清热化瘀方联合针刺治疗脑卒中后吞咽障碍临床观察  

Clearing Heat and Removing Blood Stasis Recipe Combined with Acupuncture in the Treatment of Dysphagia after Stroke

作　　者：胡菊兰 龙菲 李佳 HU Julan;LONG Fei;LI Jia(Department of Rehabilitation,Affiliated Hospital of Jinggangshan University,Jiangxi Province,Ji’an 343000,China)

机构地区：[1]井冈山大学附属医院康复科,江西吉安343000

出　　处：《中国中医药现代远程教育》2023年第12期99-101,共3页Chinese Medicine Modern Distance Education of China

基　　金：江西省吉安市科学技术局科技计划项目【No.2020S102】;江西省中医药管理局科技计划项目【No.2019A149】。

摘　　要：目的探讨清热化瘀方联合针刺治疗中风后吞咽障碍的效果。方法选取井冈山大学附属医院80例脑卒中后吞咽障碍患者,采用随机数字表法均分为2组,对照组采用内科治疗与康复护理训练,观察组在对照组治疗的基础上采用清热化瘀方联合针刺,比较2组患者治疗前后洼田饮水试验评分,标准吞咽功能评分(SSA),美国国立卫生研究院卒中量表(NIHSS)评分,日常生活活动能力评分(ADL)和临床总有效率。结果经治疗后,与对照组比较,观察组患者洼田饮水试验评分、标准吞咽功能评分降低,差异具有统计学意义(P<0.05);与对照组比较,观察组患者NIHSS评分更低,ADL评分更高,临床总有效率87.5%(35/40)更高,差异具有统计学意义(P<0.05)。结论清热化瘀方联合针刺治疗可有效改善脑卒中后吞咽障碍患者的吞咽水平,促进神经功能恢复,提高生活质量。Objective To explore the effect of clearing heat and removing blood stasis recipe combined with acupuncture on dysphagia after stroke.Methods Eighty patients with post stroke dysphagia in Affiliated Hospital of Jinggangshan University were randomly divided into two groups.The control group received medical treatment and rehabilitation training,and the observation group was treated with clearing heat and removing blood stasis recipe and acupuncture on the basis of the control group.The scores of the Kota water test,standard swallowing function score(SSA),National Institutes of Health Stroke Scale(NIHSS),activities of daily living score(ADL)and total clinical effective rate of the two groups were compared before and after treatment.Results After treatment,compared with the control group,the scores and standard swallowing function scores of patients in observation group were lower,and the difference was statistically significant(P<0.05).Compared with control group,observation group had lower NIHSS score,higher ADL score,and higher clinical total effective rate of 87.5%(35/40),the difference was statistically significant(P<0.05).Conclusion The clearing heat and removing blood stasis recipe combined with acupuncture can effectively improve the swallowing level,promote the recovery of nerve function and improve the quality of life in patients with post-stroke dysphagia.

关 键 词：中风 脑卒中 清热化瘀方 针刺疗法 吞咽障碍 

分 类 号：R277.7[医药卫生—中医学]