摘要
电针作为目前卒中后吞咽障碍康复治疗的主要有效手段,其相关参数的量化问题还未规范统一,本文通过梳理既往发表的电针治疗卒中后吞咽障碍的相关文献,围绕常用刺激穴位、电针频率、波形、刺激时间、电流强度等相关参数,对当前电针治疗卒中后吞咽障碍的研究进展予以综述,归纳各刺激参数在卒中后吞咽障碍康复治疗中的具体应用,并通过总结常用穴位、电针频率、波形、刺激时间、电流强度中的最佳疗效参数发现,电针参数不同,产生的疗效亦不同,首选廉泉、风池、夹廉泉、翳风;低频比高频治疗效果更明显、脑保护作用更强,尤其是2 Hz的频率;刺激时间以30 min/次最常用;电流强度方面以1mA和2mA常用。
Electro-acupuncture(EA)as the main effective means for post-stroke dysphagia rehabilitation,its related parameters of quantity have not been unified.This study reviewed related literature about EA treating post-stroke dysphagia,in terms of common acupoints,EA frequency,waveform,stimulating duration,current intensity and relevant parameters.It is found that different EA parameters have corresponding different effects.Lianquan(RN23),Fengchi(GB20),Jialianquan,and Yifeng(SJ17)are primarily selected.The therapeutic effect and cerebral protection are better with low-frequency EA than those with high-frequency EA.The EA frequency of 2Hz,stimulating duration of 30 min/time,and current intensities of 1mA and 2mA are commonly applied.
作者
范秀玉
毛忠南
张晓凌
支晓东
姚军孝
毛立亚
杜小正
王欣
柳驰
汪强
FAN Xiuyu;MAO Zhongnan;ZHANG Xiaoing;ZHI Xiaodong;YAO Junxiao;MAO Liya;DU Xiaozheng;WANG Xin;LIU Chi;WANG Qiang(Gansu University of Chinese Medicine,Lanzhou 730000,China;Affiliated Hospital of Gansu University of Chinese Medicine,Lanzhou China)
出处
《中医药信息》
2023年第6期76-81,共6页
Information on Traditional Chinese Medicine
基金
甘肃省重点人才项目(甘组通字〔2019〕39号)
甘肃省卫生行业科研计划项目(GSWSKY-2019-31)
甘肃省自然科学基金项目(21JR11RA151)
甘肃省科技计划项目(20YF8WA097)。
关键词
电针
不同参数
脑卒中
吞咽障碍
Electro-acupuncture
Different parameters
Stroke
Dysphagia