贺氏针灸三通法对脑卒中患者吞咽功能、神经功能、相关肌群生物电信号的影响观察

摘要/Abstract

摘要： 目的探讨贺氏针灸三通法对脑卒中患者吞咽功能、神经功能、相关肌群生物电信号的影响。方法选取2022年7月—2023年6月南方医科大学附属花都医院收治的 84例脑卒中后出现吞咽障碍（DAS）患者作为研究对象,采用随机数表法将其随机分配至两个组别,各42例。对照组给予常规治疗（降压、降脂稳斑、抗血小板等）并指导患者开展吞咽康复训练,观察组则接受贺氏针灸三通法治疗,疗程4周。比较两组治疗总有效率、治疗前及治疗4周后的吞咽功能、神经功能、生活质量及颏下肌群的表面肌电图（sEMG）信号的最大振幅和吞咽时限。结果观察组总有效率高于对照组,差异有统计学意义（P<0.05）。治疗前,两组患者MMASA评分、PAS评分、NIHSS评分、SWAL-QOL评分、sEMG的最大振幅和吞咽时限比较,差异无统计学意义（P>0.05）。治疗后,两组患者的MMASA评分、SWAL-QOL评分、sEMG最大振幅均升高,PAS评分、NIHSS评分、sEMG吞咽时限均降低,且观察组治疗后的MMASA评分、SWAL-QOL评分、sEMG最大振幅高于对照组,PAS评分、NIHSS评分、sEMG吞咽时限低于对照组,差异均有统计学意义（P<0.05）。结论贺氏针灸三通法可通过对颏下肌群的良性刺激促进DAS患者的吞咽功能与神经功能改善,使患者生活质量获得提高。

关键词: 脑卒中, 吞咽障碍, 贺氏针灸三通法, 神经功能, 生物电信号

Abstract: Objective To investigate the effect of He's acupuncture and moxibustion three-pass method on swallowing function, neurological function and bioelectrical signals of related muscle groups in stroke patients. Methods Eighty-four patients with dysphagia （DAS） after stroke were admitted to Huadu Hospital of Southern Medical University between July 2022 and June 2023, and the above patients were randomly assigned to two groups （42 cases in the observation group and 42 cases in the control group） using the randomized numerical table method. The control group was given conventional treatment （antihypertensive, lipid-lowering and stabilizing plaque, antiplatelet, etc.） and instructed to carry out swallowing rehabilitation training, while the observation group received He's acupuncture and moxibustion three-tongue method for 4 weeks. The total effective rate of treatment, swallowing function, neurological function, quality of life, and the maximum amplitude of the surface electromyography （sEMG） signal and swallowing time limit of the sub-chin muscle group were compared between the two groups before and after 4 weeks of treatment. Results The total effective rate of the observation group （up to 90.48%） was higher than that of the control group （for 73.81%）（P<0.05）. Before treatment, the comparison of MMASA score, PAS score, NIHSS score, SWAL-QOL score, maximum amplitude of sEMG and swallowing time limit between the two groups was not statistically significant （P>0.05）. After treatment, the MMASA score, SWAL-QOL score, and maximum amplitude of sEMG were elevated, and the PAS score, NIHSS score, and swallowing time limit of sEMG were decreased in both groups （P<0.05）. The MMASA score, SWAL-QOL score, and sEMG maximum amplitude of the observation group were higher than that of the control group after treatment, and the PAS score, NIHSS score, and sEMG swallowing time limit were lower than that of the control group （P<0.05）. Conclusion The He's acupuncture and moxibustion three-way method can improve the swallowing function and neurological function of patients with dysphagia after stroke through benign stimulation of the submental muscle group, and improve the quality of life of patients.

Key words: stroke, dysphagia, He's three-way acupuncture, neurological function, bioelectrical signal

中图分类号:

R247.9

江礼焰, 刘蕊, 李艳. 贺氏针灸三通法对脑卒中患者吞咽功能、神经功能、相关肌群生物电信号的影响观察[J]. 中华养生保健, 2024, 42(16): 5-9.

JIANG Li-yan, LIU Rui, LI Yan. Observation on the Effect of He's Acupuncture and Moxibustion Three-Way Method on Swallowing Function, Neurological Function and Bioelectrical Signal of Related Muscle Groups in Stroke Patients[J]. ZHONGHUA YANGSHENG BAOJIAN, 2024, 42(16): 5-9.

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