高压氧联合针灸治疗急性脑卒中后吞咽障碍效果分析
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摘要
目的:分析急性脑卒中后吞咽障碍应用高压氧联合针灸治疗的临床效果。方法:收集本院2016年2月-2018年4月收治的150例急性脑卒中后吞咽障碍患者作为实验对象,根据单双号法予以分组,每组75例,对照组单纯给予针灸治疗,研究组给予高压氧联合针灸治疗,比较两组治疗效果及治疗前后电视荧光放射录相术(Video Furography,VFG)、吞咽障碍特异性生活质量量表(The Swallcnign Quality of Life,SAWL-QOL)评分变化。结果:经过治疗后,两组VFG评分均比治疗前提高,SAWL-QOL评分均比治疗前降低,且两组之间作比较,研究组的改善程度优于对照组,差异有显著性统计学意义(P <0.05);研究组的治疗总有效率与对照组相比,对照组低于研究组,组间差异有统计学意义(P <0.05)。结论:急性脑卒中后吞咽障碍采用高压氧联合针灸的治疗方案有利于改善患者吞咽功能,提高临床疗效,值得广泛应用于临床。
Objective: To analyze the clinical effect of hyperbaric oxygen plus acupuncture on dysphagia after acute stroke. Methods:150 patients were divided into two groups according to single and double number method. 75 cases in the control group were treated by acupuncture alone; and the study group was given hyperbaric oxygen more. The therapeutic effects and VFG, SAWL-QOL scores before and after treatment in two groups were compared. Results: After treatment, the VFG scores in two groups were higher than those before treatment; and the SAWL-QOL scores were lower than before treatment. The improvement degree in the study group was better than the control group, and the difference was statistically significant(P<0.05). There was a statistical difference of efficiency between the groups(P < 0.05). Conclusion: Hyperbaric oxygen plus acupuncture can improve the swallowing function and clinical effect is worthy of being widely used in clinical practice.
Objective: To analyze the clinical effect of hyperbaric oxygen plus acupuncture on dysphagia after acute stroke. Methods:150 patients were divided into two groups according to single and double number method. 75 cases in the control group were treated by acupuncture alone; and the study group was given hyperbaric oxygen more. The therapeutic effects and VFG, SAWL-QOL scores before and after treatment in two groups were compared. Results: After treatment, the VFG scores in two groups were higher than those before treatment; and the SAWL-QOL scores were lower than before treatment. The improvement degree in the study group was better than the control group, and the difference was statistically significant(P<0.05). There was a statistical difference of efficiency between the groups(P < 0.05). Conclusion: Hyperbaric oxygen plus acupuncture can improve the swallowing function and clinical effect is worthy of being widely used in clinical practice.
引文
[1]金晓亮.高压氧结合针灸在脑卒中后吞咽障碍患者中的运用效果[J/CD].中西医结合心血管病电子杂志,2018,6(06):164-166.
[2]童晓轩,宋志海,沈琼,等.高压氧联合认知功能训练对吞咽功能障碍患者的疗效观察[J].按摩与康复医学,2018,9(04):13-15.
[3]张艳明.高压氧联合针灸治疗急性脑卒中后吞咽障碍效果观察[J].现代中西医结合杂志,2017,26(02):167-169.
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[5]古菁,黄怀,沈丹彤.高压氧联合神经肌肉电刺激治疗脑梗死后吞咽障碍的疗效观察[J].贵州医药,2015,39(01):28-30.
[6]杨祖愔,车晓艳,濮红萍.功能训练结合高压氧治疗脑卒中后吞咽障碍患者的临床观察[J].实用老年医学,2014,28(09):731-733.
[7]孟庆芳,孙姗姗,王丹,等.高压氧联合康复训练和针刺综合治疗脑卒中后早期吞咽障碍的疗效[J].中国疗养医学,2014,23(07):585-587.
[8]范胜岐,李爱杰,王芳.高压氧配合针刺治疗脑卒中后吞咽障碍的临床观察[J].中国中医药科技,2016,17(02):163.
[2]童晓轩,宋志海,沈琼,等.高压氧联合认知功能训练对吞咽功能障碍患者的疗效观察[J].按摩与康复医学,2018,9(04):13-15.
[3]张艳明.高压氧联合针灸治疗急性脑卒中后吞咽障碍效果观察[J].现代中西医结合杂志,2017,26(02):167-169.
[4]张宪坤.高压氧综合治疗对脑卒中患者吞咽障碍的疗效观察[J].中国继续医学教育,2016,8(34):119-121.
[5]古菁,黄怀,沈丹彤.高压氧联合神经肌肉电刺激治疗脑梗死后吞咽障碍的疗效观察[J].贵州医药,2015,39(01):28-30.
[6]杨祖愔,车晓艳,濮红萍.功能训练结合高压氧治疗脑卒中后吞咽障碍患者的临床观察[J].实用老年医学,2014,28(09):731-733.
[7]孟庆芳,孙姗姗,王丹,等.高压氧联合康复训练和针刺综合治疗脑卒中后早期吞咽障碍的疗效[J].中国疗养医学,2014,23(07):585-587.
[8]范胜岐,李爱杰,王芳.高压氧配合针刺治疗脑卒中后吞咽障碍的临床观察[J].中国中医药科技,2016,17(02):163.