Post-stroke dysphagia treated with four-step acupuncture therapy for opening orifices and benefiting throat combined with neuromuscular electrical stimulation: a randomized controlled trial

doi:10.13703/j.0255-2930.20220826-0002

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Post-stroke dysphagia treated with four-step acupuncture therapy for opening orifices and benefiting throat combined with neuromuscular electrical stimulation: a randomized controlled trial

更新时间：2024-06-03

- Post-stroke dysphagia treated with four-step acupuncture therapy for opening orifices and benefiting throat combined with neuromuscular electrical stimulation: a randomized controlled trial
- Chinese Acupuncture and Moxibustion Vol. 43, Issue 6, Pages: 611-614(2023)
- 作者机构：
  
  1. 咸阳市中心医院康复医学科
  2. 西安市第三医院康复医学科
  3. 陕西中医药大学第二附属医院名老中医工作室
- 作者简介：
- 基金信息：
- DOI：10.13703/j.0255-2930.20220826-0002
  CLC：
- Published：2023
- 稿件说明：
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Post-stroke dysphagia treated with four-step acupuncture therapy for opening orifices and benefiting throat combined with neuromuscular electrical stimulation: a randomized controlled trial[J]. Chinese Acupuncture and Moxibustion, 2023, 43(6): 611-614.
DOI：

Post-stroke dysphagia treated with four-step acupuncture therapy for opening orifices and benefiting throat combined with neuromuscular electrical stimulation: a randomized controlled trial[J]. Chinese Acupuncture and Moxibustion, 2023, 43(6): 611-614. DOI： 10.13703/j.0255-2930.20220826-0002.

摘要

目的：观察开窍利咽四步针法联合神经肌肉电刺激治疗脑卒中后吞咽障碍的临床疗效。方法：将60例脑卒中后吞咽障碍患者随机分为观察组和对照组，每组30例。对照组采用神经肌肉电刺激治疗；在对照组治疗的基础上，观察组加用开窍利咽四步针法，第一步针刺病灶侧头针三区，第二步点刺咽后壁，第三步金津、玉液放血，第四步深刺咽三穴，头针三区、咽三穴留针30 min。两组均每日1次，每周治疗6次，休息1 d

1周为一疗程，共治疗4个疗程。观察两组患者治疗前后洼田饮水试验评级、标准吞咽功能评估量表（SSA）评分、Rosenbek渗漏/误吸量表（PAS）评级，比较两组并发症发生率，并评定临床疗效。结果：与治疗前比较，两组患者治疗后洼田饮水试验评级、SSA评分、RosenbekPAS评级均降低（P<0.01），且观察组低于对照组（P<0.05）；观察组并发症发生率为13.3%(4/30)，低于对照组的36.7%(11/30

P<0.05)；观察组总有效率为93.3%(28/30)，高于对照组的70.0%(21/30

P<0.05)。结论：开窍利咽四步针法联合神经肌肉电刺激可改善脑卒中后吞咽障碍患者吞咽功能，降低并发症发生率。

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