醒脑开窍针刺法联合吞咽康复训练治疗卒中后吞咽障碍临床研究  

Clinical effect of Xingnao acupuncture method and swallowing rehabilitation training in the treatment of dysphagia after stroke

作　　者：田德龙[1] 孟凡峰[2] 陈洪芳[3] 田针针[4] 陈进进[5] 

机构地区：[1]滨州市中心医院康复科,山东省滨州251700 [2]滨州市中心医院儿科,山东省滨州251700 [3]滨州市中心医院投诉办,山东省滨州251700 [4]滨州市中心医院外科,山东省滨州251700 [5]滨州市中心医院麻醉科,山东省滨州251700

出　　处：《中国基层医药》2018年第3期287-290,共4页Chinese Journal of Primary Medicine and Pharmacy

基　　金：山东省医药卫生科技发展计划项目（2015BJYB51）

摘　　要：目的 探讨醒脑开窍针刺法联合吞咽康复训练治疗卒中后吞咽障碍的临床效果.方法 选取卒中后吞咽障碍患者66例为研究对象,采用随机数字表法分为观察组和对照组,各33例.对照组在常规治疗基础上给予吞咽康复训练,观察组在对照组治疗基础上,给予醒脑开窍针刺法.观察两组患者治疗效果、治疗前后吞咽功能及不良反应发生情况.结果 治疗后,观察组治疗效果显著优于对照组,组间差异有统计学意义（Z=-4.123,P〈0.05）;观察组、对照组总有效率分别为93.94％、75.76％,观察组高于对照组,但组间差异无统计学意义（χ^2=1.906,P〉0.05）.治疗后,对照组洼田饮水试验评分、标准吞咽功能评估（SSA）评分、吞咽困难量表评分分别为（1.39±0.47）分、（23.02±5.24）分、（1.25±0.55）分,观察组分别为（0.74±0.39）分、（18.26±3.71）分、（0.74±0.28）分,与治疗前差异均有统计学意义（对照组：t=21.453、10.644、26.212,观察组：t=27.779、14.15、37.469,均P〈0.05）,观察组均优于对照组,差异均有统计学意义（t=6.114、4.259、4.747,均P〈0.05）.两组不良事件发生率差异无统计学意义（P〉0.05）.结论 采用醒脑开窍针刺法联合吞咽康复训练对卒中后吞咽障碍进行治疗,可有效改善吞咽功能,提高患者生活质量,安全可靠,临床上值得推广.Objective To explore the effect of Xingnao acupuncture combined with swallowing rehabilitation training on dysphagia after stroke .Methods 66 patients with dysphagia after stroke were selected as the research subjects ,and they were randomly divided into the observation group and the control group ,33 cases in each group .The control group was given rehabilitation training on the basis of conventional treatment ,while the observation group was given Xingnao acupuncture method on the basis of the control group .The therapeutic effect ,swallowing function and adverse reactions were observed before and after treatment in the two groups .Results After treatment,the treatment effect in the observation group was significantly better than that in the control group ,there was statistically significant difference between the two groups （Z=-4.123,P〈0.05）.The total effective rates of the two groups were 93.94%, 75.76%,respectively,there was no statistically significant difference between the two groups （χ^2 =1.906,P〉0.05）. After treatment,the Watian drinking water test scores,standardized swallowing assessment （SSA） score,dysphagia score in the control group were （1.39 ±0.47） points,（23.02 ±5.24） points,（1.25 ±0.55） points,respectively, which in the observation group were （0.74 ±0.39） points,（18.26 ±3.71） points,（0.74 ±0.28） points,and the differences were statistically significant compared with before treatment （ the control group：t =21.453,10.644, 26.212,all P〈0.05;the observation group：t=27.779,14.15,37.469,all P〈0.05）,which in the observation group were better than those in the control group ,the differences were statistically significant （ t=6.114,4.259,4.747,all P〈0.05）.There was no statistically significant difference in the incidence of adverse events between the two groups （P〉0.05）.Conclusion Xingnao acupuncture combined with swallowing rehabilitation training in the treatment of dysphagia after stroke can effectively improve the swallowing func

关 键 词：吞咽障碍 卒中 针刺疗法 康复 

分 类 号：R743.3[医药卫生—神经病学与精神病学]