针刺联合冰刺激综合疗法对缺血性脑卒中后假性延髓麻痹吞咽障碍疗效观察.docVIP

针刺联合冰刺激综合疗法对缺血性脑卒中后假性延髓麻痹吞咽障碍疗效观察 　　[摘要] 目的 探讨针刺联合冰刺激治疗缺血性脑卒中引起的假性延髓麻痹吞咽功能障碍的临床效果。 方法 选取68例缺血性脑卒中后假性延髓麻痹吞咽障碍患者作为研究对象，随机分为两组，各34例。对照组给予内科常规处理、吞咽功能训练，治疗组在对照组的基础上给予针刺联合冰刺激治疗。比较两组的吞咽能力及肌电活动持续时间。 结果 治疗组治疗后的吞咽能力显著优于对照组，差异有统计学意义（Z=-4.387，P0.05）。治疗组治疗后的肌电活动持续时间显著短与对照组，差异有统计学意义（P0.05）。 结论 针刺联合冰刺激综合疗法治疗缺血性脑卒中后假性延髓麻痹吞咽功能障碍效果显著，值得临床推广应用。 　　[关键词] 假性延髓麻痹；吞咽障碍；针刺联合冰刺激疗法；肌电活动持续时间 　　[中图分类号] R743.33 [文献标识码] A [文章编号] 1674-4721（2015）01（b）-0128-04 　　Curative effect observation of acupuncture and ice stimulation combined therapy on dysphagia caused by pseudobulbar paralysis after ischaemic stroke 　　ZHANG Xin1 ZHU Xu2 ZHANG Bo3▲ 　　1.Department of Rehabilitation，the Second Traditional Chinese Medicine Hospital of Shenyang City，Shenyang 110101，China；2.Department of Oncology，the Third Affiliated Hospital of Beijing University of Traditional Chinese Medicine，Beijing 100029，China；3.Department of Neurosurgery，Affiliated Hospital of Liaoning University of Traditional Chinese Medicine，Shenyang 110032，China 　　[Abstract] Objective To explore the clinical effect of acupuncture and ice stimulation combined therapy on dysphagia caused by pseudobulbar paralysis after ischaemic stroke. Methods 68 cases with dysphagia caused by pseudobulbar paralysis after ischaemic stroke were selected and randomly divided into the control group and the therapy group，34 cases in each group.The control group was given regular internal medicine teatment and swallowing treatment，the therapy group was given acupuncture and ice stimulation combined therapy on the base of the control group.The swallowing ability and duration of electromyographic activity in two groups was compared respectively. Results The swallowing ability of the therapy group after treatment was better than that of the control group after treatment，with significant difference（Z=-4.387，P0.05）.The duration of electromyographic activity was shorter than that of the control group after treatment，with significant difference（P0.05）. Conclusion The effect