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題名 | 電針在腦幹中風後吞嚥困難之治療經驗 |
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作者姓名(中文) | 許晉銘; 梁秋萍; 許玉容; 黃美涓; | 書刊名 | 復健醫學會雜誌 |
卷期 | 23:1 1995.06[民84.06] |
頁次 | 頁9-13 |
分類號 | 415.922 |
關鍵詞 | 吞嚥困難; 電針; 腦幹中風; Dysphagia; Electroacupuncture; Brain stem stroke; |
語文 | 中文(Chinese) |
中文摘要 | 在腦幹中風的病人中,吞嚥困難是一極常見的後遺症,一般臨床經驗認為這類病人在吞嚥訓練上比左右大腦中風病人困難,預後也比較差。為了加速吞嚥困難的改善,本研究設計了一套電針吞嚥治療方式,在上廉泉、承漿、風府、和啞門四穴下針,使用低頻疏密波電刺激,配合吞嚥訓練。治療前後以電視螢光攝影吞嚥檢查,分別評估食團形成,舌頭向後功能、吞嚥反射、食物經口咽時間、異物吸入、咽部滲入、和估計每口成功吞入的食物量七項吞嚥功能。此訓練方式嘗試使用於三例腦幹中風合併吞嚥困難病人,結果發現三例在舌頭向後功能、吞嚥反射、和估計每口成功吞入的食物量方面有明顯進步,經口進食量顯著增加,其中一例最後成功拔除鼻胃管。 |
英文摘要 | A program of swallowing rehabilitation combined with electro-acupuncture is applied to patients who have experienced brain stem stroke with swallowing disturbance. The acupoints are punctured over Shang Lien-Chuan, Cheng-Chiang, Feng-Fu, and Ya-Men, with electric stimulation of low-frequency dense-disperse waves. The video-fluoroscopic modified barium swallow procedure is used to examine the swallowing function including bolus formation, posterior tongue function, swallowing reflex, oropharyngeal transit time, aspiration, laryngeal penetration, and estimated swallowed amount. We studied 3 subjects with dysphagia after brain stem stroke, Videofluoroscopy showed obvious improvement in posterior tongue function, swallowing reflex, and estimated swallowed amount in these 3 patients. One patient resumed full oral intake at the last follow-up. |
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