| 引用本文:陈凤侠，关艳霞.舌三针联合低频脉冲电刺激对脑卒中后吞咽障碍舌骨喉复合体动度的影响[J].世界中医药,2017,(12):. |
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| 舌三针联合低频脉冲电刺激对脑卒中后吞咽障碍舌骨喉复合体动度的影响 |
| Effect of Three Needles of Tongue Combined with Low Frequency Pulse Electrical Stimulation on the Mobility of the Hyoid Complex in Patients with Dysphagia after Stroke |
| 投稿时间：2017-05-05 |
| DOI：10.3969/j.issn.1673-7202.2017.12.057 |
| 中文关键词: 舌三针 低频脉冲 脑卒中 吞咽障碍 舌骨喉复合体动度 |
| English Keywords:Tongue three needle Low frequency pulse Stroke Dysphagia Hyoid complex |
| 基金项目:2013年河北省卫生厅医学科学研究课题计划(20130236) |
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| 中文摘要: |
| 目的：舌三针联合低频脉冲电刺激对脑卒中后吞咽障碍舌骨喉复合体动度的影响方法：随机选取2015年9月至2017年1月就诊的脑卒中后吞咽障碍患者80例，分别将患者纳入观察组和对照组，每组各40例。对照组在基础治疗基础上，采用美国Viralstim型低频脉冲电刺激；观察组在对照组基础上，施加舌三针治疗，第1针取上廉泉，第2针取去上廉泉左侧旁开0.8寸，第3针取上廉泉右侧旁开0.8寸。采用洼田饮水试验评定患者治疗前后的吞咽功能。据吞咽障碍的结局和严重程度量表（DOSS）评定患者治疗前后的吞咽障碍的结局和严重程度。采用电视X线透视吞咽功能检查（VFSS）测量患者治疗前后舌骨喉复合体动度。结果：治疗后，2组洼田饮水试验评分均较治疗前降低（P<0.05），且观察组下降程度优于对照组（P<0.05）；2组DOSS量表评分均较治疗前升高（P<0.05），且观察组上升程度优于对照组（P<0.05）；2组舌骨喉复合体动度较治疗前提高（P<0.05），其中舌骨上移和舌骨前移的距离高于对照组（P<0.05），而甲状软骨上移和前移则差异无统计学意义（P>0.05）。结论：舌三针联合低频脉冲电刺激可以显著改善脑卒中后吞咽功能障碍患者的吞咽功能，同时提高患者舌骨喉复合体动度中舌骨上移和前移的距离。 |
| English Summary: |
| To investigate the effect of tongue three needle combined with low frequency pulse electrical stimulation on the mobility of the hyoid complex in patients with dysphagia after stroke.Methods:Eighty cases of patients with dysphagia were randomly selected from September 2015-January 2017 in the hospital rehabilitation department and the Department of Neurology,patients were divided into treatment group and control group,40 cases in each group.The control group on the basis of the basic treatment,using the Viralstim type low frequency pulse electrical stimulation;the treatment group in the control group based on the application of tongue three needle treatment,take the first needle Shanglianquan,second needle to take on left side of Shanglianquan next to the open 0.8 inch,third pin take Shanglianquan beside the right to open 0.8 inches.The swallowing function of patients before and after treatment was evaluated by the field drinking water test.Outcomes and severity of dysphagia were assessed before and after treatment in patients with dysphagia according to the outcome and severity scale (DOSS).The measurement of the complexity of the hyoid complex in the patients before and after treatment by using the video fluoroscopy swallowing function test(VFSS).Results:1)After treatment,the scores of the experimental group were lowerthan those before treatment (P<0.05),and the treatment group was better than the control group (P<0.05).2) The DOSS scale scores of the two groups after treatment were higher than those before treatment (P<0.05),and the treatment group was better than the control group(P<0.05).3) Two groups of complex movement of the hyoid throat were higher than those before treatment after treatment (P<0.05), which moves forward the hyoid and hyoid distance higher than the control group (P<0.05),and thyroid cartilage and move forward,no statistically significant differences (P>0.05).Conclusion:The tongue three needle combined with low frequency pulse electrical stimulation can significantly improve the swallowing function of patients with dysphagia after stroke, and improve the distance between the hyoid bone and the forward position of the patient. |
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