Objective To study the clinical efficacy of neuromuscular electrical stimulation combined with acupuncture and swallowing training on dysphagia after stroke. Methods Seventy patients with dysphagia after stroke in our hospital from July 2011 to July 2013 were equally randomized into control group, which were given ba-sic treatment and rehabilitation training, and observation group, which were given additional neuromuscular electrical stimulation combined with acupuncture and swallowing training except basic treatment and rehabilitation training. The clinical efficacy, VFSS scores on pre-and post-treatment and adverse reactions in the two groups according to the Watian drinking water test and swallowing X-ray television fluoroscopy (VFSS) were compared. Results Compared with the control group, the total effective rate significantly increased (97.1% vs 77.1%). And the VFSS scores after treatment obviously increased [(8.0±0.8) vs (5.2±0.7) ]while the incidence of adverse reactions significantly decreased in the observation group (11.4% vs 34.3%), P<0.05. Conclusion For the patients with dysphagia after stroke, the treatment of neuromuscular electrical stimulation combined with acupuncture and swallowing training can significant-ly improve the prognosis quality and is worthy of clinical promotion.%目的：研究神经肌肉电刺激联合针刺和吞咽训练治疗脑卒中后吞咽障碍的临床疗效。方法选取2011年7月至2013年7月期我院诊治的70例脑卒中后吞咽障碍患者，根据随机数字法将其分为对照组和观察组各35例。对照组给予基础治疗及肢体康复训练，观察组在对照组治疗的基础上给予神经肌肉电刺激联合针刺和吞咽训练治疗，根据洼田饮水试验、吞咽X线电视透视检查(VFSS)，观察和比较两组临床疗效、治疗前后VFSS评分及不良反应。结果与对照组比较，观察组总有效率明显升高(97.1%vs 77.1%)，治疗后观察组VFSS评分显著升高[(8.0±0.8)分vs (5.2±0.7)分]，不良反应发生率显著降低(11.4%vs 34.3%)，以上各项指标比较差异均有统计学意义(P<0.05)。结论神经肌肉电刺激联合针刺和吞咽训练治疗脑卒中后吞咽障碍患者可明显改善患者的生活质量，值得临床推广。
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