天突深刺联合康复训练对脑卒中后吞咽障碍患者洼田饮水试验、VFSS评分及生活质量的影响  

Effect of Deep Acupuncture at Tiantu Point Combined with Rehabilitation Training on Scores of Water Swallow Test and VFSS and Quality of Life in Patients with Dysphagia After Stroke

作　　者：金蓓 马振宇[1] 金璐 JIN Bei;MA Zhenyu;JIN Lu

机构地区：[1]金华市中心医院康复一区,浙江金华321000

出　　处：《新中医》2021年第17期165-168,共4页New Chinese Medicine

摘　　要：目的:观察天突深刺联合康复训练对脑卒中后吞咽障碍(DAS)患者洼田饮水试验、动态吞咽检查(VFSS)评分及生活质量的影响。方法:选取90例DAS患者,按随机数字表法分为治疗组与对照组各45例。对照组采用康复训练治疗,治疗组采用天突深刺联合康复训练治疗。对比2组临床疗效及不良反应发生率,治疗前后采用洼田饮水试验评定吞咽功能,VFSS评分评定吞咽障碍程度,吞咽生活质量量表(SWAL-QOL)评价生活质量,美国国立卫生研究院卒中量表(NIHSS)评分评价神经功能缺损程度。结果:治疗组治疗总有效率95.56%,高于对照组的80.00%(P<0.05)。与同组治疗前比较,2组治疗后洼田饮水试验评分、NIHSS评分均降低(P<0.05),VFSS评分、SWAL-QOL评分均升高(P<0.05);与对照组治疗后比较,治疗组治疗后洼田饮水试验评分、NIHSS评分均较低(P<0.05),VFSS评分、SWAL-QOL评分均较高(P<0.05)。2组不良反应发生率比较,差异无统计学意义(P>0.05)。结论:天突深刺联合康复训练治疗DAS患者疗效理想,可有效改善吞咽障碍和生活质量、神经功能,且安全性好。Objective: To observe the effect of deep acupuncture at Tiantu point(CV 22) combined with rehabilitation training on scores of Water Swallow Test and Videofluoroscopic Swallowing Study(VFSS) and quality of life in patients with dysphagia after stroke(DAS). Methods:A total of 90 cases of DAS patients were divided into the treatment group and the control group according to the random number table method, 45 cases in each group. The control group was given rehabilitation training, and the treatment group was given deep acupuncture at Tiantu point(CV 22) combined with rehabilitation training. The clinical effect and the incidences of adverse reactions in the two groups were compared. Before and after treatment, the swallowing function was evaluated by Water Swallow Test, degree of dysphagia by VFSS scores,quality of life by Swallowing Quality-of-Life(SWAL-QOL),and degree of neurological impairment by National Insititutes of Health Stroke Scale(NIHSS). Results:The total effective rate was 95.56% in the treatment group,higher than that of 80.00%in the control group(P<0.05). After treatment, the scores of Water Swallow Test and NIHSS in the two groups were decreased when compared with those before treatment(P<0.05),and the scores of VFSS and SWAL-QOL were increased(P<0.05);the scores of Water Swallow Test and NIHSS in the treatment group were lower than those in the control group(P<0.05),and the scores of VFSS and SWAL-QOL were higher(P<0.05). There was no significant difference being found in the comparison of the incidences of adverse reactions between the two groups(P>0.05). Conclusion: The application of deep acupuncture at Tiantu point(CV 22) combined with rehabilitation training for DAS patients has ideal curative effect,which can effectively improve degree of dysphagia,quality of life and neurological function with good safety.

关 键 词：脑卒中后吞咽障碍 天突深刺 康复训练 洼田饮水试验 生活质量 

分 类 号：R246.6[医药卫生—针灸推拿学] R743.3[医药卫生—中医临床基础]