R743.3
漯河市青年拔尖人才科研项目(LBJZ201604)
目的:观察半夏厚朴汤加减配合针刺治疗脑卒中后吞咽障碍的临床疗效。方法:选取 90 例脑卒中后吞咽障碍患者,随机分为 2 组各 45 例。对照组给予单纯针刺治疗,观察组在对照组治疗方案的基础上加用半夏厚朴汤辨证加减治疗。比较 2 组洼田饮水试验评分和吞咽功能评定量表(SSA)评分及临床疗效。结果:治疗后,2 组洼田饮水试验评分及 SSA 评分均明显降低,且观察组低于对照组,差异均有统计学意义(P<0.01)。临床疗效总有效率观察组 95.56%,高于对照组 82.22%,差异有统计学意义(P<0.05)。结论:半夏厚朴汤加减配合针刺治疗可有效改善脑卒中后吞咽障碍患者吞咽功能,联合治疗临床效果更佳。
Abstract:Objective:ToobservetheclinicaleffectofmodifiedBanxiaHouputangcombinedwithacupuncturefor dysphagiaafterstroke. Methods:Atotalof 90 casesofpatientswithdysphagiaafterstrokewererandomlydividedintotwo groups,45 casesineachgroup.Thecontrolgroupwassimplytreatedwithacupuncture,andtheobservationgroupwas additionallytreatedwithmodifiedBanxiaHouputangbasedonthetreatmentofthecontrolgroup.ThescoresofKubota's waterswallowtestandStandardizedSwallowingAssessment(SSA)andtheclinicaleffectinthetwogroupswerecompared. Results: Aftertreatment, thescoresofKubota'swaterswallowtestandSSAinthetwogroupsweresignificantly decreased,andthescoresintheobservationgroupwerelowerthanthoseinthecontrolgroup,differencesbeingsignificant (P<0.01).Thetotalclinicaleffectiveratewas 95.56%intheobservationgroup,higherthanthatof 82.22%inthecontrol group,thedifferencebeingsignificant(P<0.05). Conclusion:ThetherapyofmodifiedBanxiaHouputangcombinedwith acupunctureforpatientswithdysphagiaafterstrokehasbetterclinicaleffect,andcaneffectivelyimprovetheirswallowing function.
付菊花,李琰,孙亚中,王保申.半夏厚朴汤加减配合针刺治疗脑卒中后吞咽障碍临床研究[J].新中医,2021,53(8):11-14