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针刺结合综合康复疗法治疗慢性期脑卒中后吞咽障碍的疗效观察
引用本文:刘波,刘亚川,李雄.针刺结合综合康复疗法治疗慢性期脑卒中后吞咽障碍的疗效观察[J].针灸临床杂志,2010,26(4).
作者姓名:刘波  刘亚川  李雄
作者单位:北京市宣武区广外医院,北京,100055
摘    要:目的:观察针刺结合吞咽治疗仪及吞咽训练对慢性期脑卒中后吞咽障碍患者的治疗效果。方法:针刺结合综合康复疗法组20例患者采用针刺风池、翳风、完骨、人迎、舌三针、吞咽穴及治呛穴结合吞咽治疗仪及吞咽训练的方法治疗;吞咽训练组20例患者单纯采用吞咽训练的方法治疗。每组患者均治疗20次,以洼田氏饮水试验评定治疗前后疗效。结果:综合治疗组总有效率95%;单纯吞咽训练组总有效率65%,两组总有效率比较,差异有统计学意义(P0.05),而两组分别进行组内比较,治疗前后洼田氏积分差异亦有统计学意义(P0.01),提示针刺结合综合康复疗法以及单纯吞咽训练治疗均改善脑卒中后吞咽障碍患者的吞咽功能,而治疗组在综合治疗后疗效优于对照组。结论:对慢性期脑卒中后吞咽障碍患者进行针刺结合吞咽治疗仪及吞咽训练有利于吞咽功能的恢复,避免误吸等并发症的发生。

关 键 词:针刺  综合康复疗法  脑卒中  吞咽障碍

Therapeutic Effect of Acupuncture plus Comprehensive Rehabilitation Therapy with Deglutition Disorder of the Chronic Stage Caused by Stroke
LIU Bo,LIU Ya-chuan,LI Xiong.Therapeutic Effect of Acupuncture plus Comprehensive Rehabilitation Therapy with Deglutition Disorder of the Chronic Stage Caused by Stroke[J].Journal of Clinical Acupuncture and Moxibustion,2010,26(4).
Authors:LIU Bo  LIU Ya-chuan  LI Xiong
Institution:LIU Bo,LIU Ya-chuan,LI Xiong(Guangwai Hospital,Beijing 100055,China)
Abstract:Objective:To observe the effect of acupuncture plus deglutition training plus Vocastim-Master on patients with deglutition disorder of the chronic stage caused by stroke.Methods:The treatment group including twenty patients was treated with acupuncture therapy plus deglutition training plus Vocastim-Master while the control group including twenty patients was only treated with deglutition training.The therapeutic effects of all patients were assessed by using drinking experiment before therapy and twenty ti...
Keywords:Acupuncture  Comprehensive Rehabilitation Therapy  Stroke  Deglutition Disorder  
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