针刺配合康复训练治疗卒中后吞咽障碍疗效观察  

Therapeutic Observation of Acupuncture plus Rehabilitation Training for Post-stroke Dysphagia

作　　者：韩林[1] 高旸[1] 

机构地区：[1]天津中医药大学第一附属医院,天津300193

出　　处：《上海针灸杂志》2017年第8期910-913,共4页Shanghai Journal of Acupuncture and Moxibustion

基　　金：国家中医临床研究基地业务建设第二批科研专项课题(JDZX2015018)

摘　　要：目的观察针刺配合康复训练改善脑卒中后吞咽障碍的临床疗效。方法将60例脑卒中后吞咽障碍患者随机分为治疗组和对照组,每组30例,两组均给予内科基础治疗及吞咽康复训练,治疗组患者在内科治疗及康复训练基础上给予针刺治疗。两组治疗前后分别进行标准吞咽功能评价(SSA)、洼田饮水试验评定及吞咽障碍特异性生活质量量表(SWAL-QOL)评定。结果两组患者治疗后SSA评分较治疗前均明显降低(P<0.01),SWAL-QOL评分较治疗前均明显增高(P<0.01);治疗组患者治疗后SSA评分明显低于对照组(P<0.01),SWAL-QOL评分明显高于对照组(P<0.05);治疗组治疗后患者洼田饮水分级明显优于治疗前(P<0.01),与对照组比较差异有统计学意义(P<0.05)。结论针刺配合康复训练能明显改善卒中后吞咽障碍患者的吞咽功能,疗效优于单纯康复训练。Objective To observe the clinical efficacy of acupuncture plus rehabilitation training in improving post-stroke dysphagia. Method A total of 60 patients with post-stroke dysphagia were randomized into a treatment group and a control group, 30 cases in each group. The two groups were intervened by basic treatment of internal medicine and swallowing rehabilitation training, and the treatment group was additionally given acupuncture treatment. The Standardized Swallowing Assessment（SSA）, water swallowing test and Swallowing Quality of Life Questionnaire（SWAL-QOL） were evaluated in the two groups before and after the treatment. Result After the treatment, the SSA scores in the two groups were significantly decreased compared to those before the treatment（P〈0.01）, and the SWAL-QOL scores were significantly increased compared to those before the treatment（P〈0.01）; the SSA score in the treatment group was significantly lower than that in the control group（P〈0.01）, and the SWAL-QOL score was significantly higher than that in the control group（P〈0.05）. The water swallowing test classification after the treatment was significantly superior to that before the treatment in the treatment group（P〈0.01）, and there was a significant difference compared to that in the control group（P〈0.05）. Conclusion Acupuncture plus rehabilitation training can obviously improve the swallowing function of patients with post-stroke dysphagia, and the clinical efficacy was superior to single rehabilitation training.

关 键 词：中风并发症 吞咽障碍 针刺 康复训练 洼田饮水试验 吞咽障碍特异性生活质量量表 

分 类 号：R246.6[医药卫生—针灸推拿学]