摘要
目的进一步探讨隔姜灸疗法在脑卒中急性期对吞咽障碍临床疗效。方法选取在广东省第二中医院针灸康复科病房进行住院治疗且符合纳入、排除标准的150例吞咽障碍患者随机分为对照组和治疗组,每组75例患者。2组患者均统一给予规范的脑卒中常规治疗,除常规治疗外,对照组患者进行吞咽功能训练;治疗组在对照组基础上进行隔姜灸疗法治疗,2组患者疗程均为2周。分别在治疗前及治疗后对2组患者进行疗效评价,结局指标选择洼田饮水试验法、改良吞咽能力评价表(Modified Mann Assessment of Swallowing Ability,MMASA)、肺炎发生率对2组患者进行吞咽功能评定,并进行临床疗效分析。在中风2个月时采用MMASA量表评分进行随访。结果经2周治疗后,2组患者洼田饮水症状积分及MMASA评分均较治疗前有明显改善(P<0.01),治疗组优于对照组(P<0.01);治疗结束后,治疗组、对照组吸入性肺炎发生率分别为36.0%、60.0%,治疗组低于对照组(P<0.05);对照组总有效率为77.3%,治疗组总有效率为85.3%,治疗组优于对照组(P<0.05)。2组患者在卒中2个月时MMASA评分较治疗结束时均未见明显变化(P>0.05),治疗组MMASA评分仍高于对照组(P<0.05)。结论隔姜灸法对卒中后急性期吞咽障碍疗效确切,可显著改善患者的吞咽功能,且远期疗效较好,值得临床推广应用。
Objective To clarify the ginger-partitioned moxibustion in the treatment of dysphagia in acute stroke.Methods 150 patients with acute post-stroke dysphagia who were hospitalized in department of acupuncture and moxibustion rehabilitation of Guangdong Second Hospital of Traditional Chinese Medicine were enrolled,and the patients were randomly divided into groups using a random number table,with 75 patients in each group.Both groups were given conventional stroke treatment.In addition to conventional treatment,patients in the control group received swallowing function training,while the treatment group received ginger-partitioned moxibustion on the basis of the control group.Both groups were treated for 2 consecutive weeks.Efficacy was evaluated before and after treatment.The swallowing function of the two groups of patients was evaluated by the Watian drinking water test method,the Modified Mann Assessment of Swallowing Ability(MMASA),the incidence of pneumonia and efficacy analysis.MMASA scale score was applied for follow-up at 2 months of stroke.Results After 2 weeks of treatment,Watian drinking water symptom scores and MMASA scores of the two groups were significantly improved compared with those before the treatment(P<0.01),and the treatment group was better than the control group(P<0.01).The incidence of aspiration pneumonia in the treatment group and control group was 36.0%and 60.0%,respectively,the treatment group was lower than the control group(P<0.05).The total effective rate of the control group was 77.3%,while 85.3%in the treatment group,and the treatment group was better than control group(P<0.05).There was no significant change in the MMASA score of the two groups of patients at the end of the stroke after two months of stroke(P>0.05).The MMASA score of the treatment group was still higher than that of the control group(P<0.05).Conclusion Ginger-partitioned moxibustion has a definite effect on dysphagia in the acute phase after stroke because of significantly improvement for the swallowing function and long-term effect,which is worthy of clinical application.
作者
黄小丽
欧素琼
朱燕花
余婵真
刘惠霞
HUANG Xiaoli;OU Suqiong;ZHU Yanhua;YU Chanzhen;LIU Huixia(Department of Acupuncture and Moxibustion Rehabilitation,Guangdong Second Hospital of Traditional Chinese Medicine,Guangdong Province,Guangzhou 510095,China)
出处
《光明中医》
2022年第4期561-564,共4页
GUANGMING JOURNAL OF CHINESE MEDICINE
基金
广东省中医药局面上项目(No.20202008)。
关键词
隔姜灸疗法
脑卒中
急性期
吞咽障碍
therapy of ginger-partitioned moxibustion
stroke
acute phase
dysphagia
