| 钟 利,陈晓锋,吴思融,李思明,廖洪全,金 欣.基于吞咽造影分析评估腹针联合神经肌肉电刺激治疗脑卒中后吞咽障碍疗效的临床研究[J].,2024,(10):1926-1930 |
| 基于吞咽造影分析评估腹针联合神经肌肉电刺激治疗脑卒中后吞咽障碍疗效的临床研究 |
| Clinical Study on the Efficacy of Abdominal Acupuncture Combined with Neuromuscular Electrical Stimulation in the Treatment of Dysphagia after Stroke Based on Video Fluoroscophic Swallowing Study Analysis |
| 投稿时间：2023-11-06 修订日期：2023-11-28 |
| DOI：10.13241/j.cnki.pmb.2024.10.026 |
| 中文关键词: 吞咽造影 腹针 神经肌肉电刺激 脑卒中 吞咽障碍 疗效 |
| 英文关键词: Video fluoroscophic swallowing study Abdominal acupuncture Neuromuscular electrical stimulation Dysphagia Stroke Efficacy |
| 基金项目:广西壮族自治区中医药管理局科研项目（GZZC2020124）；广西自然科学基金项目（2020GXNSFAA297175） |
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| 中文摘要: |
| 摘要 目的：基于吞咽造影（VFSS）分析评估腹针联合神经肌肉电刺激（NMES）治疗脑卒中后吞咽障碍疗效的临床研究。方法：采用随机数字表法将广西中医药大学附属瑞康医院康复医学科2020年6月~2022年12月期间收治的120例脑卒中后吞咽障碍患者分为对照组（60例，NMES治疗）和实验组（60例，对照组的基础上结合腹针）。对照组患者基于VFSS分析评估腹针联合NMES治疗脑卒中后吞咽障碍疗效，对比两组VFSS评分、舌骨喉复合体移动度及上食管括约肌（UES）开放度、咽腔收缩率（PCR）、营养学指标[血红蛋白（Hb）、血清白蛋白（ALB）、血清转铁蛋白（sF）]、标准吞咽功能（SSA）评分、洼田饮水试验情况。结果：与对照组相比，实验组的临床总有效率更高（P<0.05）。与对照组治疗后相比，实验组VFSS评分更高，UES开放度更大，PCR更小（P<0.05）。与对照组治疗后相比，实验组Hb、ALB、sF更高（P<0.05）。与对照组治疗后相比，实验组SSA评分更低（P<0.05）。实验组治疗后洼田饮水试验情况优于对照组（P<0.05）。结论：腹针联合NMES治疗脑卒中后吞咽障碍患者，可有效改善患者的吞咽功能障碍和营养状态。 |
| 英文摘要: |
| ABSTRACT Objective: To evaluate the efficacy of abdominal acupuncture combined with neuromuscular electrical stimulation (NMES) in the treatment of dysphagia after stroke based on video fluoroscophic swallowing study (VFSS) analysis. Methods: 120 patients with dysphagia after stroke who were admitted to the Rehabilitation Medicine Department of Ruikang Hospital affiliated to Guangxi University of Traditional Chinese Medicine from June 2020 to December 2022 were divided into control group (60 cases, NMES treatment) and experimental group (60 cases, combine with abdominal acupuncture on the basis of control group) by random number table method.Patients in control group were evaluated based on VFSS analysis to evaluate the efficacy of abdominal acupuncture combine with NMES in the treatment of dysphagia after stroke, the VFSS score, the mobility of the hyoid-laryngeal complex and the openness of the upper esophageal sphincter (UES), pharyngeal contraction rate (PCR), nutritional indicators [hemoglobin (Hb), serum albumin (ALB), serum transferrin (sF)], standard swallowing function (SSA) score, and Watian drinking water test were compared between two groups. Results: Compared with control group, the total clinical effective rate in experimental group was higher(P<0.05). Compared with control group after treatment, the VFSS score in experimental group was higher, the UES openness was greater, and the PCR was smaller (P<0.05). Compared with control group after treatment, Hb, ALB and sF in experimental group were higher(P<0.05). Compared with control group after treatment, the SSA score in experimental group was lower(P<0.05). After treatment, Watian drinking water test in experimental group was better than that in control group(P<0.05). Conclusion: Abdominal acupuncture combined with NMES can effectively improve swallowing dysfunction and nutritional status in patients with post stroke swallowing disorders. |
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