头皮针留针配合康复治疗对中风后吞咽困难的临床分析  

Clinical Analysis of Scalp Acupunctur Retaining Needle Ombined with Rehabilitation Therapy in the Treatment of Post-stroke Dysphagia

作　　者：李文萍[1] 林婉卿 高丽丽[1] 林宇[1] LI Wenping;LIN Wanqing;GAO Lili;LIN Yu(Department of Rehabilitation,the Second Affiliated Hospital of Fujian University of Chinese Medicine,Fuzhou 350000,Fujian,China;Department of Neurological Rehabilitation,the Rehabilitation Hospital of Fujian University of Chinese Medicine,Fuzhou 350000,Fujian,China)

机构地区：[1]福建中医药大学附属第二人民医院康复科,福建福州350000 [2]福建中医药大学康复医院神经康复科,福建福州350000

出　　处：《中外医疗》2024年第17期190-194,共5页China & Foreign Medical Treatment

基　　金：福建中医药大学校管临床专项资助(XB2022072)。

摘　　要：目的 探究头皮针留针配合康复治疗对中风后吞咽困难的临床效果。方法 简单随机选取2022年4月—2023年4月于福建中医药大学附属第二人民医院与康复医院门诊及住院部诊断为中风后吞咽困难患者60例为研究对象,依据随机数表法分配法分为对照组和观察组,每组30例。对照组采用吞咽障碍现代康复治疗;观察组采用头皮针留针时行吞咽障碍现代康复治疗。比较两组治疗前后的标准吞咽功能评价量表评分(Standardized Swallowing Assessment,SSA)、洼田饮水试验评分(Water Swallow Test,WST)及治疗总有效率。结果 与治疗前相比,治疗4周后,对照组和观察组WST、SSA评分均下降,观察组的WST、SSA评分均低于对照组,差异有统计学意义(P均<0.05),对照组总有效率为73.33%(22/30),低于观察组的93.33%(28/30),差异有统计学意义(χ^(2)=4.320,P<0.05)。结论 在头皮针留针时行吞咽康复治疗训练可改善中风后吞咽困难患者的吞咽功能,临床疗效显著。Objective To explore the clinical effect of scalp needle retaining needle combined with rehabilitation therapy on dysphagia after stroke.Methods A total of 60 patients diagnosed with post-stroke dysphagia from the outpatient and inpatient departments of the Second Affiliated Hospital of Fujian University of Chinese Medicine and the Rehabilitation hospital from April 2022 to April 2023 was selected as the research objects,and divided into control group and observation group according to the random number table method,with 30 cases in each group.The control group used modern rehabilitation treatment for swallowing disorder;the observation group used it when scalp needle was retained.The Standardized Swallowing Assessment(SSA) clinical efficacy of the two groups of patients before and after treatment was observed and compared,the Water Swallow Test(WST) and the total treatment response rate were compared between the two groups.Results Compared with before treatment,after 4 weeks of treatment,the WST and SSA scores in the control and observation groups were descended and the WST and SSA scores in the observation group were lower than that of the control group,and the differences were statistically significant(all P<0.05),and the total response rate in the control group was 73.33%(22/30) lower than 93.33%(28/30) in the observation group,the difference was statistically significant(χ^(2)=4.320,P<0.05).Conclusion The swallowing rehabilitation training during the needle retention period of scalp needle can improve the swallowing function of patients with dysphagia after stroke,with remarkable clinical effect.

关 键 词：头皮针 中风 吞咽困难 康复治疗 

分 类 号：R4[医药卫生—临床医学]