摘要
目的 观察高、低频率电针对脑卒中吞咽障碍患者的康复疗效，建立综合康复治疗方案，提高患者生活质量与治疗有效率。方法 将博白县人民医院康复科门诊的60例脑卒中吞咽障碍患者随机分为高频率电针组（30例）、低频率电针组（30例），均给予吞咽功能康复治疗，并分别加用高频（100Hz）、低频（2Hz）电针刺激“舌下三针”，每日1次，每次30min。治疗前后采用SSA、NRS-2002及FIM量表评估。结果 治疗4周后，两组吞咽功能、营养状态及生活自理能力均改善。组间比较，高频率组SSA评分下降、FIM评分提升幅度均优于低频率组，NRS-2002评分改善差异无统计学意义。结论 高频率电针联合吞咽功能训练效果更佳，是安全、有效、简便的康复手段，值得推广。
关键词： 电针；脑卒中；吞咽障碍；高频率；低频率；康复疗效
Abstract
Objective To observe the rehabilitation efficacy of high- and low-frequency electroacupuncture in patients with dysphagia after stroke and to establish a comprehensive rehabilitation treatment plan to improve patients' quality of life and treatment effectiveness. Methods Sixty patients with dysphagia after stroke from the Rehabilitation Department outpatient clinic of Bobai County People's Hospital were randomly divided into a high-frequency electroacupuncture group (30 cases) and a low-frequency electroacupuncture group (30 cases). All patients received swallowing function rehabilitation therapy, with the high-frequency group additionally treated with 100 Hz electroacupuncture and the low-frequency group with 2 Hz electroacupuncture, both stimulating the "Three Needles Under the Tongue" (Lianquan, Left and Right Pianliquan) once daily for 30 minutes. Assessments were conducted before and after treatment using the Standardized Swallowing Assessment (SSA), Nutritional Risk Screening 2002 (NRS-2002), and Functional Independence Measure (FIM) scales. Results After 4 weeks of treatment, both groups showed improvement in swallowing function, nutritional status, and activities of daily living. Between-group comparisons revealed that the high-frequency group had greater reductions in SSA scores and greater improvements in FIM scores compared to the low-frequency group, while no statistically significant difference was observed in NRS-2002 score improvements. Conclusion High-frequency electroacupuncture combined with swallowing function training is more effective, being a safe, efficacious, and simple rehabilitation method, and is worthy of clinical promotion.
Key words： Electroacupuncture; Stroke; Dysphagia; High frequency; Low frequency; Rehabilitation efficacy
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