天突深刺联合吞咽功能训练对脑卒中鼻饲患者临床疗效分析  

Effect of Deep Needling at Tiantu(RN22)Combined with Swallowing Function Training on Stroke Patients with Nasogastric Feeding

作　　者：王静[1] 时佳美 李金涛[1] 任天鹏 WANG Jing;SHI Jiamei;LI Jintao;REN Tianpeng(Rehabilitation Medicine Department,Baoji Hospital of Traditional Chinese Medicine,Baoji 721000,Shaanxi,China)

机构地区：[1]宝鸡市中医医院康复医学科,陕西宝鸡721000

出　　处：《辽宁中医杂志》2023年第12期201-204,共4页Liaoning Journal of Traditional Chinese Medicine

摘　　要：目的研究天突深刺联合吞咽功能训练对脑卒中鼻饲患者的临床疗效。方法选择2020年10月—2021年12月在医院接受治疗的脑卒中鼻饲患者80例,按照随机数字表法分为观察组(40例)和对照组(40例),对照组给予吞咽功能训练治疗,观察组以对照组为基础联合天突深刺治疗。两组均治疗4周后评价康复效果,比较两组临床疗效、吞咽功能、30 d内胃管拔出率、每天经口进食量及生活质量评分。结果观察组总有效率(85.00%,34/40)明显高于对照组(65.00%,26/40),观察组吞咽功能优于对照组(P<0.05),观察组30 d内胃管拔出率为87.50%(35/40),对照组拔出率为52.50%(21/40)(P<0.05);观察组每天经口进食量及生活质量评分均明显高于对照组(P<0.05)。结论天突深刺联合吞咽功能训练应用于脑卒中患者鼻饲期间,可促进患者吞咽功能改善,提高胃管拔出率,增加进食量,从而显著提高治疗疗效,改善患者生活质量。Objective To study the clinical of deep needling at Tiantu(RN22)combined with swallowing function training on stroke patients with nasogastric feeding.Methods Eighty patients of stroke patients treated in the hospital from October 2020 to December 2021 were selected and divided into observation group(40 cases)and control group(40 cases)according to random number table method.The control group was given swallowing function training treatment and the observation group was given deep needling at Tiantu(RN22)based on the control group.The rehabilitation effect of the two groups was evaluated after 4 weeks of treatment,and the clinical efficacy,swallowing function,gastric tube removal rate within 30 days,daily oral intake and the quality of life score of the two groups were compared.Results The total effective rate of the observation group(85.00%,34/40)was significantly higher than that of the control group(65.00%,26/40).The swallowing function of the observation group was better than that of the control group(P<0.05).The gastric tube extraction rate within 30 daiys in the observation group was 87.50%(35/40),while that in the control group was 52.50%(21/40)(P<0.05).Daily oral intake and quality of life score in the observation group were significantly higher than those in the control group(P<0.05).Conclusion The deep needling at Tiantu(RN22)combined with swallowing function training can improve swallowing function,gastric tube removal rate and feed intake of stroke patients during nasogastric feeding,thus significantly improving the therapeutic effect and improving the quality of life of patients.

关 键 词：天突深刺 康复训练 脑卒中 疗效 

分 类 号：R255[医药卫生—中医内科学]