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目的观察项针联合Vitalstim电刺激治疗脑外伤后吞咽障碍的临床疗效。方法将62例脑外伤后吞咽障碍患者随机分为3组,3组均给吞咽训练,在此基础上项针组给予项针治疗,电刺激组给予Vitalstim电刺激治疗,联合组给予项针加Vitalstim电刺激治疗,均治疗2个月。治疗前及治疗后1个月、2个月分别应用洼田饮水试验、才藤7级评价法评估吞咽功能情况。结果治疗后3组吞咽功能均较治疗前明显改善(P均<0.05),且治疗后2个月均优于治疗后1个月(P均<0.05);联合组治疗后1个月、2个月吞咽功能均明显优于项针组和电刺激组(P均<0.05),而项针组和电刺激组比较差异均无统计学意义(P均>0.05)。结论项针、Vitalstim电刺激及吞咽康复训练相结合治疗脑外伤后吞咽障碍效果优于项针加吞咽训练或Vitalstim电刺激加吞咽训练,临床中应采用综合方法治疗。
Objective To observe the clinical efficacy of acupuncture combined with Vitalstim stimulation in treatment of dysphagia after traumatic brain injury. Methods Sixty-two patients with dysphagia after traumatic brain injury were randomly divided into three groups. All three groups were given swallowing training. On the basis of this, the acupuncture group received acupuncture treatment, while the electrical stimulation group received Vitalstim stimulation. The combined group received acupuncture plus Vitalstim electrical stimulation treatment, were treated for 2 months. Before treatment and 1 month after treatment, 2 months, respectively, Kubota drinking water test, only rattan 7-level assessment of assessment of swallowing function. Results After swallowing, the swallowing function of three groups was significantly improved (P <0.05), and both groups were better than the first month after treatment (P <0.05) The swallowing function in months was significantly better than that in the acupuncture group and the electro-stimulation group (all P <0.05), while there was no significant difference between the acupuncture group and the electro-stimulation group (all P> 0.05). Conclusion The combination of acupuncture, Vitalstim stimulation and swallowing rehabilitation training is better than swallowing training or Vitalstim electrical stimulation plus swallowing training in the treatment of post-traumatic brain dysfunction. Comprehensive treatment should be taken in clinic.