摘要
目的观察针刺法联合神经肌肉电刺激(NMES)治疗脑卒中后咽期吞咽障碍的疗效。方法 100例脑卒中后咽期吞咽障碍患者随机分为对照组和观察组,对照组采用针刺法治疗,观察组采用针刺法联合NMES治疗。对比两组的疗效、营养指标、日常生活能力和并发症发生情况。结果观察组疗效明显优于对照组(P<0.05)。观察组治疗后的血清白蛋白、血红蛋白、血清总蛋白浓度、日常生活能力量表评分均高于对照组,并发症总发生率低于对照组(均P<0.05)。结论针刺法联合NMES治疗脑卒中后咽期吞咽障碍能提高患者的疗效、营养状态和日常生活能力,减少并发症。
Objective To observe the clinical efficacy of acupuncture and neuromuscular electric stimulation(NMES)in post-stroke pharyngeal dysphagia(PSPD).Methods One hundred PSPD patients were randomly treated with acupuncture(control group)or acupuncture plus NMES(observation group).Clinical efficacy,nutritional indexes,activity of daily living(ADL)and complications were compared between two groups.Results Compared with control group,curative effect,serum levels of albumin,hemoglobin and total protein,and ADL scores were higher,while incidence of overall complications was lower in observation group(P<0.05).Conclusion Combined acupuncture and NMES can improve the curative effect,nutritional status and ADL,and reduce the complications in PSPD patients.
作者
李金秋
朱智敏
尹晓晓
LI Jin-qiu;ZHU Zhi-min;YIN Xiao-xiao(Department of Rehabilitation,Lianjiang People's Hospital,Lianjiang 524400,China)
出处
《广东医科大学学报》
2020年第5期624-627,共4页
Journal of Guangdong Medical University
基金
湛江市科技计划项目(No.2017B01237)。
关键词
咽期吞咽障碍
针刺法
神经肌肉电刺激
脑卒中
pharyngeal dysphagia
acupuncture
neuromuscular electric stimulation
stroke
