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电刺激吞咽神经肌肉联合针刺治疗脑卒中后吞咽障碍疗效观察
摘    要：

Therapeutic efficacy of swallowing neuromuscular electrical stimulation combined with acupuncture for post-stroke dysphagia
Affiliation:1. Department of Surgery, Division of Urology, University of Maryland School of Medicine, Baltimore, MD;2. Department of Urology, UT Southwestern Medical Center, Dallas, TX;2. School of Nursing, Medical College of Soochow University, The First Affiliated Hospital of Soochow University, Suzhou, Jiangsu, China;3. Department of Neurology, The First Affiliated Hospital of Soochow University, Suzhou, Jiangsu, China;4. Department of Rehabilitation, Yancheng City No.1 People''s Hospital, Yancheng, Jiangsu, China;1. The First Affiliated Hospital of Heilongjiang University of Chinese Medicine, Harbin 150060, China (黑龙江中医药大学附属第一医院, 哈尔滨 150060中国);2. Heilongjiang University of Chinese Medicine, Harbin 150040,China (黑龙江中医药大学, 哈尔滨 150040中国)
Abstract:ObjectiveTo seek a better therapy for treating post-stroke dysphagia.MethodsPatients with stroke and swallowing disorders were randomly divided into ordinary acupuncture group (group A, 58 cases) and swallowing neuromuscular electrical stimulation combined with acupuncture group (group B, 62 cases). Two-group patients were given the same basic internal medical treatment. In addition, group A was given normal acupuncture treatment with the choice of local points: Jīnjīn (
></figure> EX-HN 12), Yùyè (<figure class=></figure> EX-HN 13), Fēngchí (<figure class=></figure> GB 20), Yìfēng (<figure class=></figure> TE 17), Liánquán (<figure class=></figure> CV 23), Wángŭ (<figure class=></figure> GB 12). Group B was given swallowing neuromuscular electrical stimulation combined with acupuncture: GB 20, Fēngfŭ (<figure class=></figure> GV 16), TE 17, Yìmíng (<figure class=></figure> EX-HN 14), Yămén (<figure class=></figure> GV 15), Tiānróng (<figure class=></figure> SI 17), Tiānchuāng (<figure class=></figure> SI 16), CV 23, the uniform reinforcing-reducing manipulation was used; EX-HN 12, EX-HN 13, the piercing and blood-letting method (1-2 mL blood) was used; at the same time, the swallowing neuromuscular electrical stimulation therapy device was used to electrically stimulate the nerves and muscles in the throat and neck at specific output pulse current (50-100 Hz). Treatment was made twice a day, 30 minutes each time. Two weeks after the treatment, the patients were assessed in symptoms improvement and clinical efficacy.<b>Results</b>The total effective rate in group B was 91.4% and 75.8% in group A; in the total efficiency comparison in both groups, <em>χ</em><sup>2</sup>=5.232, <em>P</em><0.05. The difference in improvement of symptoms with post-stroke dysphagia treated with above mentioned combination treatment was statistically significant between both groups (<em>P</em><0.05).<b>Conclusions</b>The above mentioned swallowing neuromuscular electrical stimulation combined with acupuncture treatment has a better clinical effect when compared with ordinary acupuncture.</td> </tr> <tr> <td align=
Keywords:stroke  swallowing disorders or dysphagia  swallowing neuromuscular electrical stimulation  acupuncture therapy
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