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电针与神经肌肉促进技术联合用于脑卒中后吞咽障碍患者对总体康复效果及安全性的影响OA

Effect of Electroacupuncture Combined with Neuromuscular Promotion Technique on Overall Rehabilitation and Safety in Patients with Swallowing Disorder after Stroke

中文摘要英文摘要

目的:分析电针与神经肌肉促进技术联合用于脑卒中后吞咽障碍患者对总体康复效果及安全性的影响.方法:采取便利抽样法选取2022年1月~2023年1月本院收治的88例脑卒中后吞咽障碍患者,根据随机数字表法分为观察组和对照组各44例,对照组予以神经肌肉促进技术治疗,观察组予以电针与神经肌肉促进技术联合治疗,4周后比较两组患者临床疗效、康复效果、咽腔收缩情况及安全性.结果:观察组总有效率为90.91%,高于对照组的75.00%(P<0.05);治疗后,观察组MMASA评分、FIRS评分均高于对照组,SSA评分则低于对照组(P<0.05);观察组浓流质与稀流质饮食时咽腔收缩持续时间均长于对照组,咽腔收缩率则低于对照组(P<0.05);两组不良反应发生率差异无统计学意义(P>0.05).结论:电针与神经肌肉促进技术联合用于脑卒中后吞咽障碍患者可取得显著效果,不仅能提升其疗效,促进吞咽功能康复,还能改善患者咽腔收缩情况,同时安全性高.

Objective:To analyze the effect of electroacupuncture combined with neuromuscular promotion technology on the overall rehabilitation and safety of patients with swallowing disorder after stroke.Methods:88 cases of patients with dysphagia after stroke treated in our hospital from January 2022 to January 2023 were selected by convenient sampling method and divided into observation group(n=44)and control group(n=44)ac-cording to the numerical random table method.The control group were treated with neuromuscular promotion technique,while observation group were given combined treatment of electroacupuncture and neuromuscular promotion technology.After 4 weeks,the clinical efficacy,rehabilitation ef-fect,pharyngeal contraction and safety of the two groups were compared.Results:The overall response rate of observation group was 90.91%,which was higher than 75.00%that of control group(P<0.05).After treatment,the MMASA score and FIRS score of observation group were higher than those of control group,while the SSA score was lower than that of control group(P<0.05);the duration of pharyngeal cavity constriction in observa-tion group during concentrated and dilute fluid diets was longer than those of control group,while the rates of pharyngeal cavity constriction was lower than those of control group(P<0.05);and there was no statistically significant difference in the incidence rate of adverse reactions between the two groups(P>0.05).Conclusion:Electroacupuncture combined with neuromuscular promotion technology can achieve significant results in patients with swallowing disorders after stroke,which can not only improve the therapeutic effect and promote the rehabilitation of swallowing function,but also improve the pharyngeal cavity contraction of patients with high safety.

骆立虎;付高勇;余秀芳;李巧媚

宜宾市第一人民医院,四川宜宾 644000

临床医学

脑卒中吞咽障碍电针神经肌肉促进技术康复咽腔收缩安全性

strokedysphagiaelectroacupunctureneuromuscular facilitation techniquesrehabilitationpharyngeal cavity contractionsafety

《中医康复》 2024 (009)

16-19,26 / 5

10.19787/j.issn.2097-3128.2024.09.004

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