中西医结合治疗脑卒中吞咽功能障碍临床观察
|
摘要
目的探讨中医针刺联合吞咽功能治疗仪对脑卒中吞咽功能障碍的干预效果。方法选取脑卒中吞咽功能障碍患者108例,分为对照组和观察组各54例。对照组采用常规药物治疗和康复训练,观察组在此基础上给予中医针刺联合吞咽功能治疗仪干预治疗,采用洼田饮水试验评定吞咽功能,比较2组患者吞咽功能恢复的有效率。结果干预治疗后,观察组患者的吞咽功能恢复有效率为88.9%(48/54),对照组有效率为68.5%(37/54),比较差异具有统计学意义(P<0.05)。结论针刺联合吞咽功能治疗仪能够明显改善脑卒中吞咽功能障碍患者的恢复效果。
Objective To explore the effect of Chinese medicine acupuncture combined with swallowing function therapy device on dysphagia after stroke. Methods A total of 108 cases of dysphagia patients were divided into control group and observation group of54 cases respectively. Patients in the control group received routine care interventions, while patients in the observation group received care from Chinese medicine acupuncture combined with swallowing function therapy device additionally. The patients were measured by water swallow test and the effective rate was compared. Results After treatment, the total effective rate of observation group was 88.9% and that of the control group was 68.5%, so there was statistically significant difference(P <0.05). Conclusion Chinese medicine acupuncture combined with swallowing function therapy device can help the patients ' recovery effectively.
Objective To explore the effect of Chinese medicine acupuncture combined with swallowing function therapy device on dysphagia after stroke. Methods A total of 108 cases of dysphagia patients were divided into control group and observation group of54 cases respectively. Patients in the control group received routine care interventions, while patients in the observation group received care from Chinese medicine acupuncture combined with swallowing function therapy device additionally. The patients were measured by water swallow test and the effective rate was compared. Results After treatment, the total effective rate of observation group was 88.9% and that of the control group was 68.5%, so there was statistically significant difference(P <0.05). Conclusion Chinese medicine acupuncture combined with swallowing function therapy device can help the patients ' recovery effectively.
引文
[1] WinsteinCJ,Stein J,Arena R,etal.Guidelinesforadultstrokerehabilitationandrecovery:aguidelineforhealthcareprofessionalsfromthe American Heart Association/American Stroke Association[J]. Stroke,2016,47(6):e98-e169.
[2] Martino R,Pmn G,Diarnant N. Screening for oropharyngeal dysphagia in stroke:insufficient evidence for guidelines[J]. Dysphagia,2000,15(1):19-30.
[3]中国吞咽障碍康复评估与治疗专家共识组.中国吞咽障碍评估与治疗专家共识(2017年版)第一部分评估篇[J].中华物理医学与康复杂志,2017,39(12):881-892.
[4]闫豫萍.康复训练和Vitalstim吞咽障碍治疗仪综合治疗脑卒中后吞咽障碍[J].中西医结合心脑血管病杂志,2012,10(2):1452-1454.
[5]李庆玉,崔勇.吞咽治疗仪在脑血管病患者吞咽功能障碍治疗中的应用[J].山东医药,2012,52(34):58-59.
[6]王拥军,卢德宏,崔丽英,等.现代神经病学进展[M].北京:科学技术文献出版社,2004:205-290.
[7]李智,焦富英.针刺联合吞咽功能训练治疗脑卒中后吞咽功能障碍的临床研究[J].针灸临床杂志,2018,34(10):10-13.
[8]王俊卿,孙玉娇,朱银星,等.电针配合康复训练对脑卒中后吞咽障碍疗效观察[J].中国中医急症,2012,21(10):1701-1702.
[9]陈婧,周鸿飞.针刺治疗与吞咽障碍相关肌肉联系[J].辽宁中医药大学学报,2017,19(1):144-146.
[10]李滋平,符文彬,荣莉.舌针治疗假性延髓麻痹45例疗效观察[J].中国针灸,2003,23(9):50-51.
[11]朱庸链,方定华.神经康复学[M].北京:人民军医出版社,2001:556-558.
[12] Gonzalea-Femadez M,Kleinman J T,Ky Pk,et a1. Su-pratentorial Regions of Acute Ischemia Associated with Clinically Important Swallowing Disorders:A Pilot study[J]:Stroke,2008,39(11):3022-3028.
[2] Martino R,Pmn G,Diarnant N. Screening for oropharyngeal dysphagia in stroke:insufficient evidence for guidelines[J]. Dysphagia,2000,15(1):19-30.
[3]中国吞咽障碍康复评估与治疗专家共识组.中国吞咽障碍评估与治疗专家共识(2017年版)第一部分评估篇[J].中华物理医学与康复杂志,2017,39(12):881-892.
[4]闫豫萍.康复训练和Vitalstim吞咽障碍治疗仪综合治疗脑卒中后吞咽障碍[J].中西医结合心脑血管病杂志,2012,10(2):1452-1454.
[5]李庆玉,崔勇.吞咽治疗仪在脑血管病患者吞咽功能障碍治疗中的应用[J].山东医药,2012,52(34):58-59.
[6]王拥军,卢德宏,崔丽英,等.现代神经病学进展[M].北京:科学技术文献出版社,2004:205-290.
[7]李智,焦富英.针刺联合吞咽功能训练治疗脑卒中后吞咽功能障碍的临床研究[J].针灸临床杂志,2018,34(10):10-13.
[8]王俊卿,孙玉娇,朱银星,等.电针配合康复训练对脑卒中后吞咽障碍疗效观察[J].中国中医急症,2012,21(10):1701-1702.
[9]陈婧,周鸿飞.针刺治疗与吞咽障碍相关肌肉联系[J].辽宁中医药大学学报,2017,19(1):144-146.
[10]李滋平,符文彬,荣莉.舌针治疗假性延髓麻痹45例疗效观察[J].中国针灸,2003,23(9):50-51.
[11]朱庸链,方定华.神经康复学[M].北京:人民军医出版社,2001:556-558.
[12] Gonzalea-Femadez M,Kleinman J T,Ky Pk,et a1. Su-pratentorial Regions of Acute Ischemia Associated with Clinically Important Swallowing Disorders:A Pilot study[J]:Stroke,2008,39(11):3022-3028.