CAJ | 학술논문

目的：探讨电针刺激治疗急性脑卒中后吞咽障碍的临床疗效。方法：2013年8月～2014年8月选取急性脑卒中后吞咽障碍患者40例，随机分为电针刺激治疗组（A1）和对照组（A2）。电针刺激治疗组采用基本吞咽康复训练联合电针刺激治疗，对照组采用基本吞咽康复训练治疗；均连续治疗2w。采用“洼田俊夫饮水试验标准”和“藤岛一郎吞咽疗效评价标准”评定疗效。结果：电针刺激治疗组（A1）显效4例，有效13例，无效3例；对照组（A2）显效3例，有效8例，无效9例。A1组治疗好转率为85%（17/20）、A2组为55%（11/20），两组间比较差异有统计学意义(χ2=4.286，P＜0.05)。结论：对于急性脑卒中后吞咽障碍，基本吞咽康复训练或电针刺激治疗均有较好疗效，但基本吞咽康复训练结合电刺激疗效明显优于基本吞咽康复训练治疗。
목적：탐토전침자격치료급성뇌졸중후탄인장애적림상료효。방법：2013년8월～2014년8월선취급성뇌졸중후탄인장애환자40례，수궤분위전침자격치료조（A1）화대조조（A2）。전침자격치료조채용기본탄인강복훈련연합전침자격치료，대조조채용기본탄인강복훈련치료；균련속치료2w。채용“와전준부음수시험표준”화“등도일랑탄인료효평개표준”평정료효。결과：전침자격치료조（A1）현효4례，유효13례，무효3례；대조조（A2）현효3례，유효8례，무효9례。A1조치료호전솔위85%（17/20）、A2조위55%（11/20），량조간비교차이유통계학의의(χ2=4.286，P＜0.05)。결론：대우급성뇌졸중후탄인장애，기본탄인강복훈련혹전침자격치료균유교호료효，단기본탄인강복훈련결합전자격료효명현우우기본탄인강복훈련치료。
Objective To investigate the clinical effects of electrical stimulation for dysphagia in acute stroke. Methods From August 2013 to August 2014,40 cases were randomly divided into electrical stimulation group(A1)and control group(A2).These patients were treated with electrical stimulation combined with rehabilitation training for 2 weeks. Results The outcome of the group A1 had 4 cases of better effective ,13 cases of effective, 3 cases of no effective,and the group A2 had 3 cases of better effective ,8 cases of effective, 9 cases of no effective. The response rate was 85%(17/20)in group A1 and 55%(11/20) in group A2,showing statistically significant difference (χ2=4.286,P<0.05). Conclusions For dysphagia in acute stroke patients, rehabilitation training or electrical stimulation combined with rehabilitation training could provide good effect, but it is better to choose electrical stimulation combined with rehabilitation training.