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作 者:董蕾 彭拥军[1] 倪永骋[1] Dong Lei;Peng Yongjun;Ni Yongcheng(Department of Geriatrics,Jiangsu Province Hospital of TCM,Nanjing 210029)
出 处:《国际老年医学杂志》2024年第6期702-706,共5页International Journal of Geriatrics
基 金:国家自然科学基金(82174484);江苏省卫生健康委干部保健课题(BJ21022)。
摘 要:目的 探讨经穴推拿对老年急性缺血性脑卒中(AIS)后吞咽障碍患者吞咽功能及生活质量的影响。方法 选择江苏省中医院于2021年12月—2023年6月收治的AIS伴吞咽障碍的老年患者64例作为研究对象,按照随机数字表法分为观察组和对照组,各32例。对照组采用常规吞咽训练,观察组在对照组基础上结合经穴推拿治疗,两组疗程均为4周。比较两组临床疗效及治疗前后的吞咽功能[标准吞咽功能评价量表(SSA)和视频透视吞咽检查(VFSS)]、经口摄食功能[功能性经口摄食量表(FOIS)]、生活质量[中文版吞咽生命质量量表(SWAL-QOL)]、并发症发生情况。结果 观察组总有效率高于对照组(P<0.05),两组治疗后SSA评分、VFSS评分、FOIS评级及SWAL-QOL评分均较治疗前改善(P<0.05);治疗后观察组SSA评分低于对照组(P<0.05),VFSS评分、FOIS评级和SWAL-QOL评分均高于对照组(P<0.05)。观察组并发症总发生率低于对照组(P<0.05)。结论 经穴推拿对AIS后伴吞咽障碍的老年患者疗效显著,可明显改善患者的吞咽功能及生活质量,降低并发症。Objective To investigate the effect of acupoint massage on swallowing function and quality of life in elderly patients with swallowing disorder after acute ischemic stroke(AIS).Methods A total of 64 AIS patients with swallowing disorder admitted to Jiangsu Province Hospital of TCM from December 2021 to June 2023 were selected as the study subjects.They were randomly divided into an observation group and a control group randomly,with 32 cases in each group.The control group was treated by routine therapeutic method,and the observation group was treated with acupoint massage on the basis of the control group.The treatment course of both groups was 4 weeks.The clinical efficacy,swallowing function[standardized swallowing assessment(SSA)and vision fluorescence swallowing study(VFSS)],oral feeding function[functional oral intake scale(FOIS)],quality of life[Chinese version of swallowing-quality of life(SWAL-QOL)]and complications before and after treatment were compared between the two groups.Results The total effective rate in the observation group was higher than that in the control group(P<0.05).After treatment,the SSA score,VFSS score,FOIS rating and SWAL-QOL score in the two groups were all improved compared with those before treatment(P<0.05).After treatment,the SSA score in the observation group was lower than that in the control group(P<0.05),and the VFSS score,FOIS rating and SWAL-QOL score were higher than those in the control group(P<0.05).The total incidence of complications in the observation grap was lower than that in the control group(P<0.05).Conclusion Acupoint massage is effective in elderly patients with swallowing disorder after AIS,it can significantly improve swallowing function and quality of life,and reduce complications.
关 键 词:经穴推拿 急性缺血性脑卒中 吞咽障碍 吞咽功能 生活质量
分 类 号:R244.1[医药卫生—针灸推拿学]
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