摘要
目的观察吞咽-呼吸导引术联合针刺治疗脑卒中后吞咽障碍的临床疗效。方法选取2019年11月—2021年11月于黑龙江中医药大学附属第二医院治疗的60例脑卒中后吞咽障碍患者,采用随机数字表法分为对照组与试验组各30例。2组患者均给予脑卒中常规治疗,对照组在此基础上加以针刺治疗,试验组在对照组基础上联合吞咽-呼吸导引术治疗,2组均干预治疗3周。于治疗前、治疗3周后对2组患者进行标准吞咽功能评价量表(SSA)、藤岛一郎吞咽疗效评价量表、改良Barthel指数疗效评定,并统计临床有效率。结果治疗后,2组患者SSA评分均明显降低(P均<0.05),且试验组SSA评分明显低于对照组(P<0.05);2组患者藤岛一郎吞咽疗效评价评分、改良Barthel指数评分均明显升高(P均<0.05),且试验组评分均明显高于对照组(P均<0.05)。试验组总有效率为92.8%(26/28),显著高于对照组的82.1%(23/28),差异有统计学意义(P<0.05)。结论吞咽-呼吸导引术联合针刺治疗可明显改善脑卒中后吞咽障碍患者的吞咽功能,提高日常生活活动能力。
Objective It is to observe the clinical efficacy of swallowing respiratory guidance combined with acupuncture in the treatment of dysphagia after stroke.Methods Sixty patients with dysphagia after stroke treated in the Second Affiliated Hospital of Heilongjiang University of Traditional Chinese Medicine from November 2021 to November 2022 were randomly divided into control group and experimental group,with 30 cases in each group.The patients in the two groups were given routine treatment for stroke,the control group was additionally treated with acupuncture,and the experimental group was treated with swallowing respiratory guidance based on the control group.Both groups were treated for 3 weeks.Before and 3 weeks after treatment,the patients in the two groups were evaluated with standard swallowing assessment(SSA),Fujishima Ichiro swallowing efficacy evaluation scale and modified Barthel index,and the clinical effective rates were counted.Results After treatment,the SSA scores of the two groups were significantly decreased(P<0.05),and the scores of the experimental group were lower than those of the control group(P<0.05);the scores of swallowing efficacy evaluation and modified Barthel index of the two groups were significantly increased(all P<0.05),and the scores of the experimental group were significantly higher than those of the control group(all P<0.05).The clinical effective rate of the experimental group was 92.8%(26/28),which was significantly higher than that(82.1%(23/28))of the control group,the difference was significant(P<0.05).Conclusion Swallowing respiratory guidance combined with acupuncture can improve swallowing function and activities of daily living in patients with dysphagia after stroke.
作者
李宏玉
张世强
姜浩鑫
朱路文
LI Hongyu;ZHANG Shiqiang;JIANG Haoxin;ZHU Luwen(Heilongjiang University of Traditional Chinese Medicine, Harbin 150040, Heilongjiang, China;The Second Affiliated Hospital of Heilongjiang University of Traditional Chinese Medicine, Harbin 150001, Heilongjiang, China)
出处
《现代中西医结合杂志》
CAS
2022年第12期1654-1657,共4页
Modern Journal of Integrated Traditional Chinese and Western Medicine
基金
国家重点研发计划项目(2018YFC1706003)。
关键词
吞咽-呼吸导引术
针刺
脑卒中
吞咽障碍
swallowing respiratory guidance
acupuncture
stroke
dysphagia
