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目的:观察电针联合康复训练治疗脑卒中后吞咽障碍的疗效。方法:将70例患者随机分为试验组和对照组各35例。试验组接受3周电针联合康复训练,对照组进行单纯康复训练。观察2组治疗前后标准吞咽功能评估(Standardized Swallowing.Assessment,SSA)总分。结果:2组治疗后SSA总分较治疗前均有下降,与治疗前比较,差异均有非常显著性意义(P<0.01)。2组治疗后比较,差异也有非常显著性意义(P<0.01)。治疗前含脑干损伤组患者SSA总分较不含脑干损伤患者高,差异有非常显著性意义(P<0.01)。不合脑干损伤患者中,试验组治疗后SSA总分分值降低较对照组明显,差异有非常显著性意义(P<0.01);含脑干损伤患者中,试验组治疗后SSA总分分值降低也较对照组明显,差异有非常显著性意义(P<0.01)。结论:对于脑卒中后吞咽障碍,电针联合康复训练治疗疗效优于单纯康复训练治疗。
Objective: To observe the therapeutic effects of electroacupuncture combined with rehabilitation training on dysphagia after stroke. Methods: Seventy patients were randomly divided into experimental group and control group of 35 cases. The experimental group received electroacupuncture combined rehabilitation training for 3 weeks and the control group received pure rehabilitation training. The total score of Standardized Swallowing. Assessment (SSA) before and after treatment was observed in two groups. Results: The total score of SSA decreased after treatment in both groups, with significant difference (P <0.01) compared with that before treatment. There was also a significant difference between the two groups after treatment (P <0.01). Before treatment, patients with brain stem injury included SSA score higher than those without brain injury, the difference was significant (P <0.01). In the group of patients with brainstem injury, the total scores of SSA in the experimental group were significantly lower than those in the control group (P <0.01). Among the patients with brainstem injury, the total scores of SSA in the experimental group Decreased significantly than the control group, the difference was significant (P <0.01). Conclusion: The therapeutic effect of electroacupuncture combined with rehabilitation training is better than pure rehabilitation training for post-stroke dysphagia.