摘要
目的:观察半夏厚朴汤联合针灸对中风后吞咽障碍及日常生活活动能力的影响。方法:纳入我院2017年2月至2019年2月期间90例中风后吞咽障碍患者,采用随机数字表法分为对照组和观察组各45例,对照组患者予以针灸治疗,观察组患者在此基础上联合应用半夏厚朴汤。记录两组患者治疗4周后临床疗效,以及治疗前、治疗4周后吞咽功能(洼田饮水试验)评分、日常生活活动能力(Barthel指数)、生活质量(QOL-100)评分变化。结果:治疗4周后,观察组患者治疗总有效率高于对照组,差异有统计学意义(P<0.05);两组患者洼田饮水试验评分均较治疗前降低,且观察组低于对照组P<0.05);两组患者Barthel指数均较干预前提高,且观察组显著高于对照组(P<0.05);两组患者QOL-100量表中生理、心理、社会关系、生活状况、独立能力五个方面评分均较干预前明显提高,且观察组高于对照组(P<0.05)。结论:半夏厚朴汤联合针灸可改善中风后吞咽障碍患者临床症状,改善患者日常生活活动能力与生活质量。
Objective:To explore the effect of Banxia Houpu Decoction combined with acupuncture and moxibustion for dysphagia after stroke and activities of daily living.Methods:90 patients with dysphagia after stroke in our hospital from February 2017 to February 2019 were included.They were divided into controlled group and observation group according to the random number table method, with 45 cases in each group.The patients in the controlled group were treated with acupuncture and moxibustion while patients in the observation group were combined with Banxia Houpu Decoction on this basis.The clinical efficacy after 4 weeks of treatment, as well as changes in swallowing function(water swallow test) score, activities of daily living(Barthel index) and quality of life(QOL-100) before treatment and after 4 weeks of treatment were recorded in the two groups.Results:After 4 weeks of intervention, the total effective rate of treatment in the observation group was higher than that in the controlled group(P<0.05).The water swallow test scores in the two groups were decreased compared with those before treatment, and the score in the observation group was lower than that in the controlled group(P<0.05).The Barthel index scores in the two groups were increased compared with those before intervention, and the score in the observation group was significantly higher than that in the controlled group(P<0.05).The scores of five aspects of physiology, psychology, social relations, living conditions and independence ability of QOL-100 scale in the two groups were significantly improved compared with those before intervention, and the scores in the observation group were higher than those in the controlled group(P<0.05).Conclusion:Banxia Houpu Decoction combined with acupuncture and moxibustion can improve the clinical symptoms and swallowing dysfunction, and improve the quality of life in patients with dysphagia after stroke.
作者
贺飞
张子雯
HE Fei;ZHANG Ziwen(Department of Rehabilitation Medicine,Anhui North Coal Power Group General Hospital,Suzhou Anhui 234000,China)
出处
《四川中医》
2020年第6期145-147,共3页
Journal of Sichuan of Traditional Chinese Medicine
关键词
半夏厚朴汤
针灸
中风后吞咽障碍
日常生活能力
生活质量
Banxia Houpu Decoction
Acupuncture and moxibustion
Dysphagia after stroke
Daily life ability
Quality of life
