Huang Zhen, Huang Fen, Yan Hai-Xia, Min Yue, Gao Yan, Tan Bi-Dong, Qu Fei
Rehabilitation Medicine Department, Guangzhou Panyu Central Hospital, Guangzhou 511400, Guangdong Province, China.
Zhongguo Zhen Jiu. 2010 Dec;30(12):969-73.
To compare the therapeutic effects between acupuncture and electric stimulation on post-stroke dysphagia on the basis of rehabilitation training.
Ninety-seven patients with post-stroke dysphagia were randomly divided into an acupuncture group (group A, n = 32), an electric stimulation group (group B, n = 35) and a rehabilitation training group (group C, n = 30). In group C, the conventional therapy (conventional therapy of neurologic internal medicine and rehabilitation training) was applied. In group A, the combination of conventional therapy and acupuncture was applied. The acupoints of Fengchi (GB 20), Futu (LI 18), three-needles on the forehead, etc. were selected. In group B, the combination of conventional therapy and electric stimulation was adopted. Watian drinking water experiment, stethocatharsis function scoring and video fluoroscopic swallowing study (VFSS) were used to evaluate swallowing function of patients.
After treatment, the total effective rate was 96.95 (31/32) in group A and was 94.3% (33/35) in group B, which was superior to that of 66.7% (20/30) in group C (P < 0.01). After treatment, the swallowing function in group A, group B and group C were all improved significantly as compared with that before treatment (all P < 0.05). After treatment, the effects in group A and B were superior to that in group C (both P < 0.05).
The therapeutic effect of the combination of either acupuncture or electric stimulation with rehabilitation training is better than that of simple rehabilitation training. The efficacy on dysphagia is equal between acupuncture and electric stimulation.
在康复训练的基础上，比较针刺与电刺激对脑卒中后吞咽障碍的治疗效果。
将97例脑卒中后吞咽障碍患者随机分为针刺组（A组，n = 32）、电刺激组（B组，n = 35）和康复训练组（C组，n = 30）。C组采用常规治疗（神经内科内科常规治疗及康复训练）。A组采用常规治疗与针刺相结合的方法。选取风池（GB 20）、扶突（LI 18）、额三针等穴位。B组采用常规治疗与电刺激相结合的方法。采用洼田饮水试验、听诊功能评分及电视荧光吞咽造影检查（VFSS）评估患者吞咽功能。
治疗后，A组总有效率为96.95%（31/32），B组为94.3%（33/35），均优于C组的66.7%（20/30）（P < 0.01）。治疗后，A组、B组和C组的吞咽功能均较治疗前明显改善（均P < 0.05）。治疗后，A组和B组的效果优于C组（均P < 0.05）。
针刺或电刺激与康复训练相结合的治疗效果优于单纯康复训练。针刺与电刺激对吞咽障碍的疗效相当。
