电针联合吞咽障碍治疗仪治疗脑卒中后吞咽障碍的临床研究

发布时间：2018-03-30 07:02

本文选题：脑卒中　切入点：吞咽障碍　出处：《河南中医学院》2015年硕士论文

【摘要】：目的:本研究采用电针联合吞咽障碍治疗仪治疗脑卒中后吞咽障碍,观察各治疗组的疗效并确立最佳治疗方案。方法:将符合纳入标准的216例脑卒中后吞咽障碍者按入院时间先后将合格受试者以1:l:1的比例随机分配到综合组、电针组、治疗仪组,每组72例,进行本研究的临床观察。三组均给予脑卒中常规药物治疗,及对高血压、糖尿病等基础疾病的治疗,三种方法治疗时间均1次/d,每周6次,3周为1疗程。以洼田饮水试验评定、标准吞咽功能评估(SSA)为观察指标,进行每组疗前、疗后的疗效观察,及治疗后组间疗效的比较,并确定最佳治疗方案及统计学处理。结果:综合组、电针组、治疗仪组,各组的资料在年龄、性别、病程、发病次数、病变性质、球麻痹类型等进行比较,无显著差异(P0.05),三组治疗前洼田饮水试验评定、SSA比较无显著性差异(P0.05),表明三组之间有统计学上的可比性。1个疗程治疗后,三组洼田饮水试验评定、SSA较治疗前有改善(P0.05);综合组采用洼田饮水试验评定、SSA与电针组、吞咽障碍治疗仪组比较有显著差异(P0.05),电针组、吞咽障碍治疗仪组比较无显著性差异(P0.05)。治疗后综合组3%肺炎发生率,较其它两组低,并且无明显不良反应,证明联合治疗安全有效。结论:1.三种治疗方法对脑卒中后吞咽障碍均较治疗前有显著疗效。2.电针联合吞咽障碍治疗仪治疗脑卒中后吞咽障碍急性期和恢复期患者的疗效优于电针组和吞咽障碍治疗仪组。3.电针联合吞咽障碍治疗仪组显著改善吞咽功能,减少肺炎发生率,并且无明显的不良反应,同时证明联合治疗安全有效。
[Abstract]:Objective: to study the treatment of dysphagia after stroke by electroacupuncture combined with dysphagia. Methods: according to the admission time, 216 patients with dysphagia after stroke were randomly assigned to the comprehensive group, electroacupuncture group and therapeutic instrument group according to the proportion of 1:l:1. 72 patients in each group were treated with routine drug therapy for stroke and basic diseases such as hypertension and diabetes. The treatment time of the three methods was 1 / d, 6 times a week and 3 weeks as a course of treatment. Taking the evaluation of sag drinking water test and standard swallowing function evaluation (SSAs) as the observation index, the curative effect before and after treatment in each group was observed, and the curative effect was compared between the groups after treatment. Results: the data of comprehensive group, electroacupuncture group and therapeutic instrument group were compared in age, sex, course of disease, number of cases, nature of lesion, type of bulbar paralysis, etc. There was no significant difference between the three groups (P 0.05). There was no significant difference in the evaluation of SSA between the three groups before and after treatment, indicating that there was statistical comparability among the three groups, and after one course of treatment, there was no significant difference between the three groups. The evaluation of SSA in three groups was better than that before treatment, and in the comprehensive group, there was a significant difference between SSA and electroacupuncture group, and there was a significant difference between the two groups (P 0.05) and electroacupuncture group (P < 0.05), and the control group (P < 0.05), the control group (P < 0.05), the control group (P < 0.05), the electroacupuncture group (P < 0.05). The incidence of pneumonia in the combined group was 3% lower than that in the other two groups, and there was no significant adverse reaction. Conclusion the combined therapy is effective and safe in the treatment of dysphagia after stroke. 2. Electroacupuncture combined with dysphagia therapy instrument is effective in treating acute and convalescent patients with dysphagia after stroke. The curative effect was better than that of electroacupuncture group and dysphagia therapy apparatus group .Electro-acupuncture combined with dysphagia therapy instrument group significantly improved swallowing function. Reduce the incidence of pneumonia, and no significant adverse reactions, and the combined treatment proved safe and effective.
【学位授予单位】：河南中医学院
【学位级别】：硕士
【学位授予年份】：2015
【分类号】：R246.6

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