Shang Yan, Ren Hong, Liu Fuxing, Shi Yu, Wang Pei, Di Xueqin
Department of Rehabilitation, Baoding First Central Hospital, Baoding 071000, Hebei Province, China.
Department of Neurology, Baoding First Central Hospital, Baoding 071000, Hebei Province, China.
Zhongguo Zhen Jiu. 2018 Aug 12;38(8):803-6. doi: 10.13703/j.0255-2930.2018.08.002.
To observe the effect of electromyography (EMG) guided point injection at Renying (ST 9) for post-stroke dysphagia caused by bulbar paralysis, and explore effective treatments for improving swallowing function on the basis of conventional medicine and rehabilitation training.
A total of 60 patients were randomly divided into an observation group and a control group, 30 cases in each one. The conventional drugs combined with rehabilitation training were given in the control group, the treatment was given once every day. Based on the treatment in the control group, the EMG guided point injection at Renying (ST 9) was added in the observation group, three times a week. All the treatment was given for 2 weeks. drinking test score and Toshima Ichiro swallow test score were observed before and after treatment in the two groups, and the effects were assessed.
Toshima Ichiro swallow test score increased after treatment in both groups compared with that before treatment, and drinking test score decreased compared with that before treatment (all <0.05), and the change rate in the observation group was significantly better than that in the control group (both <0.05). The total effective rate of swallowing efficacy in the observation group was 93.3% (28/30), and the cured rate was 46.7% (14/30), which were better than 26.7% (8/30) and 3.3% (1/30) in the control group (both <0.05).
On the basis of conventional drugs and rehabilitation training, the EMG guided point injection at Renying (ST 9) can effectively increase the swallowing function of patients with post-stroke dysphagia caused by bulbar paralysis .
观察肌电图（EMG）引导下在人迎穴（ST 9）进行穴位注射对延髓麻痹所致脑卒中后吞咽障碍的影响，并在传统药物及康复训练基础上探索改善吞咽功能的有效治疗方法。
将60例患者随机分为观察组和对照组，每组30例。对照组给予常规药物联合康复训练，每天治疗1次。观察组在对照组治疗基础上，增加EMG引导下人迎穴（ST 9）穴位注射，每周3次。所有治疗均持续2周。观察两组治疗前后饮水试验评分及岛田一郎吞咽试验评分，并评估疗效。
两组治疗后岛田一郎吞咽试验评分均较治疗前升高，饮水试验评分较治疗前降低（均P<0.05），且观察组变化率明显优于对照组（均P<0.05）。观察组吞咽疗效总有效率为93.3%（28/30），治愈率为46.7%（14/30），均优于对照组的26.7%（8/30）和3.3%（1/30）（均P<0.05）。
在传统药物及康复训练基础上，EMG引导下人迎穴（ST 9）穴位注射能有效提高延髓麻痹所致脑卒中后吞咽障碍患者的吞咽功能。
