CAJ | 학술논문

目的观察穴位低频脉冲电刺激配合康复训练对脑卒中患者吞咽功能的影响.方法将脑卒中后吞咽障碍患者80例按随机数字表法分成实验组和对照组,每组患者40例.实验组采用低频脉冲穴位电刺激联合康复训练进行治疗,10 d为1个疗程,连续治疗2个疗程；对照组采用低频脉冲非穴位电刺激联合康复训练进行治疗,10 d为1个疗程,连续治疗2个疗程.2组患者均于治疗前和治疗2个疗程后(治疗后)采用洼田饮水试验评定吞咽功能,并进行组间和组内比较.结果治疗后,2组患者的洼田饮水试验评分与组内治疗前比较,差异均有统计学意义(P＜0.05).实验组患者治疗后的洼田饮水试验评分为(2.95 ±0.21)分,与对照组治疗后的(3.65±0.19)分比较,差异有统计学意义(P＜0.05)；且2组患者治疗前、后洼田饮水试验测定评分差值比较,实验组为(1.25±0.78)分,对照组为(0.70±0.72)分,差异有统计学意义(P＜0.05).2组治疗的疗效比较,实验组的总有效率为87.5％,显著优于对照组的55.0％,差异有统计学意义(P＜0.05).结论低频脉冲穴位电刺激联合康复训练可显著改善脑卒中后吞咽障碍患者的吞咽功能,且疗效显著优于低频脉冲非穴位电刺激联合康复训练.
목적 관찰혈위저빈맥충전자격배합강복훈련대뇌졸중환자탄인공능적영향.방법 장뇌졸중후탄인장애환자80례안수궤수자표법분성실험조화대조조,매조환자40례.실험조채용저빈맥충혈위전자격연합강복훈련진행치료,10 d위1개료정,련속치료2개료정；대조조채용저빈맥충비혈위전자격연합강복훈련진행치료,10 d위1개료정,련속치료2개료정.2조환자균우치료전화치료2개료정후(치료후)채용와전음수시험평정탄인공능,병진행조간화조내비교.결과 치료후,2조환자적와전음수시험평분여조내치료전비교,차이균유통계학의의(P＜0.05).실험조환자치료후적와전음수시험평분위(2.95 ±0.21)분,여대조조치료후적(3.65±0.19)분비교,차이유통계학의의(P＜0.05)；차2조환자치료전、후와전음수시험측정평분차치비교,실험조위(1.25±0.78)분,대조조위(0.70±0.72)분,차이유통계학의의(P＜0.05).2조치료적료효비교,실험조적총유효솔위87.5％,현저우우대조조적55.0％,차이유통계학의의(P＜0.05).결론 저빈맥충혈위전자격연합강복훈련가현저개선뇌졸중후탄인장애환자적탄인공능,차료효현저우우저빈맥충비혈위전자격연합강복훈련.
Objective To test the efficacy of low-frequency electrical acupoint stimulation plus rehabilitation training in improving swallowing function after stroke. Methods Eighty dysphagic stroke patients were randomly allocated into 2 groups of 40.Patients in the experimental group received low-frequency electrical acupoint stimulation plus 2 courses of rehabilitation training.Control group patients received the same protocol,but the electrical stimulation was not over acupoints.Their swallowing function was assessed using the Kubota water drinking test.Results After treatment,both groups showed significantly lower Kubota scores compared with pre-treatment.Prepost test difference was 1.25 ± 0.78 in the experimental group and 0.70 ± 0.72 in the control group,a significant difference.The total recovery rate in the experimental group was 87.5％.In the control group it was 55％.The improvement in swallowing function was significantly better in the experimental group. Conclusion Both groups showed a significant improvement in swallowing function,but low-frequency electrical acupoint stimulation increased the effectiveness of the rehabilitation training.