 times / day, 5 times / week, continuous treatment for 5 weeks for a course of treatment, followed up for six months. Before and after treatment, the water test was performed to compare the swallowing function. Results after treatment and followup time of the two groups were observed. Results After 5 weeks of treatment, the scores of swallowing function of the two groups were significantly improved, compared with those before treatment（P 〈 0.05）. The score of swallowing function in the observation group was significantly improved, compared with those in the control group（P 〈 0.05）. Compared with before the treatment, the scores of swallowing function of the two groups at the six months follow-up time were were significantly improved, and the score of swallowing function in the observation group was significantly improved, compared with those in the control group（P 〈 0.05）. When follow-up, the effective rate of obsevation group was significantly higher than that of the control group, the difference was significant between the two groups（P 〈 0.05）. There was no significant difference of the two groups between after the treatment and the follow-up time（P 〉 0.05）. Conclusion For patients with dysphagia after stroke treated with dysphagia after stroke, the swallowing condition is significantly improved. The curative effect is significantly higher than that of low frequency electrical stimulation alone. Combined treatment of dysphagia after stroke is worthy of clinical use.