电针结合心理干预对真性延髓麻痹疗效观察

目的：探讨电针结合心理干预对真性延髓麻痹患者吞咽功能的治疗作用。方法将50例吞咽障碍者随机分为电针组（n＝25），电针结合心理干预组（n＝25）；电针组采用电针及普通针刺治疗，针灸及心理干预治疗组采用电针结合心理干预。每周治疗5天，连续治疗4周。两组患者在治疗前后用洼田饮水实验，汉密尔顿焦虑量表（HAMA），汉密尔顿抑郁量表（HAMD）进行量化评估。结果治疗后两组患者吞咽功能均有改善（P＜0.05），但电针结合心理干预组疗效好于针灸组（P＜0.05）。治疗后电针组抑郁与焦虑分值下降，但较治疗前无差异（ P＞0.05），电针结合心理干预组治疗后的抑郁与焦虑分值明显下降，且与治疗前比较有显著性差异（ P＜0.05）。结论电针结合心理干预能更好促进吞咽功能的恢复。

Therapy Effect Observation on Electric Acupuncture and Psychological Intervention for Treatment of True Medulla Oblongata Paralysis Result in Dysphagia

Objective To explore the therapy effect on dysphasia of true medulla oblongata paralysis treated with electric acupuncture treatment and psychological intervention .Methods 50 cases of patients suffering from dysphagia were randomly divided into two groups , electric acupuncture group （ n=25） received electric acupuncture treatment , while electric acupuncture and psychological intervention group （ n=25） was given electric acupuncture treatment combined with psychological intervention .5 days a week , continuous therapy for 4 weeks. Both of them were quantitatively assessed by Watian drinking water test , Hamilton Depression scale （ HAMD ） and Hamilton anxiety scale （HAMA） before and after treatment.Results The swallowing function improved in both two groups （P ＆lt;0.05）, and psychological intervention group was better than electric acupuncture group （P ＆lt;0.05）.HAMD and HAMA scores droped after treatment in electric acupuncture group, but there were no statistical difference of these scores before and after treatment （P＆gt;0.05）.HAMD and HAMA scores significantly decreased in the electric acupuncture and psychological intervention group , and there was statistical difference of these scores before and after treatment （P＆lt;0.05）.Conclusion The combination therapy of electric acupuncture and psychological intervention could promote better swallowing function recovery .