针灸联合吞咽康复训练治疗脑卒中后吞咽障临床研究
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R246.6;R743.3

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Clinical Study on Acupuncture and Moxibustion Combined with Swallowing Rehabili⁃ tation Training for Dysphagia After Stroke
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    摘要:

    目的:观察针灸联合吞咽康复训练治疗脑卒中后吞咽障碍的临床疗效。方法:将90 例脑卒中患者随机分为观察组与对照组各45 例。对照组予吞咽康复训练,观察组在对照组基础上联合针灸治疗。比较2 组临床疗效以及治疗前后吞咽功能及生活质量的变化。结果:与同组治疗前比较,治疗后2 组洼田试验评分均降低(P<0.05),功能性经口进食量表(FOIS) 及生活质量评分均升高(P<0.05);与对照组治疗后比较,观察组治疗后洼田试验评分较低(P<0.05),FOIS 及生活质量评分较高(P<0.05)。治疗后,观察组总有效率91.11%,高于对照组75.56%(P<0.05)。结论:对于脑卒中后吞咽障碍患者,应用针灸联合吞咽康复训练治疗有利于吞咽功能的改善及临床疗效的提高,并且可以提高患者的生活质量。

    Abstract:

    Abstract: Objective: To observe the clinical effect of acupuncture and moxibustion combined with swallowing rehabilitation training for dysphagia after stroke. Methods:A total of 90 cases of stroke patients were randomly divided into the observation group and the control group,with 45 cases in each group. The control group was given swallowing rehabilitation training, and the observation group was additionally treated with acupuncture and moxibustion based on the treatment of the control group. The changes in swallowing function and quality of life before and after treatment,and the clinical effects in the two groups were compared. Results: After treatment, the scores of Water Swallow Test in the two groups were decreased when compared with those before treatment(P<0.05),and the scores of Functional Oral Intake Scale(FOIS) and quality of life were increased(P<0.05);after treatment,the score of Water Swallow Test in the observation group was lower than that in the control group(P<0.05), and the scores of FOIS and quality of life were higher(P<0.05). After treatment,the total effective rate was 91.11% in the observation group, higher than that of 75.56% in the control group(P<0.05). Conclusion: The application of acupuncture and moxibustion combined with swallowing rehabilitation training for patients with dysphagia after stroke is helpful to improve the swallowing function,the clinical effect and the quality of life.

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仲桂花,钮雪康,孙方.针灸联合吞咽康复训练治疗脑卒中后吞咽障临床研究[J].新中医,2022,54(13):181-184

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  • 在线发布日期: 2022-07-07
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