| 针刺与电刺激治疗脑卒中后吞咽障碍随机对照研究 |
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| 作者姓名： | Huang Z Huang F Yan HX Min Y Gao Y Tan BD Qu F |
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| 作者单位： | 1. 广州番禺中心医院康复医学科,广东广州,511400
2. 珠海市九龙医院 |
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| 摘 要： | 目的:比较针刺配合康复训练与电刺激配合康复训练治疗脑卒中后吞咽障碍的疗效。方法:选取97例脑卒中后发生吞咽障碍的患者,随机分为针刺组(32例)、电刺激组(35例)和康复组(30例)。康复组给予常规治疗(神经内科常规治疗方法及康复训练),针刺组给予常规治疗配合针刺治疗,穴取风池、扶突、额三针等;电刺激组给予常规治疗配合电刺激治疗。采用洼田饮水试验、咯痰功能计分及吞咽功能透视检查进行吞咽功能疗效评估。结果:治疗后针刺组总有效率为96.9%(31/32),电刺激组为94.3%(33/35),均优于康复组的66.7%(20/30)(P0.01)。治疗后各组吞咽功能较治疗前均有显著改善(均P0.05),治疗后针刺组与电刺激组均优于康复组(均P0.05)。结论:针刺和电刺激配合康复训练比单纯的康复训练疗效更好,针刺与电刺激治疗吞咽障碍的疗效相当。
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| 关 键 词： | 针刺 电刺激 脑卒中 吞咽障碍 |
| 收稿时间： | 2010-01-19 |
| 修稿时间： | 2010-04-08 |
Dysphagia after stroke treated with acupuncture or electric stimulation: a randomized controlled trial |
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| Huang Z,Huang F,Yan HX,Min Y,Gao Y,Tan BD,Qu F.Dysphagia after stroke treated with acupuncture or electric stimulation: a randomized controlled trial[J].Chinese Acupuncture & Moxibustion,2010,30(12):969-973. |
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| Authors: | Huang Zhen Huang Fen Yan Hai-Xia Min Yue Gao Yan Tan Bi-Dong Qu Fei |
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| Institution: | HUANG Zhen1,HUANG Fen2,YAN Hai-xia1,MIN Yu1,GAO Yan1,TAN Bi-dong1,QU Fei1(1.Rehabilitation Medicine Department of Guangzhou Panyu Central Hospital,Guangzhou 511400,Guangdong Province,China,2.Zhuhai municipal Jiulong Hospital) |
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| Abstract: | Objective To compare the therapeutic effects between acupuncture and electric stimulation on post-stroke dysphagia on the basis of rehabilitation training.Methods Ninety-seven patients with post-stroke dysphagia were randomly divided into an acupuncture group(group A,n=32),an electric stimulation group(group B,n=35) and a rehabilitation training group(group C,n=30).In group C,the conventional therapy(conventional therapy of neurologic internal medicine and rehabilitation training) was applied.In group A,the... |
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| Keywords: | Acupuncture Electric Stimulation Stroke Deglutition Dysfunction |
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