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目的:探讨早期电针(EA)联合功能性电刺激(FES)对脑梗死痉挛型构音障碍的临床疗效。方法:将180例脑梗死痉挛型构音障碍患者随机分为对照组、治疗组和联合组,对照组予常规药物治疗加灯盏细辛注射液静滴,治疗组在对照组基础上加电针,针刺风池、百会、大椎、翳明、廉泉、外金津玉液,联合组在治疗组基础上加FES治疗,治疗前及治疗2周后采用修改的Barthel指数(MBI)、NIHSS评分和Frenchay构音障碍评价法评定其疗效。结果:经治疗后,对照组、治疗组、联合组的MBI、NIHSS评分均较同组治疗前明显改善(P<0.001),经治疗后联合组的MBI高于对照组和治疗组(P<0.05),NIHSS评分则低于对照组和治疗组,三组间的MBI、NIHSS评分比较差异具有显著性意义(P<0.05);治疗后治疗组和联合组的Frenchay构音障碍评定级别均较治疗前明显改善(P<0.05,P<0.001),差异具有显著性。结论:EA联合FES能有效地改善脑梗死患者构音障碍及日常生活能力。
Objective: To investigate the clinical efficacy of early combined electroacupuncture (EA) and functional electrical stimulation (FES) on spastic dysarthria in cerebral infarction. Methods: One hundred and eighty cerebral infarction patients with spastic dysarthria were randomly divided into control group, treatment group and combined group. The control group was treated with conventional drug therapy plus DengzhanXiaoxin injection. The treatment group was given electroacupuncture Acupuncture Fengchi, Baihui, Dazhui, Shuiming, Lianquan and Jinjin Yuye combined with FES were added on the basis of the treatment group. The modified Barthel index (MBI), NIHSS Score and Frenchay dysarthria evaluation method to assess its efficacy. Results: The MBI and NIHSS score of the control group, treatment group and combination group were significantly improved (P <0.001) compared with those of the control group after treatment. The MBI of the combined group was higher than that of the control group and the treatment group after treatment (P < 0.05), NIHSS score was lower than the control group and treatment group, MBI, NIHSS score between the three groups was significantly different (P <0.05); after treatment, the treatment group and the combination group Frenchay dysarthria rating grade Before treatment, it was significantly improved (P <0.05, P <0.001), the difference was significant. Conclusion: EA combined with FES can effectively improve dysarthria and daily living ability in patients with cerebral infarction.