CAJ | 학술논문

目的：探讨针刺结合颊肌电刺激治疗脑卒中后口腔期吞咽障碍的疗效。方法40例脑卒中后口腔期吞咽障碍患者随机分为治疗组(n=20)和对照组(n=20)。对照组给予常规内科干预及吞咽训练，治疗组在对照组的基础上加用针刺和颊肌电刺激。于治疗前及治疗20 d后采用口腔功能评分和洼田饮水试验进行评定。结果治疗前两组间口腔功能评分和洼田饮水试验评级无显著性差异(P>0.05)；治疗后两组患者口腔功能评分和洼田饮水试验评级均较治疗前明显改善(P<0.01)，治疗组优于对照组(P<0.05)。结论针刺结合颊肌电刺激治疗脑卒中后口腔期吞咽障碍临床疗效满意。
목적：탐토침자결합협기전자격치료뇌졸중후구강기탄인장애적료효。방법40례뇌졸중후구강기탄인장애환자수궤분위치료조(n=20)화대조조(n=20)。대조조급여상규내과간예급탄인훈련，치료조재대조조적기출상가용침자화협기전자격。우치료전급치료20 d후채용구강공능평분화와전음수시험진행평정。결과치료전량조간구강공능평분화와전음수시험평급무현저성차이(P>0.05)；치료후량조환자구강공능평분화와전음수시험평급균교치료전명현개선(P<0.01)，치료조우우대조조(P<0.05)。결론침자결합협기전자격치료뇌졸중후구강기탄인장애림상료효만의。
Objective To investigate the effect of acupuncture combined with buccal electrical stimulation on dysphagia at oral phase af-ter stroke. Methods 40 patients with oral-phase dysphasia after stroke were randomly divided into treatment group (n=20) and control group (n=20). The control group received routine therapy and swallowing training, and the treatment group received acupuncture and electrical stimulation on buccinator in addition. They were assessed with Oral Function Scale and Kubota's Drinking Test before and 20 d after treat-ment. Results There was no significant difference between both groups before treatment (P>0.05). Both groups improved after treatment (P<0.01), and improved more in the treatment group than in the control group (P<0.05). Conclusion Acupuncture combined with buccal electri-cal stimulation is satisfactory for oral-phase dysphagia after stroke.