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目的：探讨Vitalstim 治疗仪联合针灸治疗脑卒中后吞咽障碍的疗效及并发症发生率。方法：纳入我科住院的卒中后吞咽障碍患者60 例，采用随机表法分为Vitalstim 治疗仪组，针灸治疗组，Vitalstim 治疗仪联合针灸治疗组，完成4 个疗程。评价治疗前后各组间洼田饮水实验、SSA评分，及疗效及并发症发生率。结果：三组治疗前后洼田饮水实验评分、SSA 评分差异有统计学意义 (P<0.05)。治疗后，联合治疗组洼田饮水实验评分明显高于Vitalstim 治疗组和针灸治疗组，差异有统计学意义(P<0.05)；联合治疗组SSA 评分明显低于Vitalstim 治疗组和针灸治疗组，差异有统计学意义(P<0.05)。Vitalstim 组治疗组、针灸治疗组有效率分别为 70.00%、75%，明显低于联合治疗组90%，差异有统计学意义(P<0.05)。Vitalstim 组治疗组、针灸治疗组并发症发生率分别为40%、 35%，明显高于于联合治疗组15%，三组间差异有统计学意义(P<0.05)。结论：Vitalstim 治疗仪联合针治疗脑卒中后吞咽障碍，明显提高治疗效果，降低并发症的发生率，临床应用值得推广。

英文摘要:

Objective:To investigate the effect of Vitalstim therapeutic apparatus combined with acupuncture treatment on swallowing disorder after stroke and its complications.Methods:60 cases of patients in our hospital with swallowing disorder after stroke were included in this research and divided into three group, the first group (Vitalstim therapeutic group), the second group (acupuncture treatment group) and the third group (Vitalstim therapeutic apparatus with acupuncture therapy), by using random table. Kubota drinking test, SSA score, and the curative effect and complications were evaluated before and after the treatment.Results:Kubota drinking water test score and SSA score had statistically significant differences before and after the treatment among the three groups (P<0.05). After treatment, the Kubota drinking water test score in the combined treatment group was obviously higher than that of Vitalstim treatment group and acupuncture treatment group, and the difference was statistically significant (P<0.05). The SSA score in combined treatment group was obviously lower than in Vitalstim treatment group and acupuncture treatment group, and the difference was also statistically significant (P<0.05). Effectiveness rate of Vitalstimgroup and acupuncture group was respectively 70.00%and 75.00%, both significantly lower than that of the combined treatment group which was 90%, and the difference was statistically significant (P<0.05). Complication rate of Vitalstim treatment group and acupuncture group was 40% and 35% respectively, significantly higher than that of the combined treatment group which was 15%. The difference between three groups was statistically significant (P<0.05).Conclusion:Vitalstimtherapeutic apparatus with needle therapy can significantly improve the curative effect on swallowing disorder after stroke, reduce the incidence of complications. Its clinical application is worth extending.

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