头皮针联合神经肌肉电刺激和康复训练治疗脑卒中恢复期咽期吞咽障碍的效果

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Abstract Objective To expore the efficacy of scalp acupuncture combined with neuromuscular elctrical stimulation（NMES） and swallowing training in the treatment of pharyngeal dysphagia during the recovery phase of stroke. Methods From August 2017 to June 2019, fourty-two patients who were diagnosed as pharyngeal dysphagia after stroke in the Department of Rehabilitation, Department of Acupuncture, and Department of Encephalopathy Hangzhou Traditional Chinese Medicine Hospital were selected, the patients were divided into treatment group and control group by random number table, with 21 patients in each group. The control group was treated with NMES and swallowing rehabilitation training, while the treatment group was additively treated with scalp acupuncture. The Kobata drinking water test, VDS score and Rosenbek osmotic/aspiration scale (PAS) grade were evaluated before and after 3 weeks of treatment. Results After three weeks of treatment, the grading of kobata drinking water test and PAS in depressions in the two groups were improved compared with before treatment, and the grading of drinking water test and PAS in the treatment group were significantly improved compared with the control group, the difference was statistically significant (P ＜ 0.05). VDS scores of the two groups were lower than before treatment, and the treatment group was lower than the control group, the differences were statistically significant (P ＜ 0.05). Conclusion Scalp acupuncture combined with NMES and rehabilitation training significantly improved the swallowing function of patients with pharyngeal dysphagia in the convalescent stage of stroke, which is worthy of clinical promotion.

Key words： Stroke Dysphagia Neuromuscular electrical stimulation Scalp acupuncture

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	HUANG Jinxiu ZHOU Wenji SUN Mingying OU Xiaofeng WANG Fei PANG Jinxi

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HUANG Jinxiu ZHOU Wenji SUN Mingying OU Xiaofeng WANG Fei PANG Jinxi. Efficacy of scalp acupuncture combined with neuromuscular elctrical stimulation and swallowing training in the treatment of pharyngeal dysphagia during the recovery phase of stroke[J]. 中国医药导报, 2021, 18(23): 76-79.

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https://www.yiyaodaobao.com.cn/EN/ OR https://www.yiyaodaobao.com.cn/EN/Y2021/V18/I23/76

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