【摘要】：目的:本課題通過Vitalstim組、靳三針組及綜合治療組治療球麻痹進(jìn)行臨床觀察,以期得出靳三針聯(lián)合Vitalstim吞咽治療儀治療腦卒中后球麻痹的優(yōu)效性。方法:本研究收入診斷為卒中后球麻痹患者共90例,均來源于桂林市中醫(yī)醫(yī)院腦病科住院部及門診。通過隨機(jī)分配方法將90例符合納入標(biāo)準(zhǔn)的研究對(duì)象分為3組,Vital Stim組、靳三針組及綜合治療組(靳三針合Vital Stim吞咽治療儀),每組30例。各組均給予腦卒中基礎(chǔ)治療和吞咽功能訓(xùn)練。Vital Stim組給予Vital Stim吞咽障礙治療儀治療,靳三針組給予靳三針(腦三針、舌三針)針刺治療,綜合治療組予靳三針合Vital Stim吞咽治療儀治療,其中靳三針針刺治療一周5次(周一至周五),Vital Stim吞咽治療儀治療每日1次,各組共治療3周。治療3周及3月后,分別通過洼田飲水試驗(yàn)評(píng)分對(duì)其吞咽功能以及療效進(jìn)行評(píng)價(jià)。結(jié)果:(1)通過對(duì)三組病人進(jìn)行洼田飲水試驗(yàn)評(píng)分、療效評(píng)價(jià),三組的吞咽功能均有改善,綜合治療組洼田飲水試驗(yàn)明顯較Vital Stim組、靳三針組提高。療效評(píng)價(jià)Vital Stim組有效率60%、靳三針組有效率63.3%及綜合治療組有效率83.3%。綜合治療組與Vital Stim組、靳三針組比較,差異有統(tǒng)計(jì)學(xué)意義(P0.05),Vital Stim組與靳三針組差異無統(tǒng)計(jì)學(xué)意義(P0.05)。(2)Vital Stim組發(fā)生不良反應(yīng)2例、靳三針組發(fā)生不良反應(yīng)1例,綜合治療組發(fā)生不良反應(yīng)2例。三組比較,差異無統(tǒng)計(jì)學(xué)意義(P0.05)。結(jié)論:Vital Stim組、靳三針組及綜合治療組(Vital Stim吞咽治療儀合靳三針)均能有效改善卒中后球麻痹患者的吞咽功能,臨床療效切確。 靳三針聯(lián)合Vitalstim綜合治療方案更有助于改善患者的吞咽功能,具有優(yōu)效性。整個(gè)研究過程中未見明顯不良反應(yīng),安全性較高,值得臨床推廣。
[Abstract]:Objective: to observe the clinical effect of Vitalstim group, Jin three needle group and comprehensive treatment group in the treatment of bulbar paralysis after stroke by means of Jin three needles combined with Vitalstim swallowing therapy instrument. Methods: a total of 90 patients with poststroke bulbar palsy were diagnosed in this study, all of them were from the Department of Encephalopathy and outpatient Department of Guilin traditional Chinese Medicine Hospital. 90 patients who met the inclusion criteria were randomly divided into three groups: three groups of vital Stim group, three needles group and comprehensive treatment group (30 cases in each group). All groups were given basic treatment of stroke and swallowing function training. Vital Stim group was treated with Vital Stim treatment instrument for dysphagia, and Jin three-needle group was treated with Jin three-needle (brain three-needle, tongue three-acupuncture) acupuncture. The combined treatment group was treated with Jin three-needle therapy combined with Vital Stim swallowing therapy, in which Jin three-needle acupuncture was treated five times a week (Monday to Friday) with vital Stim swallowing therapy once a day, each group was treated for three weeks. After 3 weeks and 3 months of treatment, the swallowing function and curative effect were evaluated by Wata drinking water test score. Results: (1) according to the score of depression-drinking water test and the evaluation of curative effect, the swallowing function of the three groups was improved, and the drinking water test in the comprehensive treatment group was obviously higher than that in the Vital Stim group and Jin three-needle group. The effective rate was 60% in Vital Stim group, 63. 3% in Jin three needle group and 83. 3% in comprehensive treatment group. There was no significant difference between the combined treatment group and the Vital Stim group and the Jin three-needle group (P0.05). There was no significant difference between the vital Stim group and the Jin three-needle group (P0.05). (2) Vital Stim group 2 cases, Jin three needle group 1 case). Adverse reactions occurred in 2 cases in the comprehensive treatment group. There was no significant difference among the three groups (P0.05). Conclusion the (Vital Stim swallowing therapy instrument combined with Jin San Needle in Stim group, Jin three needle group and comprehensive treatment group can effectively improve the swallowing function of patients with poststroke bulbar paralysis, and the clinical curative effect is correct. Jin-3-Needle combined with Vitalstim is more helpful to improve the swallowing function of patients. There was no obvious adverse reaction during the whole study, and the safety was high, so it was worth popularizing.
【學(xué)位授予單位】：廣西中醫(yī)藥大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2016
【分類號(hào)】：R246.6

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