针刺联合康复训练治疗卒中后流涎症的临床研究

Clinical Study of Acupuncture Combined with Rehabilitation Training for Post-stroke Sialorrhea

目的观察针刺联合康复训练治疗卒中后流涎症的临床疗效。方法将80例卒中后流涎症患者随机分为治疗组和对照组,每组40例。对照组采用康复训练,治疗组在康复训练的基础上采用表面肌电图(sEMG)指导取穴针刺。观察两组治疗前后唾液分泌量、sEMG相关指标及Frenchay流涎分级等级变化。结果两组治疗后唾液分泌量均较治疗前显著减少(P<0.01),且治疗组较对照组改善更为明显(P<0.01);两组治疗后sEMG相关指标均较治疗前改善(P<0.01),且治疗组较对照组改善更为明显(P<0.01);两组治疗后Frenchay流涎分级较治疗前改善(P<0.01),且治疗组优于对照组(P<0.01)。结论在sEMG指导下针刺联合康复训练可有效改善卒中后流涎症状。

Objective To observe the clinical efficacy of acupuncture plus rehabilitation training in treating post-stroke sialorrhea.Method Eighty patients with post-stroke sialorrhea were randomized into a treatment group and a control group,with 40 cases in each group.The control group received rehabilitation training,and the treatment group received additional acupuncture intervention with acupoints selected based on surface electromyography(sEMG).Before and after the treatment,the salivary secretion volume,sEMG parameters,and Frenchay salivation grading were observed for the two groups.Result The salivary secretion volume decreased markedly after the treatment in both groups(P<0.01),and the improvement was more significant in the treatment group than in the control group(P<0.01).After the intervention,the sEMG parameters were improved in the two groups(P<0.01),and the improvements were more significant in the treatment group than in the control group(P<0.01).The Frenchay salivation grading was improved after the intervention in both groups(P<0.01),and the treatment group was superior to the control group(P<0.01).Conclusion Acupuncture guided by sEMG plus rehabilitation training can effectively improve post-stroke sialorrhea.