针刺联合神经肌肉电刺激治疗脑卒中后吞咽障碍的临床分析

Clinical analysis of acupuncture combined with neuromuscular electrical stimulation in the treatment of dysphagia after stroke

目的:对脑卒中后吞咽障碍患者采用针刺联合神经肌肉电刺激治疗的效果进行探究。方法:选择本院收治的脑卒中后吞咽障碍患者104例纳入研究,选取时间从2018年1月开始,截止到2020年5月。通过随机数字表法将其划分为甲组和乙组,每组各有52例。甲组患者接受吞咽功能康复训练,乙组患者在此基础上接受针刺联合神经肌肉电刺激治疗。对比两组的治疗效果。结果:甲组的总有效率为75.0%,乙组的总有效率为92.3%,乙组的总有效率明显高于甲组,数据经比较有统计学差异(P<0.05);治疗前,两组的吞咽功能评分差异不显著(P>0.05),治疗后,乙组的吞咽功能评分明显优于甲组,数据经比较有统计学差异(P<0.05);治疗前,两组的生活质量评分差异不显著(P>0.05),治疗后,乙组的生活质量评分明显优于甲组,数据经比较有统计学差异(P<0.05)。结论:在脑卒中吞咽障碍患者的临床治疗中,采用针刺联合神经肌肉电刺激治疗具有显著效果,能够有效改善患者患者的各项症状,还可以提高患者的生活质量。

Objective:To explore the therapeutic effect of acupuncture combined with neuromuscular electrical stimulation in patients with dysphagia after stroke.Methods:104 patients with post-stroke dysphagia admitted to our hospital were selected for the study,starting from January 2018 and ending in May 2020.They were divided into group A and Group B by random number table method,with 52 cases in each group.Patients in group A received rehabilitation training of swallowing function,while patients in group B received acupuncture combined with neuromuscular electrical stimulation on this basis.The therapeutic effects of the two groups were compared.Results:The total effective rate of group A and Group B was 75.0%and 92.3%respectively.The total effective rate of group B was significantly higher than that of group A(P<0.05).Before treatment,there was no significant difference in swallowing function score between the two groups(P>0.05).After treatment,swallowing function score of group B was significantly better than that of group A(P<0.05).Before treatment,there was no significant difference in quality of life scores between the two groups(P>0.05),while after treatment,the quality of life scores of group B were significantly better than group A(P<0.05).Conclusion:In the clinical treatment of stroke patients with dysphagia,acupuncture combined with neuromuscular electrical stimulation has a significant effect,which can effectively improve the symptoms of patients and improve the quality of life of patients.