电 ?? 治疗中风后口腔喉功能障碍:一项随机对照试验
Xing-Yu Kang1, Cheng-Fei Gao1, Leng-Qiu Guo2
1Department of Rehabilitation, The Affiliated Hospital of Qingdao University, Qingdao, China.
概括
电针 (EA) 在增加到传统康复治疗时,有望改善中风后口腔喉不全症 (PSOD) 患者的吞功能. 与对照组和神经肌肉电刺激 (NMES) 相比,EA显示出更大的益处.
科学领域:
- 神经学 神经学
- 康复医学 康复医学 康复医学
- 整合和补充医学是整合和补充医学.
背景情况:
- 脑卒中后口腔喉乱 (PSOD) 是一种常见的并发症,影响患者的生活质量.
- 电针 (EA) 经常用于食障碍,但其疗效和机制需要进一步研究.
- 这项研究旨在评估EA的有效性,作为PSOD标准康复的辅助.
研究的目的:
- 收集关于EA作为PSOD辅助疗法的疗效的初步数据.
- 为了比较EA与辅助神经肌肉电刺激 (NMES) 和对照组的影响.
- 用客观和主观措施评估吞功能的变化.
主要方法:
- 45名PSOD患者被随机分为三个组:EA,NMES或对照组.
- 所有小组都接受了常规的消化不良康复治疗;EA和NMES小组接受了额外的特定治疗.
- 使用表面电肌图 (sEMG),视频光学吞研究 (VFSS),标准化吞评估 (SSA) 和水吞测试来评估吞功能.
主要成果:
- 所有组都表现出改善;然而,EA组在SSA,FOIS,MBSImp,PAS和sEMG参数方面表现出比对照组更大的改善.
- 与对照组相比,NMES组仅显示了与水和唾液脱持续时间的显著改善.
- 在改善水和唾液的平均EMG (AEMG) 方面,EA的表现优于NMES.
结论:
- 初步证据表明,在双边嘉年华应用的EA可能有利于PSOD患者.
- 将EA添加到传统康复中,在PSOD患者的多种结果测量中取得了显著的改善.
- EA表明了中大效果大小,表明对PSOD治疗的潜在临床意义.
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