CAJ | 학술논문

目的：观察针刺结合低频电刺激治疗脑梗死后吞咽障碍的疗效。方法：脑梗死后吞咽障碍患者120例，随机分为针刺组、电刺激组及综合组各40例。3组均按常规对症支持治疗。针刺组加用针刺治疗，电刺激组加用电刺激治疗，综合组联合以上两种方法治疗。采用洼田饮水实验、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进行评定临床疗效。结果：治疗1及2周后，3组洼田氏饮水试验评分均较治疗前呈逐渐下降趋势（P＜0．01），且各时间点综合组评分更低于针刺组及电刺激组（P＜0．01），针刺组与电刺激组评分各时间点比较均差异无统计学意义；治疗1及2周后，3组吞咽困难亚量表吞咽障碍程度评分均较治疗前呈逐渐上升趋势（P＜0．01），且各时间点综合组评分更高于针刺组及电刺激组（P＜0．01），针刺组与电刺激组评分各时间点比较均差异无统计学意义；治疗2周后，3组临床疗效比较，综合组总有效率均明显高于针刺组及电刺激组（P＜0．01），针刺组与电刺激组比较差异无统计学意义。结论：针刺结合低频电刺激法明显提高脑梗死后吞咽障碍患者的吞咽功能。
목적：관찰침자결합저빈전자격치료뇌경사후탄인장애적료효。방법：뇌경사후탄인장애환자120례，수궤분위침자조、전자격조급종합조각40례。3조균안상규대증지지치료。침자조가용침자치료，전자격조가용전자격치료，종합조연합이상량충방법치료。채용와전음수실험、뇌졸중환자신경공능결손정도평분표준중적탄인곤난아량표진행평정림상료효。결과：치료1급2주후，3조와전씨음수시험평분균교치료전정축점하강추세（P＜0．01），차각시간점종합조평분경저우침자조급전자격조（P＜0．01），침자조여전자격조평분각시간점비교균차이무통계학의의；치료1급2주후，3조탄인곤난아량표탄인장애정도평분균교치료전정축점상승추세（P＜0．01），차각시간점종합조평분경고우침자조급전자격조（P＜0．01），침자조여전자격조평분각시간점비교균차이무통계학의의；치료2주후，3조림상료효비교，종합조총유효솔균명현고우침자조급전자격조（P＜0．01），침자조여전자격조비교차이무통계학의의。결론：침자결합저빈전자격법명현제고뇌경사후탄인장애환자적탄인공능。
Objective:To observe the clinical effect of acupuncture combined with low‐frequency electrical stimula‐tion for dysphagia after cerebral infarction .Methods:120 patients with dysphagia after cerebral infarction were ran‐domly divided into an acupuncture group ,an electric stimulation group and a comprehensive group .All patients in the three groups were given conventional symptomatic treatment ,the patients in acupuncture group were given acu‐puncture treatment ,those in electric stimulation group were given low‐frequency electric stimulation treatment and those in comprehensive group given both the two treatments .Watian water drinking test and dysphagia scale were used to evaluate the therapeutic effect .Results:One and 2 weeks after treatment ,the Watian drinking water test score in all 3 groups showed a gradually declined trend (P<0 .01) ,and the score in comprehensive group was sig‐nificantly lower than in acupuncture group and electric stimulation group at each time point (P<0 .01) ,but there was no significant difference between acupuncture group and electric stimulation group .One and 2 weeks after treat‐ment ,the dysphagia scale score in all 3 groups was increased as compared with that before the treatment (P<0 .01) ,and the score in comprehensive group was significantly greater than in acupuncture group and electric stimu‐lation group at each time point (P<0 .01) ,but there was no significant difference between acupuncture group and e‐lectric stimulation group .Two weeks after treatment ,total effective rate in comprehensive group was higher than in the other two groups (P<0 .01) ,but there was no significant difference between acupuncture group and electric stimulation group .Conclusion:Acupuncture combined with low‐frequency electrical stimulation is significantly ef‐fective for treating dysphagia after cerebral infarction .