腕踝针联合康复训练治疗卒中后环咽肌失弛型吞咽障碍的临床研究  

Wrist-ankle acupuncture combined with rehabilitation for dysphagia caused by achalasia of cricopharyngeal muscle after stroke

作　　者：吴梦婷 陈妙 Mengting Wu;Miao Chen(Department of Rehabilitation,Wenzhou Hospital of Traditional Chinese Medicine,Wenzhou 325000,Zhejiang Province,China)

机构地区：[1]温州市中医院康复科,温州325000

出　　处：《中国基层医药》2023年第1期68-71,共4页Chinese Journal of Primary Medicine and Pharmacy

基　　金：浙江省中医药科技计划(2020ZB239);浙江省温州市基础性科研项目(Y2020897)。

摘　　要：目的:观察腕踝针联合康复训练治疗卒中后环咽肌失弛型吞咽障碍患者的临床疗效。方法:选取温州市中医院2019年6月至2020年3月收治的卒中后环咽肌失弛型吞咽障碍患者60例,采用随机数字表法分为治疗组、对照组各30例。两组患者均接受神经内科常规药物治疗及吞咽康复训练,对照组采用常规针刺治疗,治疗组在对照组治疗基础上加用腕踝针治疗,两组治疗4周。采用X线电视透视法(VFSS)评分、标准吞咽功能评定量表(SSA)评分、吞咽障碍特异性生活质量量表(SWAL-QOL)评分评估两组临床疗效。结果:治疗前,两组VFSS评分、SSA 评分、SWAL-QOL评分差异均无统计学意义(均 P > 0.05)。治疗后,治疗组VFSS评分、SSA 评分、SWAL-QOL评分分别为(8.21±0.77)分、(21.19±1.42)分、(200.24±11.12)分,对照组分别为(6.01±0.36)分、(23.31±1.45)分、(182.37±12.06)分,两组差异均有统计学意义( t=3.26、5.50、6.31,均 P < 0.05)。 结论:腕踝针联合康复训练是一种治疗卒中后环咽肌失弛型吞咽障碍的有效方法,能改善患者吞咽功能,提高其生活质量。Objective To investigate the clinical efficacy of wrist-ankle acupuncture combined with rehabilitation for dysphagia caused by achalasia of the cricopharyngeal muscle after stroke.Methods Sixty patients with dysphagia caused by achalasia of the cricopharyngeal muscle after stroke who received treatment in Wenzhou Hospital of Traditional Chinese Medicine from June 2019 to March 2020 were included in this study.They were randomly divided into a treatment group and a control group(n=30).All patients received routine drug treatment and swallowing rehabilitation training.The control group underwent routine acupuncture treatment.The treatment group received wrist-ankle acupuncture based on routine acupuncture treatment.Both groups were treated for 4 consecutive weeks.The clinical efficacy in the two groups was evaluated using the Video Fluoroscopic Swallowing Study(VFSS),Standardized Swallowing Assessment(SSA),and Swallow Quality-of-Life Questionnaire(SWAL-QOL).Results Before treatment,there were no significant differences in VFSS,SSA,and SWAL-QOL scores between the two groups.After treatment,VFSS,SSA,and SWAL-QOL scores in the treatment group were(8.21±0.77)points,(21.19±1.42)points,(200.24±11.12)points,and they were(6.01±0.36)points,(23.31±1.45)points,and(182.37±12.06)points in the control group(t=3.26,5.50,6.31,all P<0.05).Conclusion Wrist-ankle acupuncture combined with rehabilitation is an effective treatment method for dysphagia caused by achalasia of the cricopharyngeal muscle after stroke.It can alleviate dysphagia and improve quality of life.

关 键 词：卒中 针刺疗法 肌张力过低 咽肌 吞咽障碍 腕踝针 康复 吞咽 疗效比较研究 

分 类 号：R743.3[医药卫生—神经病学与精神病学] R493[医药卫生—临床医学]