Vitalstim穴位电针法联合康复训练治疗脑卒中后吞咽障碍的疗效观察

发布时间：2018-06-03 17:38

本文选题：脑卒中 + 吞咽障碍　；参考：《针刺研究》2017年02期

【摘要】：目的:观察Vitalstim穴位电针法联合康复训练治疗脑卒中后吞咽障碍的临床疗效和患者的生存生活质量。方法:80例脑卒中后吞咽功能障碍患者随机分成治疗组40例及对照组40例。治疗组在予以基础脑卒中治疗的同时使用改装的Vitalstim电针仪刺激风池、廉泉、天突、金津、玉液等穴;对照组仅进行常规基础治疗。治疗前后对洼田吞咽能力、脑卒中患者神经功能缺损程度评分标准中的吞咽困难亚量表、电视透视、生存生活质量评价量表(SF-36)进行评价。结果:治疗组和对照组在治疗后洼田吞咽功能障碍、吞咽困难评分,以及生理功能、精神健康、情感职能、社会功能、总体健康指标均较治疗前改善(P0.05),治疗组较对照组改善更明显,电视透视疗效高于对照组(P0.05)。结论:运用Vitalstim穴位电针疗法联合康复训练治疗脑卒中后吞咽障碍疗效明显,且能更有效地改善患者的生存和生活质量。
[Abstract]:Objective: To observe the clinical efficacy of Vitalstim acupoint electroacupuncture combined with rehabilitation training in the treatment of dysphagia after stroke. Methods: 80 patients with dysphagia after stroke were randomly divided into 40 cases and 40 cases in the control group. The treatment group used the modified Vitalstim electricity at the same time as the basic stroke treatment. Acupuncture was used to stimulate the acupoints of the wind pond, Lian Quan, Tian Tu, Jinjin, and jade liquid. The control group was only treated with conventional basic treatment. The swallowing ability of the depression, the dysphagia subscale, the television perspective, the quality of life assessment scale (SF-36) were evaluated before and after the treatment. After treatment, swallowing dysfunction, dysphagia score, physical function, mental health, emotional function, social function, and overall health index were improved more than before treatment (P0.05), the treatment group was better than the control group, the effect of TV perspective was higher than that of the control group (P0.05). Conclusion: the use of Vitalstim acupoint electroacupuncture therapy combined with rehabilitation training treatment. It is effective in treating dysphagia after stroke, and it can improve the survival and quality of life of patients.
【作者单位】：湖北民族学院附属民大医院康复科;南昌大学第二附属医院;
【基金】：国家重点基础研究发展计划(“973”计划)项目(No.2013CB 531900)
【分类号】：R246.6

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