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目的观察“皮层—咽部—舌根”序贯针刺法联合吞咽训练治疗急性脑梗死后吞咽障碍的临床疗效。方法将68例急性脑梗死后吞咽障碍患者随机分为治疗组和对照组,对照组均接受基础治疗。治疗组在对照组基础上接受“皮层—咽部—舌根”序贯针刺治疗,同时接受吞咽训练。对比2组临床疗效和治疗前后吞咽评分。结果入院时2组间吞咽评分比较差异无统计学意义(P>0.05)。治疗后,2组洼田饮水评分均高于治疗前,且治疗组高于对照组,差异有统计学意义(P<0.05)。治疗组总有效率为88.57%高于对照组的60.61%,差异有统计学意义(P<0.05)。结论联合吞咽训练的多靶点刺激序贯针刺治疗方法较单纯药物治疗组能够更好的改善急性脑梗死后吞咽障碍。
Objective To observe the clinical effect of “Cortex - pharynx - tongue base” sequential acupuncture combined with swallowing training on swallowing disorder after acute cerebral infarction. Methods Sixty-eight patients with dysphagia after acute cerebral infarction were randomly divided into treatment group and control group. The control group received basic treatment. The treatment group received “Cortex - pharyngeal - tongue base” sequential acupuncture treatment on the basis of the control group, while receiving swallowing training. The clinical efficacy and swallowing scores before and after treatment were compared between two groups. Results There was no significant difference in the swallowing scores between the two groups on admission (P> 0.05). After treatment, the score of Kushida drinking water in two groups was higher than before treatment, and the treatment group was higher than the control group, the difference was statistically significant (P <0.05). The total effective rate of the treatment group was 88.57% higher than that of the control group (60.61%), the difference was statistically significant (P <0.05). Conclusions Combined sequential swab stimulation with multi-target stimulation of swallowing training can better improve swallowing disorder after acute cerebral infarction than simple drug treatment group.