中国康复Issue(6):412-414,3.DOI:10.3870/zgkf.2014.06.003
激光星状神经节照射联合经皮神经电刺激治疗脑卒中后吞咽障碍的疗效观察
Effect of super lizer stellate ganglion block and transcutaneous electrical nerve stimulation on dysphagia following stroke
田野 1熊高华 1张逸 1阳绪银 1秦龙 1王维1
作者信息
- 1. 遂宁市中心医院康复医学科,四川 遂宁 629000
- 折叠
摘要
Abstract
Objective:To observe the clinical efficacy of combined therapy of super lizer stellate ganglion block (SGB) and transcutaneous electrical nerve stimulation (TENS) in the treatment of dysphagia following stroke . Methods:One hundred patients with dysphagia following stroke were divided randomly into three groups :group A (33 cases) subjected to ice stimulation ,group B (33 cases) to TENS and ice stimulation ,and group C (34 cases) to super lizer SGB ,TENS and ice stimulation .All the patients were assessed with Kubota drinking test before and 4 weeks after treatment .The gastric retention rate and the total effective rate were recorded and statistically analyzed . Results:The swallowing function of patients in three groups was improved after treatment (P<0 .05) ,and the ther‐apeutic effective rate in group C was higher than in groups B and A ,and that in group B higher than in group A (P<0 .05) .The clinical effective rate in groups A ,B and C was 36 .36% ,72 .73% and 94 .12% respectively with the difference being statistically significant among three groups (P<0 .05) .The gastric retention rate in groups A , B and C was decreased significantly after treatment for 4 weeks as compared with that before treatment (30 .30% , 27 .27 % and 41 .18% vs .6 .06% ,3 .03% and 0 , P<0 .05) ,but there was no significant difference among the three groups .Conclusion:Combined therapy of super lizer SGB and TENS is effective to improve the swallowing function and reduce gastric retention rate of patients with dysphagia following stroke .关键词
激光/星状神经节/经皮神经电刺激/脑卒中/吞咽障碍Key words
laser/stellate ganglion/transcutaneous electrical nerve stimulation/stroke/dysphagia分类
医药卫生引用本文复制引用
田野,熊高华,张逸,阳绪银,秦龙,王维..激光星状神经节照射联合经皮神经电刺激治疗脑卒中后吞咽障碍的疗效观察[J].中国康复,2014,(6):412-414,3.