医学临床研究
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医学临床研究  2023, Vol. 40 Issue (12): 1905-1908    DOI: 10.3969/j.issn.1671-7171.2023.12.024
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针灸联合电刺激及吞咽训练治疗脑卒中吞咽障碍患者的疗效
刘莹1, 朱杰2*
1.陕西省渭南市第二医院康复医学科,陕西 渭南 714000;
2.西电集团医院针灸康复医学科,陕西 西安 710000
Efficacy of Acupuncture Combined with Electrical Stimulation and Swallowing Training in the Treatment of Stroke Patients with Dysphagia
LIU Ying, ZHU Jie
Department of Rehabilitation Medicine, Weinan Second Hospital, Weinan Shaanxi 714000
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摘要 【目的】探讨针灸联合电刺激及吞咽训练治疗脑卒中吞咽障碍患者的疗效。【方法】94例脑卒中合并吞咽障碍患者,随机分为观察组和对照组,每组47例。对照组给予神经电刺激+吞咽训练干预,观察组在此基础上给予针灸治疗。比较两组临床疗效,采用洼田饮水试验、Gugging吞咽功能评估表(GUSS)对两组干预前后吞咽功能进行评估,采用吞咽障碍特异性生活量表(SWAL-QOL)、匹兹堡睡眠质量指数(PSQI)、汉密尔顿抑郁量表(HAMD)对两组干预前后生活质量、睡眠质量及心理状况进行评估,并比较两组并发症发生情况。【结果】观察组总有效率高于对照组,且差异有统计学意义(P<0.05)。干预后,观察组洼田饮水试验Ⅰ级所占比例明显高于对照组(P<0.05),Ⅱ、Ⅲ、Ⅳ级所占比例明显低于对照组(P<0.05);两组GUSS评分均高于干预前,且观察组评分高于对照组(P<0.05)。干预后,两组SWAL-QOL评分较干预前升高(P<0.05),PSQI评分及HAMD评分较干预前均有降低(P<0.05),且观察组各项评分优于对照组(P<0.05)。两组并发症总发生率比较,差异无统计学意义(P>0.05)。【结论】针灸联合电刺激及吞咽训练治疗脑卒中吞咽障碍患者的疗效较好,能够改善患者吞咽功能,提高其生活质量,同时安全性较高。
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刘莹
朱杰
关键词 卒中/针灸疗法吞咽障碍/针灸疗法电刺激疗法治疗结果    
Abstract:【Objective】To investigate the efficacy of acupuncture combined with electrical stimulation and swallowing training in treating patients with stroke-related dysphagia. 【Methods】A total of 94 stroke patients with dysphagia were randomly divided into the observation group and the control group, each consisting of 47 patients. The control group received neural electrical stimulation and swallowing training intervention, while the observation group received acupuncture treatment in addition to the aforementioned therapies. Clinical efficacy was compared between the two groups. Swallowing function was assessed before and after the intervention using the Wada Water Swallowing Test and the Gugging Swallowing Function Assessment Scale (GUSS). The Swallowing Quality of Life questionnaire (SWAL-QOL), Pittsburgh Sleep Quality Index (PSQI), and Hamilton Depression Rating Scale (HAMD) were used to assess and compare the quality of life, sleep quality, and psychological status before and after the intervention in both groups. The incidence of complications was also compared. 【Results】The total effective rate of the observation group was significantly higher than that of the control group (P<0.05). After the intervention, the proportion of Grade Ⅰ in the Wada Water Swallowing Test in the observation group was significantly higher than that of the control group (P<0.05), while Grades Ⅱ, Ⅲ, and Ⅳ in the observation group were significantly lower those in the control group (P<0.05). GUSS scores of both groups increased post-intervention, with the observation group scoring was higher than the control group (P<0.05). Post-intervention, SWAL-QOL scores improved (P<0.05), while PSQI and HAMD scores decreased in both groups (P<0.05), with the observation group showing better scores than the control group (P<0.05). There was no significant difference in the total incidence of complications between the two groups (P>0.05). 【Conclusion】Acupuncture combined with electrical stimulation and swallowing training effectively treats stroke-induced dysphagia through improving patients' swallowing function and quality of life while maintaining high safety.
Key wordsStroke/ZL    Deglutition Disorders/ZL    Electric Stimulation Therapy    Treatment Outcome
收稿日期: 2022-12-26     
中图分类号:  R743  
通讯作者: *E-mail:852595087@qq.com   
引用本文:   
刘莹, 朱杰. 针灸联合电刺激及吞咽训练治疗脑卒中吞咽障碍患者的疗效[J]. 医学临床研究, 2023, 40(12): 1905-1908.
LIU Ying,ZHU Jie. Efficacy of Acupuncture Combined with Electrical Stimulation and Swallowing Training in the Treatment of Stroke Patients with Dysphagia. JOURNAL OF CLINICAL RESEARCH, 2023, 40(12): 1905-1908.
链接本文:  
http://journal07.magtech.org.cn/yxlcyj/CN/10.3969/j.issn.1671-7171.2023.12.024     或     http://journal07.magtech.org.cn/yxlcyj/CN/Y2023/V40/I12/1905
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