Comparative research of the clinical effects of different treatment regimens for dysphagia in acute stroke
10.3969/j.issn.1671-8348.2015.22.014
- VernacularTitle:不同方法治疗急性脑卒中后吞咽障碍的疗效比较?
- Author:
Ling YANG
;
Keyuan HUANG
;
Juan WANG
- Publication Type:Journal Article
- Keywords:
stroke;
deglutition disorders;
electric stimulation therapy;
acupuncture-moxibustion;
case-control studies
- From:
Chongqing Medicine
2015;(22):3063-3065,3067
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare the clinical effects between electrical stimulation and acupuncture for dysphagia in acute stroke,and provide effective option for the patients with post-stroke bulbar palsy.Methods A total of 80 patients (40 post-stroke true bulbar paralysis patients and 40 post-stroke pseudo bulbar paralysis patients)were randomly divided into true bulbar paralysis-electrical stimulation group(group A1),true bulbar paralysis-acupuncture group(group A2),pseudo bulbar paralysis-electrical stim-ulation group(group B1),pseudo bulbar paralysis-acupuncture group(group B2).These patients were treated with electrical stimu-lation or acupuncture combined with rehabilitation training for 2 weeks.Results In group A1,4 cases were better effective,12 cases were effective,and 4 cases were no effective.In group A2,2 cases were better effective,7 cases were effective,and 1 1 cases were no effective.The response rate was 80%(1 6/20)in group A1 and 45%(9/20)in group A2.There was statistically significant difference (P =0.022).In group B1,6 cases were better effective,12 cases were effective,and 2 cases were no effective.In group B2,5 cases were better effective,12 cases were effective,and 3 cases were no effective.The response rate was 90%(18/20)in group B1 and 85%(1 7/20)in group B2.There was no statistically significant difference(P =0.633 ).Conclusion Electrical stimulation or acu-puncture combined with early rehabilitation training could provide good effect for post-stroke pseudo bulbar paralysis patients.For post-stroke true bulbar paralysis patients,it was better to choose electrical stimulation combined with early rehabilitation training.
