新三联疗法治疗脑卒中后吞咽障碍的临床研究
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摘要
目的观察新三联疗法对脑卒中后吞咽障碍患者的临床疗效。方法患者100例随机分为两组,对照组采用常规药物和吞咽功能康复训练,治疗组在对照组治疗基础上辅以新三联疗法(电针、神经肌肉电刺激、多功能艾灸仪)联合治疗。两组均以2周为1个疗程。疗程结束后对两组患者吞咽功能进行评定。结果治疗组总有效率90.00%,高于对照组的68.00%(P<0.05);两组治疗后吞咽功能评分均改善,治疗组改善更明显(P<0.05)。结论新三联疗法能显著改善脑卒中后吞咽障碍患者的吞咽功能,且疗程短、成功率高、整体治疗费用低。
Objective: To observe the curative effect of new triple therapy on patients with dysphagia after stroke. Methods: 100 cases were randomly divided into the treatment group and the control group. Both groups were treated with routine Western medicine treatment and swallowing function rehabilitation training,while new triple therapy was also used in the treatment group. Both groups were given a treatment course of 2 weeks. After that,the swallowing function of the two groups was evaluated. Results: The total effective rate of the treatment group was 90.00%,better than that of the control group(68.00%)(P < 0.05). The scores of swallowing function were improved after treatment in both groups,and the improvement in the treatment group was more obvious(P <0.05). Conclusion: The new triple therapy can significantly improve the swallowing function of the patients with dysphagia after stroke,with a short treatment course,high success rate and low overall cost,worth popularizing.
Objective: To observe the curative effect of new triple therapy on patients with dysphagia after stroke. Methods: 100 cases were randomly divided into the treatment group and the control group. Both groups were treated with routine Western medicine treatment and swallowing function rehabilitation training,while new triple therapy was also used in the treatment group. Both groups were given a treatment course of 2 weeks. After that,the swallowing function of the two groups was evaluated. Results: The total effective rate of the treatment group was 90.00%,better than that of the control group(68.00%)(P < 0.05). The scores of swallowing function were improved after treatment in both groups,and the improvement in the treatment group was more obvious(P <0.05). Conclusion: The new triple therapy can significantly improve the swallowing function of the patients with dysphagia after stroke,with a short treatment course,high success rate and low overall cost,worth popularizing.
引文
[1]杨晓晏,张书丹.头面颈穴位按摩联合冰刺激治疗脑卒中后吞咽障碍疗效观察[J].陕西中医,2017,38(3):391-393.
[2]邓红琼,李宁.脑卒中后吞咽障碍的发生机制研究进展[J].中华老年心脑血管病杂志,2014,30(9):1000-1001.
[3]孟凡辉,孟庆良,贾振华.针刺、穴位注射配合吞咽功能康复训练治疗卒中后吞咽障碍116例临床观察[J].中西医结合心脑血管病杂志,2014,12(5):576-577.
[4]赵卫华,郑希院.针刺治疗脑卒中后焦虑抑郁共病45例[J].针灸临床杂志,2012,28(12):7-8.
[5]文永霞,任红艳,苏丹丹,等.血府逐瘀丸联合参芪五味子治疗卒中后焦虑抑郁状态的临床观察[J].宁夏医学杂志,2016,38(12):1200-1201.
[6]中华医学会,中华神经科学分会.全国第4届脑血管病学术会议·各类脑血管疾病诊断要点[J].中华神经科杂志,1996,29(6):379-380.
[7]武文娟,毕霞,宋磊,等.洼田饮水试验在急性脑卒中后吞咽障碍患者中的应用价值[J].上海交通大学学报:医学版,2016,36(7):1049-1053.
[8]刘有山.神经肌肉电刺激联合吞咽康复训练治疗脑卒中后吞咽障碍的疗效及其对舌骨喉复合体动度的影响[J].中华全科医学,2017,15(10):1782-1785.
[9]毛忠南,毛立亚,张晓凌,等.何天有教授靶向针刺法治疗脑卒中后吞咽障碍疗效观察[J].四川中医,2015,33(6):154-156.
[10]李敏,李胜活,张朝霞,等.脑卒中吞咽障碍的康复结局影响因素研究[J].当代医学,2013,17(6):156-157.
[11]孙纪伟,张根明,李信军.针灸治疗脑卒中后吞咽障碍161例[J].河南中医,2016,36(3):460-463.
[12]郑法文,吴子明,马景桐,等.针刺兴奋法治疗脑卒中假性延髓麻痹吞咽障碍临床观察[J].上海针灸杂志,2017,36(6):668-672.
[13]李令建,汤艳萍.NMES联合吞咽训练与单纯吞咽训练对脑卒中后吞咽障碍的对比研究[J].中西医结合心脑血管病杂志,2016,14(24):2880-2882.
[14]王芳,陈甦,梁晖,等.吞咽障碍治疗仪穴位电刺激治疗卒中后吞咽障碍临床观察[J].中国中医急症,2014,23(4):712-713.
[15]李冰洁,张通,李芳.神经肌肉电刺激对卒中后吞咽障碍治疗作用的研究[J].中国卒中杂志,2017,12(3):207-213.
[16]王舒环,张浩洋,刘海涛.针刺治疗脑卒中后吞咽障碍取穴规律文献研究[J].中医杂志,2017,58(16):1412-1415.
[17]邱晓佳,刘刚.补虚通络艾灸法改善脑卒中后吞咽障碍所致营养不良的疗效研究[J].实用医学杂志,2013,29(2):310-312.
[2]邓红琼,李宁.脑卒中后吞咽障碍的发生机制研究进展[J].中华老年心脑血管病杂志,2014,30(9):1000-1001.
[3]孟凡辉,孟庆良,贾振华.针刺、穴位注射配合吞咽功能康复训练治疗卒中后吞咽障碍116例临床观察[J].中西医结合心脑血管病杂志,2014,12(5):576-577.
[4]赵卫华,郑希院.针刺治疗脑卒中后焦虑抑郁共病45例[J].针灸临床杂志,2012,28(12):7-8.
[5]文永霞,任红艳,苏丹丹,等.血府逐瘀丸联合参芪五味子治疗卒中后焦虑抑郁状态的临床观察[J].宁夏医学杂志,2016,38(12):1200-1201.
[6]中华医学会,中华神经科学分会.全国第4届脑血管病学术会议·各类脑血管疾病诊断要点[J].中华神经科杂志,1996,29(6):379-380.
[7]武文娟,毕霞,宋磊,等.洼田饮水试验在急性脑卒中后吞咽障碍患者中的应用价值[J].上海交通大学学报:医学版,2016,36(7):1049-1053.
[8]刘有山.神经肌肉电刺激联合吞咽康复训练治疗脑卒中后吞咽障碍的疗效及其对舌骨喉复合体动度的影响[J].中华全科医学,2017,15(10):1782-1785.
[9]毛忠南,毛立亚,张晓凌,等.何天有教授靶向针刺法治疗脑卒中后吞咽障碍疗效观察[J].四川中医,2015,33(6):154-156.
[10]李敏,李胜活,张朝霞,等.脑卒中吞咽障碍的康复结局影响因素研究[J].当代医学,2013,17(6):156-157.
[11]孙纪伟,张根明,李信军.针灸治疗脑卒中后吞咽障碍161例[J].河南中医,2016,36(3):460-463.
[12]郑法文,吴子明,马景桐,等.针刺兴奋法治疗脑卒中假性延髓麻痹吞咽障碍临床观察[J].上海针灸杂志,2017,36(6):668-672.
[13]李令建,汤艳萍.NMES联合吞咽训练与单纯吞咽训练对脑卒中后吞咽障碍的对比研究[J].中西医结合心脑血管病杂志,2016,14(24):2880-2882.
[14]王芳,陈甦,梁晖,等.吞咽障碍治疗仪穴位电刺激治疗卒中后吞咽障碍临床观察[J].中国中医急症,2014,23(4):712-713.
[15]李冰洁,张通,李芳.神经肌肉电刺激对卒中后吞咽障碍治疗作用的研究[J].中国卒中杂志,2017,12(3):207-213.
[16]王舒环,张浩洋,刘海涛.针刺治疗脑卒中后吞咽障碍取穴规律文献研究[J].中医杂志,2017,58(16):1412-1415.
[17]邱晓佳,刘刚.补虚通络艾灸法改善脑卒中后吞咽障碍所致营养不良的疗效研究[J].实用医学杂志,2013,29(2):310-312.