探究化痰通络汤加减联合康复训练对急性脑梗死后吞咽障碍(痰瘀互结证)的治疗效果  

Effect analysis of addition and subtraction of Huatantongluo decoction combined with rehabilitation training in dysphagia(intermingled phlegm and blood stasis syndrome)after acute cerebral infarction

作　　者：王旭霞 盛超[1] 孙洁[1] 李玲 郭鹏飞[1] Wang Xuxia;Sheng Chao;Sun Jie;Li Ling;Guo Pengfei(Department of Rehabilitation,Xuzhou Central Hospital,Xuzhou 221000,China)

机构地区：[1]徐州市中心医院康复科,221000

出　　处：《中华脑科疾病与康复杂志（电子版）》2021年第5期294-299,共6页Chinese Journal of Brain Diseases and Rehabilitation（Electronic Edition）

基　　金：江苏省科技项目(BE2020638);徐州市科技项目(KC18190)。

摘　　要：目的探究化痰通络汤加减联合康复训练对急性脑梗死后吞咽障碍(痰瘀互结证)的治疗效果。方法选取自2018年7月至2020年1月于徐州市中心医院康复科就诊的94例急性脑梗死后吞咽障碍患者,通过随机数字表法分为试验组与对照组,每组47例。对照组给予常规药物治疗+康复训练,试验组在对照组的基础上增加化痰通络汤加减治疗。对比2组患者治疗前后中医症状评分、治疗前后吞咽功能评分、临床疗效、不良反应发生率。结果治疗后2组患者主症评分、次症评分、中医症状总评分均降低,且试验组均低于对照组,差异均具有统计学意义(P<0.05);治疗后2组患者的吞咽功能总评分均升高,且试验组高于对照组,差异均具有统计学意义(P<0.05)。2组患者的临床效果分布差异具有统计学意义(P<0.05),试验组总有效率高于对照组,差异具有统计学意义(P<0.05);2组患者的不良反应发生率比较差异无统计学意义(P>0.05)。结论对急性脑梗死后吞咽障碍(痰瘀互结证)患者采用化痰通络汤加减联合康复训练治疗能缓解临床症状,利于恢复患者吞咽功能,临床效果好,安全性良好。Objective To explore the effect of addition and subtraction of Huatantongluo decoction combined with rehabilitation training in dysphagia(intermingled phlegm and blood stasis syndrome)after acute cerebral infarction.Methods Ninety-four patients with dysphagia after acute cerebral infarction in Rehabilitation Department of Xuzhou Central Hospital from July 2018 to January 2020 were randomly divided into experimental group and control group,with 47 cases in each group.The control group was given routine drug treatment+rehabilitation training,and the experimental group was treated with addition and subtraction of Huatantongluo decoction on the basis of the control group.The symptom scores of the traditional Chinese medicine before and after treatment,swallowing function scores before and after treatment,clinical effect and the incidences of adverse reactions were compared between the two groups.Results After treatment,the main symptom scores,secondary symptom scores,the traditional Chinese medicine symptom total scores of the two groups were decreased,and the scores of the experimental group was lower than those of the control group,the differences were statistically significant(P<0.05).After treatment,the total swallowing function scores of the two groups were increased,and the score of the experimental group was higher than the control group,the differences were statistically significant(P<0.05).The clinical effect distribution difference between the two groups was statistically significant,and the total effective rate of the experimental group was higher than that of the control group,the difference was statistically significant(P<0.05).There was no significant difference in the incidences of adverse reactions between the experimental group and the control group(P>0.05).Conclusion For patients with dysphagia after acute cerebral infarction(intermingled phlegm and blood stasis syndrome)treated with addition and subtraction of Huatantongluo decoction combined with rehabilitation training can ameliorate the traditio

关 键 词：急性脑梗死 痰瘀互结证 吞咽障碍 化痰通络汤 康复训练 

分 类 号：R493[医药卫生—康复医学] R743.33[医药卫生—临床医学]