通督调神针法联合吞咽训练治疗卒中后吞咽障碍患者的效果  

Effects of Tongdu Tiaoshen acupuncture combined with swallowing training on patients with dysphagia after stroke

作　　者：郝佳欢 HAO Jiahuan(Rehabilitation Department of Shangqiu Third People’s Hospital,Shangqiu 476000 Henan,China)

机构地区：[1]商丘市第三人民医院康复科,河南商丘476000

出　　处：《中国民康医学》2024年第22期62-64,共3页Medical Journal of Chinese People’s Health

摘　　要：目的:观察通督调神针法联合吞咽训练治疗卒中后吞咽障碍患者的效果。方法:回顾性分析2020-2023年该院收治的60例卒中后吞咽障碍患者的临床资料,按照治疗方法不同将其分为对照组和观察组各30例。对照组采用吞咽训练治疗,观察组在对照组基础上联合通督调神针法治疗。比较两组临床疗效,治疗前后吞咽功能[标准吞咽功能评价量表(SSA)、吞咽造影检查(VFSS)]评分、神经因子[脑源性神经营养因子(BDNF)、神经生长因子(NGF)]水平和生命质量[吞咽障碍特异性生活质量量表(SWAL-QOL)]评分。结果:观察组治疗总有效率为100.00%(30/30),高于对照组的76.67%(23/30),差异有统计学意义(P<0.05);治疗后,观察组SSA评分低于对照组,VFSS、SWAL-QOL评分高于对照组,差异均有统计学意义(P<0.05);治疗后,观察组BDNF、NGF水平均高于对照组,差异有统计学意义(P<0.05)。结论:通督调神针法联合吞咽训练治疗卒中后吞咽障碍患者可提高治疗总有效率、神经因子水平和生命质量评分,改善吞咽功能,效果优于单纯吞咽训练治疗。Objective:To observe effects of Tongdu Tiaoshen acupuncture combined with swallowing training on patients with dysphagia after stroke.Methods:The clinical data of 60 patients with dysphagia after stroke admitted to this hospital from 2020 to 2023 were retrospectively analyzed.According to different treatment methods,they were divided into control group and observation group,30 cases in each group.The control group was treated with swallowing training,while the observation group was treated with Tongdu Tiaoshen acupuncture on the basis of that of the control group.The clinical efficacy,the swallowing function[standardized swallowing assessment(SSA),videofluoroscopic swallowing study(VFSS)]score,the nerve factors[brain-derived neurotrophic factor(BDNF),nerve growth factor(NGF)]levels,and the quality of life[swallowing quality of life(SWAL-QOL)]score were compared between the two groups before and after the treatment.Results:The total effective rate of the observation group was 100.00%(30/30),which was higher than 76.67%(23/30)of the control group,and the difference was statistically significant(P<0.05).After the treatment,the SSA score of the observation group was lower than that of the control group,the VFSS and SWAL-QOL scores were higher than those of the control group,and the differences were statistically significant(P<0.05).Further,after the treatment,the levels of BDNF and NGF in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).Conclusions:Tongdu Tiaoshen acupuncture combined with swallowing training in the treatment of the patients with dysphagia after stroke can improve the total effective rate,the nerve factor levels and the quality of life scores,and improve the swallowing function.Moreover,it is superior to simple swallowing training.

关 键 词：卒中 吞咽障碍 通督调神针法 吞咽训练 吞咽功能 神经因子 生命质量 

分 类 号：R743.3[医药卫生—神经病学与精神病学]