启闭利咽针法联合舌压抗阻反馈训练治疗脑卒中后吞咽困难患者的效果  

Effect of Opening and Closing Liyan Acupuncture Combined with Tongue Pressure Resistance Feedback Training on Patients with Dysphagia after Stroke

作　　者：刘艳 李书萍 刘树利 刘希良 LIU Yan;LI Shuping;LIU Shuli;LIU Xiliang(Department of Rehabilitation Medicine,Dezhou Hospital of Traditional Chinese Medicine,Dezhou 253000,China)

机构地区：[1]德州市中医院康复医学科,山东德州253000

出　　处：《反射疗法与康复医学》2024年第14期178-182,共5页Reflexology And Rehabilitation Medicine

摘　　要：目的探讨启闭利咽针法联合舌压抗阻反馈训练治疗脑卒中后吞咽困难患者的效果。方法选取2023年1月—2023年12月德州市中医院收治的120例脑卒中后吞咽困难患者为研究对象,按照随机数字表法将其分为对照组和研究组,各60例。对照组采用舌压抗阻反馈训练治疗,研究组在对照组基础上联合启闭利咽针法治疗。比较两组患者的临床疗效、中医症候积分、吞咽功能及生活质量。结果研究组治疗总有效率为91.67%,高于对照组的76.67%,差异有统计学意义(P<0.05)。治疗前,两组中医各项症候积分比较,组间差异无统计学意义(P>0.05);治疗后,研究组中医症候中的半身不遂为(3.11±0.29)分,口舌歪斜为(2.74±0.25)分,语言謇涩为(2.84±0.24)分,饮水呛咳为(2.78±0.19)分,均低于对照组的(3.24±0.32)分、(2.86±0.31)分、(3.01±0.36)分、(2.94±0.25)分,组间差异有统计学意义(P<0.05)。治疗前,两组标准吞咽功能评估量表(SSA)、吞咽造影检查(VFSS)评分比较,组间差异无统计学意义(P>0.05);治疗后,研究组SSA评分为(24.87±3.87)分,低于对照组的(27.34±4.11)分,VFSS评分为(7.67±1.93)分,高于对照组的(7.67±1.93)分,组间差异有统计学意义(P<0.05)。治疗前,两组吞咽生活质量量表(SWAL-QOL)评分比较,差异无统计学意义(P>0.05);治疗后,研究组SWAL-QOL评分为(126.17±11.86)分,高于对照组的(102.69±11.42)分,差异有统计学意义(P<0.05)。结论启闭利咽针法联合舌压抗阻反馈训练治疗脑卒中吞咽困难患者可改善其吞咽功能,提高生活质量,疗效显著。Objective To explore the effect of opening and closing liyan acupuncture combined with tongue pressure resistance feedback training on patients with dysphagia after stroke.Methods A total of 120 patients with dysphagia after stroke admitted to Dezhou Hospital of Traditional Chinese Medicine from January 2023 to December 2023 were selected as the research objects,and were divided into a control group and a study group according to random number table method,with 60 cases in each group.The control group was treated with tongue pressure resistance feedback training,and the study group was treated with the combination of opening and closing Liyan acupuncture on the basis of control group.The clinical efficacy,TCM symptom score,swallowing function and quality of life of the two groups were compared.Results The total effective rate of the study group was 91.67%,which was higher than 76.67% of the control group,and the difference was statistically significant(P<0.05).Before treatment,there were no significant differences in the scores of TCM symptoms between the two groups(P>0.05);after treatment,the scores of hemiplegia in the study group were(3.11±0.29)points,skew of mouth was(2.74±0.25)points,speech irritation was(2.84±0.24)points,coughing after drinking water was(2.78±0.19)points,they were lower than(3.24±0.32)points,(2.86±0.31)points,(3.01±0.36)points,(2.94±0.25)points of the control group,and the differences between groups were statistically significant(P<0.05).Before treatment,there were no significant differences in Standardized Swallowing Assessmen(SSA)and Video Fluoroscopic Swallowing Study(VFSS)scores between the two groups(P>0.05);after treatment,the SSA score of the study group was(24.87±3.87)points,which was lower than(27.34±4.11)points of the control group,and the VFSS score was(7.67±1.93)points,which was higher than(7.67±1.93)points of the control group,and the differences between groups were statistically significant(P<0.05).Before treatment,there was no significant difference in Swallowing

关 键 词：脑卒中 吞咽困难 舌压抗阻反馈训练 启闭利咽针法 中医证候 吞咽功能 生活质量 

分 类 号：R743.3[医药卫生—神经病学与精神病学]