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目的:观察电针后留针足三里、太溪同时配合导尿管球囊扩张技术治疗脑卒中后吞咽障碍的疗效。方法:选择21例恢复期的脑卒中后吞咽障碍患者,予电针后继续留针足三里、太溪,同时应用导尿管球囊扩张技术治疗,采用X线荧光透视吞咽功能检查(VFSS)评价疗效。结果:治疗后患者钡水、钡糊吞咽时相的通过时间缩短,喉部上抬和前移幅度也改善,治疗前后比较,差异均有非常显著性意义(P<0.01)。治疗后VFSS疗效总有效率为90.5%,治愈9例,占42.9%;有效10例,占47.6%;无效2例,占9.5%。结论:导尿管球囊扩张技术同时配合针刺,有利于改善脑卒中后患者的吞咽功能,提高患者的生活质量。
OBJECTIVE: To observe the curative effect of electroacupuncture at Zusanli and Taixi with urinary catheter balloon dilation in the treatment of post-stroke dysphagia. Methods: Twenty-one patients with post-stroke dysphagia undergoing convalescence were enrolled. Electroacupuncture was followed up with Zusanli and Taixi acupuncture points. At the same time, urethral balloon dilatation technique was used to treat the patients with swallowing dysfunction. Vascular fluoroscopy (VFSS) Efficacy. Results: After treatment, the transit time of barium water and barium paste in swallowing phase was shortened, and the amplitude of laryngeal uplift and anteversion was also improved. There was significant difference between before and after treatment (P <0.01). After treatment, the total effective rate of VFSS was 90.5%, 9 cases were cured, accounting for 42.9%; 10 cases were effective, accounting for 47.6%; 2 cases were ineffective, accounting for 9.5%. Conclusions: Catheter balloon dilatation technique combined with acupuncture can improve the swallowing function of patients after stroke and improve the quality of life of patients.