电针联合康复训练治疗脑卒中后吞咽障碍临床研究

目的：观察电针联合康复训练治疗脑卒中后吞咽障碍的疗效。方法：将70例患者随机分为试验组和对照组各35例。试验组接受3周电针联合康复训练，对照组进行单纯康复训练。观察2组治疗前后标准吞咽功能评估（standardjzed Swallowing Assessment，SSA）总分。结果：2组治疗后SSA总分较治疗前均有下降，与治疗前比较，差异均有非常显著性意义（P〈0．01）。2组治疗后比较，差异也有非常显著性意义（P〈0．01）。治疗前含脑干损伤组患者SSA总分较不含脑干损伤患者高，差异有非常显著性意义（P〈0．01）。不含脑干损伤患者中，试验组治疗后SSA总分分值降低较对照组明显，差异有非常显著性意义（P〈0．01）；含脑干损伤患者中，试验组治疗后SSA总分分值降低也较对照组明显，差异有非常显著性意义（P〈0．01）。结论：对于脑卒中后吞咽障碍，电针联合康复训练治疗疗效优于单纯康复训练治疗。

Clinical Study of Electroacupuncture Combined with Rehabilitation Training for Treatment of Dysphagia Patients After Stroke

Objective： To observe the efficacy of electroacupuncture combined with rehabilitation training in treating dysphagia patients after stroke. Methods： Seventy patients were randomized into the experimental group and the control group, 35 patients in each group. The experimental group received electroacupuncture combined with rehabilitation training for three weeks, and the control group received rehabilitation training alone. The scores of Standardized Swallowing Assessment（SSA） were observed in both groups before and after treatment. Results： The scores of SSA were decreased in both groups after treatment, the differences being significant （P 〈 0.01 compared with those before treatment）. The difference between two groups after treatment was also significant （_P 〈 0.01）. The scores of SSA in patients with brain stem injury were higher than those without brain stem injury before treatment（P 〈 0.01）. In patients with or without stem injury, the decrease of the scores of SSA in the experimental group was superior to that in the control group after treatment （P 〈 0.01）. Conclusion： For treatment of dysphagia patients after stroke, the effect of electroacupuncture combined with rehabilitation training is better than that of rehabilitation training alone.