舌针疗法联合水凝胶直接摄食训练治疗卒中后患者吞咽障碍的临床研究  

Clinical study of tongue acupuncture combined with hydrogel direct feeding training for dysphagia in patients after stroke

作　　者：李永[1] 张胜男[2] 王笑丰 曲竞 黄琳琳[1] 李诗雨[1] LI Yong;ZHANG Shengnan;WANG Xiaofeng;QU Jing;HUANG Linlin;LI Shiyu(Rehabilitation Department,Central hospital of dalian university of technology,Dalian 116031,China;Acupuncture Department,Central hospital of dalian university of technology,Dalian 116031,China)

机构地区：[1]大连理工大学附属中心医院康复科,116031 [2]大连理工大学附属中心医院针灸科,116031

出　　处：《中国老年保健医学》2024年第4期3-6,共4页Chinese Journal of Geriatric Care

基　　金：2021年大连市中医药科学研究计划项目(编号:21Z11011)。

摘　　要：目的观察舌针疗法联合水凝胶直接摄食训练改善卒中后吞咽障碍的疗效。方法将80例存在吞咽障碍的脑卒中患者随机分为观察组和对照组。对照组给予常规吞咽功能康复训练,并同时进行吞咽水凝胶直接摄食训练。观察组在对照组治疗基础上采用舌针疗法进行治疗,穴位取舌面上的心穴、肾穴、脾穴,金津、玉液等。两组治疗每日1次,连续治疗5天后休息2天,共治疗4周。比较两组患者治疗前后才藤吞咽功能分级、标准吞咽功能评价量表(SSA)评分、电子纤维喉镜Rosenbek渗透-误吸分级。结果与治疗前比较,两组患者才藤吞咽功能分级升高(P<0.05),SSA、电子纤维喉镜Rosenbek渗透-误吸分级降低(P<0.05),且观察组评分变化幅度均大于对照组(P<0.05),患者的吞咽功能有明显改善,误吸发生率降低,观察组优于对照组(P<0.05)。结论舌针疗法联合吞咽水凝胶直接摄食训练可改善卒中后吞咽障碍患者的吞咽功能。Objective To observe the clinical efficacy of tongue acupuncture combined with hydrogel direct feeding training to improve swallowing function in patients with dysphagia after stroke.Methods A total of 80 swallowing function patients with dysphagia after stroke were randomly divided into the observation group and the control group.The control group was treaded with conventional rehabilitation and hydrogel direct feeding training.In the observation group,on the base of the treatment as the control group,tongue acuncture was added,the heart point,kidney point,spleen point,Jinjin(EX-HN12),Yuye(EX-HN13),etc.,on the tongue surface.The above treatment of the two groups was given once a day,and after 5 days of continuous treatment,rest for 2 days,the treatment lasted for 4 weeks.The two groups were compared before and after treatment,the results of Caiteng's rating method,standardized swallowing assessment(SSA),the penetration-aspiration Rosenbek scores.Results After treatment,Caiteng's rating method was increased(P<0.05),SSA and the penetration-aspiration Rosenbek scores were reduced(P<0.05),and the changes in the observation group were larger than those in the control group(P<0.05),the swallowing function of the patient was significantly improved,the incidence of aspiration decreased,the observation group was better than the control group(P<0.05).Conclusion Tongue acupuncture combined with hydrogel direct feeding training to can improve swallowing function in patients with dysphagia after stroke.

关 键 词：脑卒中 吞咽障碍 舌针 直接摄食训练 

分 类 号：R493[医药卫生—康复医学] R743.3[医药卫生—临床医学]