电刺激及针灸治疗急性脑卒中后吞咽障碍的疗效分析

Clinical efficacy of electrical stimulation and acupuncture for dysphagia in acute stroke

摘要:

目的：通过对比电刺激及针灸治疗急性脑卒中后真、假性球麻痹的康复治疗效果，为真、假性球麻痹的康复选择更合适的治疗方案提供指导。方法：将急性脑卒中后真、假性球麻痹各49例分别随机分配到电刺激治疗组和针灸激组，即真性球麻痹-电刺激组，真性球麻痹-针灸组，假性球麻痹-电刺激组，假性球麻痹-针灸组。4组皆在早期康复训练基础上分别给予电刺激或针灸治疗，连续治疗10 d。结果：假性球麻痹电刺激和针灸治疗后吞咽障碍恢复有效率分别为88.0%和83.3%，两种治疗有效率无统计差异（P >0.05）；真性球麻痹电刺激和针灸治疗后吞咽功能恢复有效率分别为76.0%和41.7%，2种治疗有效率具有明显差异（P<0.05）。结论：对于急性脑卒中后假性球麻痹采用康复训练配合电刺激或针灸治疗均有效；真性球麻痹采用康复训练配合电刺激治疗疗效更佳。

Abstract:

Objective：To investigate the clinical efficacy of electrical stimulation and acupuncture for post-stroke bulbar palsy and to provide references for choosing appropriate treatment plan. Methods：Totally 49 post-stroke true bulbar paralysis patients and 49 post-stroke pseudo bulbar paralysis patients were randomly assigned into electrical stimulation group and acupuncture group：true bulbar paralysis-electrical stimulation group，true bulbar paralysis-acupuncture group，pseudo bulbar paralysis- electrical stimulation group，pseudo bulbar paralysis-acupuncture group. Based on the early rehabilitation training，the four groups were treated with electrical stimulation or acupuncture for 10 d. Results：There was no significant differences in response rate between electrical stimulation group and acupuncture group among pseudo bulbar paralysis patients，88.0% and 83.3% respectively（P >0.05）. However，response rate of electrical stimulation group was significantly higher than that of acupuncture group among true bulbar paralysis patients，76.0% and 41.7% respectively（P<0.05）. Conclusion：Either electrical stimulation or acupuncture combined with rehabilitation training is effec－tive in the treatment of post-stroke pseudo bulbar paralysis. For post-stroke true bulbar paralysis，it is better to choose electrical stim－ulation combined with rehabilitation training.