肌内效贴联合头部带针治疗急性脑卒中后吞咽功能障碍临床研究
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摘要
目的:研究肌内效贴联合头部带针治疗急性脑卒中后吞咽功能障碍(DAS)的临床疗效。方法:将80例DAS患者以随机数字法分为2组,对照组均采用常规吞咽功能康复训练;观察组在对照组治疗方案的基础上加用肌内效贴联合头部带针治疗,连续治疗4周。比较治疗前后洼田饮水试验、标准吞咽功能量表(SSA)评分,并评价综合疗效。结果:临床疗效总有效率观察组92.5%,高于对照组75.0%,差异有统计学意义(P <0.05);2组治疗后洼田饮水试验分级均明显改善,差异均有统计学意义(P <0.05),且治疗1周、2周观察组洼田饮水试验分级Ⅰ～Ⅴ级分级显著优于对照组,差异有统计学意义(P <0.05);治疗后,2组各期SSA评分分别与治疗前比较,均显著降低,差异均有统计学意义(P <0.05);且治疗2周、4周观察组显著低于对照组,差异有统计学意义(P <0.05)。结论:肌内效贴联合头部带针治疗配合常规吞咽功能康复训练能够提升DAS患者吞咽功能,提升临床疗效。
Objective: To study the clinical effect of the Kinesio tape combined with belt acupuncture of the head for dysphagia after actue stroke(DAS). Methods:Eighty cases of DAS patients were randomly divided into two groups according to random table method. The control group received rehabilitation training of swallowing function,while the observation group was treated with Kinesio tape combined with belt acupuncture of the head. Both groups were treated for four weeks. Scores of Water Swallow Test and Standard Swallowing Assessment(SSA)were compared before and after treatment, and the comprehensive effect was evaluated. Results:The total effective rate was 92.5% in the observation group,higher than that of 75.0% in the control group,the difference being significant(P < 0.05). After treatment,the grading of Water Swallow Test in the two groups were significantly improved,differences being significant(P < 0.05),and one week and two weeks after treatment,the Ⅰ to Ⅴ Grading in the observation group were significantly better than those in the control group,the difference being significant(P<0.05). After treatment, scores of SSA at each stage in both groups were significantly decreased when compared with those before treatment,differences being significant(P < 0.05),and two and four weeks after treatment,the one in the observation group was significantly lower than that in the control group,the difference being significant(P < 0.05).Conclusion:The therapy of Kinesio tape combined with belt acupuncture of the head complemented with routine rehabilitation training of swallowing function can improve the swallowing function of DAS patients and improve the clinical effect.
Objective: To study the clinical effect of the Kinesio tape combined with belt acupuncture of the head for dysphagia after actue stroke(DAS). Methods:Eighty cases of DAS patients were randomly divided into two groups according to random table method. The control group received rehabilitation training of swallowing function,while the observation group was treated with Kinesio tape combined with belt acupuncture of the head. Both groups were treated for four weeks. Scores of Water Swallow Test and Standard Swallowing Assessment(SSA)were compared before and after treatment, and the comprehensive effect was evaluated. Results:The total effective rate was 92.5% in the observation group,higher than that of 75.0% in the control group,the difference being significant(P < 0.05). After treatment,the grading of Water Swallow Test in the two groups were significantly improved,differences being significant(P < 0.05),and one week and two weeks after treatment,the Ⅰ to Ⅴ Grading in the observation group were significantly better than those in the control group,the difference being significant(P<0.05). After treatment, scores of SSA at each stage in both groups were significantly decreased when compared with those before treatment,differences being significant(P < 0.05),and two and four weeks after treatment,the one in the observation group was significantly lower than that in the control group,the difference being significant(P < 0.05).Conclusion:The therapy of Kinesio tape combined with belt acupuncture of the head complemented with routine rehabilitation training of swallowing function can improve the swallowing function of DAS patients and improve the clinical effect.
引文
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[3]中华医学会神经病学分会,中华医学会神经病学分会脑血管病学组.中国脑出血诊治指南(2014)[J].中华神经科杂志,2015,48(6):435-444.
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[5]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.
[6]伍少玲,马超,黄粉燕,等.标准吞咽功能评定量表的临床应用研究[J].中华物理医学与康复杂志,2008,30(6):396-399.
[7]崔娜,周鸿飞.针灸治疗脑卒中后吞咽功能障碍的进展研究[J].世界中医药,2017,12(2):461-464.
[8]熊键,廖维靖,刘琦,等.头针治疗脑卒中后认知功能障碍的系统评价[J].中国康复医学杂志,2016,31(3):333-339.
[9]孙培养,储浩然.针灸治疗脑卒中后吞咽障碍的临床研究进展[J].针灸临床杂志,2016,32(7):87-90.
[2]中华医学会神经病学分会,中华医学会神经病学分会脑血管病学组.中国急性缺血性脑卒中诊治指南2014[J].中华神经科杂志,2015,48(4):246-257.
[3]中华医学会神经病学分会,中华医学会神经病学分会脑血管病学组.中国脑出血诊治指南(2014)[J].中华神经科杂志,2015,48(6):435-444.
[4]刘学伍,迟兆富,焉传祝.神经病学新理论新技术[M].北京:人民军医出版社,2009.
[5]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.
[6]伍少玲,马超,黄粉燕,等.标准吞咽功能评定量表的临床应用研究[J].中华物理医学与康复杂志,2008,30(6):396-399.
[7]崔娜,周鸿飞.针灸治疗脑卒中后吞咽功能障碍的进展研究[J].世界中医药,2017,12(2):461-464.
[8]熊键,廖维靖,刘琦,等.头针治疗脑卒中后认知功能障碍的系统评价[J].中国康复医学杂志,2016,31(3):333-339.
[9]孙培养,储浩然.针灸治疗脑卒中后吞咽障碍的临床研究进展[J].针灸临床杂志,2016,32(7):87-90.