芪参还五胶囊配合针灸对脑出血术后吞咽功能的影响  

Effect of Qishen Huanwu Capsule Combined with Acupuncture on Swallowing Function After Surgery for Cerebral Hemorrhage

作　　者：孙宝山[1] 吴鹏 潘亮[1] 李静[1] 马杰[1] 贺丽华 夏清岫[1] Sun Baoshan;Wu Peng;Pan Liang;Li Jing;Ma Jie;He Lihua;Xia Qingxiu(Cangzhou Hospital of Integrated Traditional Chinese and Western Medicine,Cangzhou 161013,China)

机构地区：[1]河北省沧州中西医结合医院,沧州161013

出　　处：《成都医学院学报》2023年第2期176-179,186,共5页Journal of Chengdu Medical College

基　　金：河北省中医药管理局科研计划项目(No:2020472)。

摘　　要：目的 探讨芪参还五胶囊配合针灸对脑出血术后康复期患者吞咽功能和肺部感染的影响。方法 选取2019年1月至2020年12月河北省沧州中西医结合医院收治的脑出血术后康复期吞咽功能障碍患者123例为研究对象,按照随机数字表法分为对照组(n=62)和试验组(n=61),对照组采用常规治疗,试验组在对照组治疗基础上加用针灸并口服参芪还五胶囊治疗。治疗14 d后,对比两组治疗前后进食评估问卷调查工具-10(EAT-10)评分、洼田饮水试验等级占比、中医证候积分;比较治疗后两组临床疗效、肺部感染情况及不良反应发生情况。结果 治疗前,两组EAT-10评分和中医证候积分比较,差异无统计学意义(P> 0.05);治疗后,两组EAT-10评分及中医证候积分与治疗前比较均有降低(P<0.05),且试验组降低幅度更大(P<0.05)。治疗后,试验组洼田饮水试验1~2级占比较对照组高,4~5级占比较对照组低(P<0.05);试验组临床疗效(86.89%)高于对照组(72.58%),肺部感染发生率(3.28%)低于对照组(14.52%)(P<0.05)。结论 参芪还五胶囊配合针灸治疗可以明显改善脑出血术后恢复期患者的进食情况,降低营养不良的发生率,改善吞咽功能障碍情况和临床症状。Objective To investigate the effect of Qishen Huanwu Capsule combined with acupuncture on the swallowing function and pulmonary infection of cerebral hemorrhage patients in postoperative convalescence.Methods A total of 123 dysphagia patients in postoperative convalescence of cerebral hemorrhage admitted to Cangzhou Hospital of Integrated Traditional Chinese and Western Medicine in Hebei Province from January 2019 to December 2020 were selected as the study objects.They were randomly divided into control group(n=62)and experimental group(n=61)according to random number table method.The control group received routine treatment,while the experimental group was treated with acupuncture and oral administration of Shenqi Huanwu Capsule on the basis of routine treatment.The treatment lasted for 14 days.Scores of eating assessment tool-10(EAT-10),proportion of each grade in water swallow test,and scores of traditional Chinese medicine(TCM)syndrome before and after treatment were compared between the two groups.The clinical efficacy,incidence of pulmonary infection,and occurrence of adverse reactions after treatment were compared between the two groups.Results Before treatment,there were no significant differences between the two groups in scores of EAT-10 and TCM syndrome(P>0.05).After treatment,scores of EAT-10 and TCM syndrome in both groups were lower than those before treatment(P<0.05),and the decrease was more significant in the experimental group(P<0.05).Water swallow test after treatment showed that compared with the control group,the experimental group had a higher proportion of grade 1-2 patients and lower proportion of grade 4-5 patients(P<0.05).After treatment,the clinical efficacy in the experimental group(86.89%)was lower than that in the control group(72.58%),and the incidence of pulmonary infection in the experimental group(3.28%)was higher than that in the control group(14.52%)(P<0.05).Conclusion Qishen Huanwu Capsule combined with acupuncture can significantly improve the eating condition of cerebral he

关 键 词：芪参还五胶囊 针灸 脑出血术后 吞咽功能 肺部感染 

分 类 号：R277.7[医药卫生—中医学]