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目的分析针刺结合颊肌电刺激治疗脑神经损伤后口腔期吞咽障碍的康复效果。方法收集第四军医大学西京医院康复理疗科2012年1月至2014年6月诊治的68例脑神经损伤后口腔期吞咽障碍患者作为研究对象,随机分为试验组34例与对照组34例,对照组患者采用常规内科干预及吞咽训练,试验组在对照组的基础上加用针刺结合颊肌电刺激治疗,对两组患者治疗前后的洼田饮水试验结果和口腔功能评分进行分析对比。结果试验组洼田饮水试验结果明显优于对照组(P<0.05)。两组患者治疗前口腔功能评分比较差异无统计学意义(P>0.05),治疗后口腔功能评分比较差异具有统计学意义(P<0.05)。结论针刺结合颊肌电刺激治疗脑神经损伤后口腔期吞咽障碍具有良好的康复效果。
Objective To analyze the rehabilitation effect of acupuncture and buccal electromyostimulation on oral dysphagia after craniocerebral injury. Methods Sixty-eight patients with oral dysphagia who underwent craniocerebral injury diagnosed and treated from January 2012 to June 2014 in Xijing Hospital of Fourth Military Medical University were enrolled in this study. They were randomly divided into experimental group (34 cases) and control group (34 cases) The control group received routine medical intervention and swallowing training. The experimental group was given acupuncture and buccal electromyostimulation on the basis of the control group, and the comparison between the water test results and the oral functional score before and after treatment in both groups were compared. Results The results of Wuda drinking water test in the experimental group were significantly better than those in the control group (P <0.05). There was no significant difference in oral functional score between the two groups before treatment (P> 0.05). The difference of oral functional score after treatment was statistically significant (P <0.05). Conclusion Acupuncture and buccal electromyostimulation have good rehabilitation effects in the treatment of dysphagia after oral administration of cranial nerve injury.