耳穴贴压联合颈部穴位按摩治疗脑卒中后吞咽障碍临床研究  

Clinical Study on Ear Point Application and Pressing Manipulation Combined with Neck Point Massage in the Treatment of Dysphagia After Stroke

作　　者：刘凤珍 张晓辰 余峰 韦莉君 王丽[1] 徐栋 孙晓兰 LIU Feng-zhen;ZHANG Xiao-chen;YU Feng;WEI Li-jun;WANG Li;XU Dong;SUN Xiao-lan(Minhang District Qibao Community Health Service Center Affiliated to Shanghai University of Traditional Chinese Medicine,Shanghai,China,201101)

机构地区：[1]上海中医药大学附属闵行区七宝社区卫生服务中心,上海201101

出　　处：《河南中医》2022年第1期129-133,共5页Henan Traditional Chinese Medicine

基　　金：2019年度上海市闵行区自然科学研究项目(2019MHZ051)。

摘　　要：目的:观察耳穴贴压联合颈部穴位按摩治疗脑卒中后吞咽障碍的临床疗效。方法:将80例脑卒中后吞咽障碍患者按照随机数字表法分为对照组和治疗组,每组各40例。对照组给予常规吞咽功能训练,治疗组给予耳穴贴压联合颈部穴位按摩治疗。比较两组患者的临床疗效及治疗前后吞咽功能、营养风险筛查、舌骨喉复合体动度、日常生活活动能力及生活质量评分变化情况。结果:治疗组有效率为72.50%,对照组有效率为95.00%,两组患者有效率比较,差异具有统计学意义(P<0.05)。两组患者洼田饮水试验评分、标准吞咽功能评定量表评分和NRS2002评分低于本组治疗前,且治疗后治疗组低于对照组,差异具有统计学意义(P<0.05)。两组患者治疗后舌骨上移、前移距离和甲状软骨上移、前移距离大于本组治疗前,治疗后治疗组舌骨上移、前移距离大于对照组,差异具有统计学意义(P<0.05)。两组患者治疗后改良Barthel指数评分及吞咽障碍特异性生活质量量表评分高于本组治疗前,且治疗后治疗组高于对照组,差异具有统计学意义(P<0.05)。结论:耳穴贴压联合颈部穴位按摩治疗脑卒中后吞咽障碍,可改善患者吞咽功能及营养状态,增强舌骨喉复合体动度,并提高日常生活活动能力和生活质量。Objective:To observe the clinical curative effect of ear point application and pressing manipulation combined with neck point massage on dysphagia after stroke.Methods:A total of 80 patients with dysphagia after stroke were randomly divided into the control group and the treatment group,with 40 cases in each group.The control group was given routine swallowing function training,while the treatment group was given ear point application and pressing manipulation combined with neck point massage.The clinical efficacy,swallowing function,nutritional risk screening,hyoid laryngeal complex mobility,activities of daily living and quality of life scores were compared between the two groups before and after treatment.Results:The effective rate was 72.50%in the treatment group and 95.00%in the control group.There was significant difference between the two groups(P<0.05).The scores of Watian drinking water test,standard swallowing function rating scale and NRS2002 score in the two groups were lower than those of the same group before treatment,and the above indexes in the treatment group were lower than those in the control group after treatment,and all the differences were statistically significant(P<0.05).After treatment,the distances of hyoid bone moving up and forward and the distances of thyroid cartilage moving up and forward in the two groups were greater than those of the same group before treatment.The distances of hyoid bone moving up and forward in the treatment group were greater than those in the control group,and all the differences were statistically significant(P<0.05).The scores of modified Barthel Index and dysphagia specific quality of life scale in the two groups after treatment were higher than those of the same group before treatment,and the above indexes in the treatment group were higher than that in the control group after treatment,and all the differences were statistically significant(P<0.05).Conclusion:Ear point application and pressing manipulation combined with neck point massage in the treatme

关 键 词：脑卒中后吞咽障碍 耳穴贴压 穴位按摩 颈部 

分 类 号：R255.2[医药卫生—中医内科学]