针刺结合神经肌肉电刺激对脑卒中后咽期吞咽障碍的影响

目的:观察针刺结合神经肌肉电刺激对脑卒中后咽期吞咽障碍患者康复的影响。方法:按随机数字表法将40例脑卒中患者分为2组各20例,对照组给予常规药物治疗、吞咽功能训练和神经肌肉电刺激,观察组在对照组的基础上给予针刺治疗。治疗前后采用表面肌电分析(记录sEMG最大波幅)、透视吞咽功能检查(VFSS)对患者吞咽功能进行评价。结果:治疗20d后,2组患者的sEMG最大波幅、VFSS总评分及咽期VFSS评分明显高于治疗前(P0.05),且观察组更高于对照组(P0.05)。结论:针刺结合神经肌肉电刺激能明显提高脑卒中后咽期吞咽障碍患者的康复效果。

Effects of acupuncture combined with neuromuscular electrical stimulation on dysphagia during a swallow phase after stroke

Objective:To observe the effects of acupuncture combined with neuromuscular electrical stimulation on dysphagia during a swallow phase after stroke. Methods:Forty cases of stroke were divided into two groups by a random number table. The control group received a conventional drug therapy, swallowing function training and neuromuscular electrical stimulation, and the treatment group received acupuncture treatment besides conventional drug therapy, swallowing function training and neuromuscular electrical stimulation. Before and after treatment, swallowing function of the patients was evaluated by surface electromyography (sEMG) and videofluoroscopy swallowing study (VFSS). Results:The sEMG maximum amplitude, VFSS total score and pharynx VFSS score of the two groups after 20 days of continuous treatment were significantly higher than those before treatment (P<0.05), and those in treatment group were higher than in control group (P<0.05). Conclusion:The rehabilitation effects on patients with dysphagia during a swallow phase after stroke have been significantly improved by acupuncture combined with neuromuscular electrical stimulation.