摘要
目的探讨艾灸联合护理程序干预对脑卒中患者吞咽困难症状的影响。方法将2015年9月至2017年5月河南省康复教育研究中心康复部收治的120例脑卒中吞咽困难患者分为观察组和对照组,每组60例。对照组患者给予艾灸治疗,每周连续治疗6 d,共8周;观察组患者在对照组治疗的基础上给予护理程序干预,观察2组患者中医证候积分、临床疗效、吞咽功能、血液流变学指标及不良反应。结果2组患者治疗前中医证候积分、吞咽困难分级评分及吞咽功能评分比较差异无统计意义(P>0.05);与治疗前比较,治疗后2组患者中医证候积分、吞咽困难分级评分,吞咽功能评分均降低(P<0.05);治疗后,观察组患者中医证候积分、吞咽困难分级评分及吞咽功能评分低于对照组(P<0.05)。治疗前2组患者血液流变学指标比较差异无统计学意义(P>0.05);治疗后2组患者全血黏度、血浆黏度、纤维蛋白原及红细胞比容均低于治疗前,且观察组患者全血黏度、血浆黏度、纤维蛋白原、红细胞比容低于对照组(P<0.05)。对照组和观察组患者治疗有效率分别为85.00%(51/60)、96.67%(58/60),观察组患者治疗有效率高于对照组(χ2=4.763,P<0.05)。对照组和观察组患者不良反应发生率分别为6.67%(4/60)、3.33%(2/60),2组患者不良反应发生率比较差异无统计学意义(χ2=0.179,P>0.05)。结论艾灸联合护理程序干预治疗脑卒中吞咽困难疗效显著,能显著改善患者的吞咽功能。
Objective To explore the effect of moxibustion combined with nursing program intervention on dysphagia symptom rehabilitation in patients with stroke.Methods A total of 120 stroke patients with dysphagia admitted to the Henan Rehabilitation Education Center from September 2015 to May 2017 were selected as the subjects,and they were divided into observation group and control group,with 60 patients in each group.The patients in the control group was treated with moxibustion treatment,6 days per week for eight weeks.The patients in the observation group was treated with nursing intervention program on the basis of the control group.The traditional Chinese medicine(TCM)syndrome scores,clinical efficacy,swallowing function,hemorheological indexes and adverse reactions of the two groups were observed.Results There was no significant difference in TCM syndrome scores,dysphagia grading scores and swallowing function scores of patients between the two groups before treatment(P>0.05).Compared with before treatment,the TCM syndrome scores,dysphagia grading scores,and swallowing functional scores were all reduced after treatment(P<0.05).The TCM syndrome scores,dysphagia grading scores,and swallowing function scores in the observation group were lower than those in the control group after treatment(P<0.05).There was no significant difference in the hemorheology of patients between the two groups before treatment(P>0.05).The whole blood viscosity,plasma viscosity,fibrinogen and hematocrit levels after treatment were lower than those before treatment in the two groups(P<0.05).The whole blood viscosity,plasma viscosity,fibrinogen and hematocrit levels in the observation group were lower than those in the control group(P<0.05).The effective rates in the control group and observation group were 85.00%(51/60)and 96.67%(58/60).The total effective rate in the observation group was higher than that in the control group(χ2=4.763,P<0.05).The incidence of adverse reactions in the control group and observation group was 6.67%(4/60)and 3.33%(2/60),respectively;there was no significant difference in the incidence of adverse reactions between the two groups(χ2=0.179,P>0.05).Conclusion Nursing intervention combined with moxibustion is effective in the treatment of stroke patients with dysphagia,and it can significantly improve the swallowing function.
作者
陈巧风
CHEN Qiaofeng(Department of Rehabilitation,Henan Rehabilitation Education Center,Zhengzhou 450002,Henan Province,China)
出处
《新乡医学院学报》
CAS
2020年第3期291-295,共5页
Journal of Xinxiang Medical University
基金
河南省医学学术技术带头人出国研修计划项目(编号:2017072)。
关键词
艾灸
护理程序干预
脑卒中
吞咽困难
康复
moxibustion
nursing program intervention
stroke
difficulty swallowing
recovery
