舌三针配合Vitalstim电刺激治疗脑卒中后吞咽障碍疗效观察

目的观察舌三针配合Vitalstim电刺激对卒中后吞咽障碍患者吞咽功能及生活质量的影响。方法将70例脑卒中后吞咽障碍患者随机分为治疗组和对照组,每组35例。两组均接受常规药物治疗,治疗组在此基础上采用舌三针配合Vitalstim电刺激治疗,对照组采用吞咽康复训练治疗。观察两组治疗前后洼田吞咽能力评定量表分级、标准吞咽功能(SSA)评分及吞咽障碍特异性生活质量(SWAL-QOL)评分的变化情况,并比较两组临床疗效。结果两组治疗后洼田吞咽能力评定量表分级、SSA评分及SWAL-QOL评分与同组治疗前比较差异均具有统计学意义(P<0.05)。治疗组治疗后洼田吞咽能力评定量表分级、SSA评分及SWAL-QOL评分与对照组比较差异具有统计学意义(P<0.05)。治疗组总有效率为87.5%,对照组为73.3%,两组比较差异具有统计学意义(P<0.05)。结论舌三针配合Vitalstim电刺激是一种治疗脑卒中后吞咽障碍的有效方法,能改善患者吞咽功能,提高其生活质量。

Observation on the Efficacy of Acupuncture at Three Tongue Points plus Vitalstim Electrical Stimulation in Treating Deglutition Disorder After Cerebral Stroke

Objective To observe the clinical efficacy of acupuncture at three tongue points plus Vitalstim electrical stimulation in treating deglutition disorder after cerebral stroke.Method Seventy patients with deglutition disorder after cerebral stroke were randomized to treatment and control groups,with 35 cases in each group.Both groups received conventional medication treatment.In addition,the treatment group was intervened by acupuncture at three tongue points plus Vitalstim electrical stimulation,while the control group was intervened by swallowing rehabilitation training.Kubota water swallowing test assessment rating,Standardized Swallowing Assessment(SSA)score and Swallow Quality-of-life Questionnaire(SWAL-QOL)score in the two groups were observed before and at the end of the treatment,and the clinical efficacies of the two groups were compared.Result The Kubota water swallowing test assessment rating,SSA score and SWAL-QOL score all showed a significant change after the treatment in the two groups(P<0.05).After the treatment,the Kubota water swallowing test assessment rating,SSA score and SWAL-QOL score in the treatment group were significantly different from those in the control group(P<0.05).The total efficacy rate was 87.5%in the treatment group and 73.3%in the control group,and there was a statistically significant difference between the two groups(P<0.05).Conclusion Acupuncture at three tongue points plus Vitalstim electrical stimulation is an effective approach in treating deglutition disorder after cerebral stroke.It can improve swallowing function and quality of life in the patients.