CAJ | 학술논문

目的：观察电针联合神经肌肉电刺激治疗脑卒中吞咽功能障碍的临床疗效和安全性。方法：应用随机数字表法将90例伴吞咽功能障碍的脑卒中患者分为3组，每组30例，分别采用单纯电针、神经肌肉电刺激及二者联合治疗，用洼田饮水试验评价效果，比较3组临床疗效及并发症发生情况。结果：治疗30天后，3组的洼田氏饮水试验分级均下降；总有效率分别为84．33％、80％和96．67％，联合组与电针组、神经肌肉电刺激组比较差异有统计学意义（P＜0．05）；3组并发症发生无显著差异（P＞0.05）。结论：电针联合神经肌肉电刺激能有效安全治疗脑卒中吞咽功能障碍。
목적：관찰전침연합신경기육전자격치료뇌졸중탄인공능장애적림상료효화안전성。방법：응용수궤수자표법장90례반탄인공능장애적뇌졸중환자분위3조，매조30례，분별채용단순전침、신경기육전자격급이자연합치료，용와전음수시험평개효과，비교3조림상료효급병발증발생정황。결과：치료30천후，3조적와전씨음수시험분급균하강；총유효솔분별위84．33％、80％화96．67％，연합조여전침조、신경기육전자격조비교차이유통계학의의（P＜0．05）；3조병발증발생무현저차이（P＞0.05）。결론：전침연합신경기육전자격능유효안전치료뇌졸중탄인공능장애。
Objective:To observe the effect of electroacupuncture combined with neuromuscular electrical stim-ulation on cerebral apoplexy swallowing dysfunction.Methods:With the application of the random number table method, 90 cases of cerebral apoplexy patients with dysphagia were divided into 3 groups, 30 cases in each group.They were treated with simple electroacupuncture, nerve and muscle electrical stimulation and the combi-nation of two treatments respectively.Evaluate the effect by Watian water drinking test according to the clinical efficacy and complications.Results:30 days after treatment,the grading of Watian water drinking test before and after treatment in 3 groups were decreased; the total effective rates were 84.33%, 80% and 96.67%.There was a statistical significance in the combination group and the electroacupuncture group, neuromuscular electri-cal stimulation group(P<0.05);complications in three groups had no significant difference (P>0.05).Con-clusion:Electroacupuncture combined with neuromuscular electrical stimulation is safe and effective in the treat-ment of stroke with dysphagia.