中医康复治疗脑梗死后吞咽障碍临床观察  

Clinical Observation of Chinese Medicine Rehabilitation for Dysphagia after Cerebral Infarction

作　　者：张迎梅 曹结卿 胡采霞 ZHANG Yingmei;CAO Jieqing;HU Caixia

机构地区：[1]广州中医药大学第二附属医院,广东广州510120

出　　处：《新中医》2018年第11期210-213,共4页New Chinese Medicine

摘　　要：目的:观察中医康复治疗脑梗死后吞咽障碍的临床疗效。方法:回顾性将96例脑梗死后吞咽障碍的患者分为2组各48例,对照组给予常规治疗、护理和康复锻炼;中医康复组在对照组治疗方案的基础上加用中医康复疗法。分析并比较2组临床疗效、饮水试验(WST)、标准吞咽功能评估(SSA)积分、吞咽造影检查法(VFSS法)评分、生活质量(CQOLI-74)评分。结果:中医康复组的临床疗效优于对照组(P <0.05);治疗后,与治疗前比较,2组SSA评分降低,VFSS评分、CQOLI-74评分升高,WST分级情况均明显改善,差异均有统计学意义(P <0.05),且中医康复组改善程度优于对照组,差异均有统计学意义(P <0.05);中医康复组电解质紊乱、营养不良、吸入性肺炎等并发症发生率低于对照组,差异有统计学意义(P <0.05)。结论:中医康复治疗脑梗死后吞咽障碍可改善吞咽功能,提高生活质量。Objective： To observe the clinical effect of Chinese medicine rehabilitation for dysphagia after cerebral infarction. Methods： Divided 96 cases of patients with dysphagia after cerebral infarction into two groups, 48 cases in each group. The control group received the routine treatment, nursing and rehabilitation exercise, while the Chinese medicine rehabilitation group additionally received Chinese medicine rehabilitation therapy. Analyzed and compared the clinical effect, water swallow test （WST）, standardized swallowing assessment （SSA） scores, videofiuoroscopic swallowing study （VFSS） scores and comprehensive quality of life inventory-74（CQOLI-74） scores in both groups. Results： The therapeutic effect in the Chinese medicine rehabilitation group was better than that in the control group（P 〈 0.05）; after treatment, when comparing with those before treatment, SSA scores in both groups were decreased, VFSS scores and CQOLI-74 scores were increase, and the grading status of WST was significantly improved respectively, differences being significant（P 〈 0.05）. the improvements in the Chinese medicine rehabilitation group were better than those in the control group, differences being significant （P 〈 0.05）. Incidence of such adverse reactions as electrolyte disorder, malnutrition and aspiration pneumonia in the Chinese medicine rehabilitation group was better than that in the control group respectively, differences being significant（P 〈 0.05）. Conclusion： Chinese medicine rehabilitation for dysphagia after cerebral infarction can improve swallowing function and the quality of life.

关 键 词：脑梗死后吞咽障碍 中医康复疗法 饮水试验(WST) 标准吞咽功能评估(SSA)积分 吞咽造影检查法(VFSS法)评分 生活质量(CQOLI-74)评分 

分 类 号：R743.3[医药卫生—神经病学与精神病学]