中医康复护理联合中药药棒咽刺激干预脑卒中口腔期吞咽障碍临床研究
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R248;R743.3

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Clinical Study on Chinese Medicine Rehabilitation Nursing Combined with Pharyngeal Stimulation with Chinese Herbal Stick for Patients with Dysphagia After Stroke at Oral Stage
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    摘要:

    目的:观察中医康复护理联合中药药棒咽刺激干预脑卒中口腔期吞咽障碍的临床疗效。方法:选取 106 例脑卒中口腔期吞咽障碍患者,按随机数字表法分为对照组和观察组,每组 53 例。2 组均给予综合治疗及常规护理,观察组在对照组基础上加用中医康复护理联合中药药棒咽刺激,2 组均连续干预 4 周。观察 2 组干预前后洼田氏饮水试验评级情况、Gugging 吞咽功能评估量表(GUSS)评分、视频吞咽造影检查(VFSS)评分、抑郁自评量表(SDS)评分、焦虑自评量表(SAS)评分及健康状况调查问卷 (SF-36) 评分的变化,比较 2 组临床疗效,记录不良反应及并发症。结果:干预后,2 组洼田氏饮水试验评级、GUSS 评分及 VFSS 评分均较干预前改善(P<0.05),观察组洼田氏饮水试验评级、GUSS 评分及 VFSS 评分均较对照组改善更明显 (P<0.05)。干预后,2 组 SDS、SAS 评分均较干预前降低 (P<0.05),SF-36 评分均较干预前升高 (P<0.05);观察组 SDS、SAS 评分均低于对照组 (P<0.05),SF-36 评分高于对照组 (P<0.05)。观察组临床治愈率及总有效率分别为 47.17%、90.57%,与对照组的 26.42%和 73.58%比较,差异均有统计学意义 (P<0.05)。治疗期间,2 组均未出现明显不良反应及并发症。结论:中医康复护理联合中药药棒咽刺激干预脑卒中口腔期吞咽障碍患者,可改善其吞咽功能、心理状态及生活质量,提高临床疗效。

    Abstract:

    Abstract:Objective:To observe the clinical effect of the therapy of Chinese medicine rehabilitation nursing combined with pharyngeal stimulation with Chinese herbal stick on patients with dysphagia after stroke at oral stage. Methods:A total of 106 patients with dysphagia after stroke at oral stage were divided into the control group and the observation group according to the random number table method,53 cases in each group. Both group were intervened with comprehensive treatment and routine nursing, and the observation group was additionally given Chinese medicine rehabilitation nursing combined with pharyngeal stimulation with Chinese herbal stick. Both groups were intervened for four weeks. The changes in the grading of Kubota Water Swallowing Test,scores of Gugging Swallowing Screen(GUSS),Video-Fluroscopic Swallowing Study(VFSS), Self-Rating Depression Scale(SDS),Self-Rating Anxiety Scale(SAS) and 36-Item Short Form Health Study(SF-36) in both groups were observed before and after intervention. The curative effect was compared between the two groups and the incidence of adverse actions and complications were recorded. Results: After intervention, the grading of Kubota Water Swallowing Test and the scores of GUSS and VFSS were improved when compared with those before intervention(P<0.05); the improvement of the above indexes in the observation group was more significant than that in the control group(P<0.05). After intervention, the scores of SDS and SAS in the two groups were decreased when compared with those before intervention(P<0.05),and the scores of SF-36 were increased(P<0.05);the scores of SDS and SAS in the observation group were lower than those in the control group(P<0.05),and the score of SF-36 was higher than that in the control group (P<0.05). The clinical cure rate and total effective rate were 47.17% and 90.57% in the observation group respectively,and 26.42% and 73.58% in the control group respectively,the differences were significant(P<0.05). During the treatment,no obvious adverse reactions and complications occurred in both groups. Conclusion: The therapy of Chinese medicine rehabilitation nursing combined with pharyngeal stimulation with Chinese herbal stick can improve the swallowing function, psychological state and quality of life of patients with dysphagia after stroke at oral stage as well as the clinical effect.

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邵婷婷,陈凌.中医康复护理联合中药药棒咽刺激干预脑卒中口腔期吞咽障碍临床研究[J].新中医,2020,52(24):157-160

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  • 在线发布日期: 2020-12-22
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