任督通调针刺法联合康复训练治疗缺血性脑卒中后吞咽障碍疗效观察
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R246.6;R277.7

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金华市科技计划项目(2020-4-059)


Clinical Effect of Needling Method of Regulating Conception and Governor Vessels Combined with Rehabilitation Training on Dysphagia After Ischemic Stroke
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    摘要:

    目的:观察任督通调针刺法联合康复训练治疗缺血性脑卒中后吞咽障碍的疗效。方法:选取76 例 缺血性脑卒中后吞咽障碍患者,按随机数字表法分为对照组及观察组各38 例。对照组给予常规康复训练,观 察组在对照组基础上加用任督通调针刺治疗。观察2 组临床疗效及不良反应发生情况,比较2 组治疗前后中医 证候评分、功能性经口摄食量表(FOIS) 评分、吞咽功能评估量表(SSA) 评分的变化。结果:治疗后,2 组 半身不遂、头晕目眩、舌强言謇、辗转不利、肢体偏枯、舌苔薄白痰多的中医证候评分均较治疗前下降(P< 0.05),观察组上述6 项中医证候评分均低于对照组(P<0.05)。观察组临床疗效总有效率为89.47%,对照 组为76.32%,2 组比较,差异有统计学意义(P<0.05)。治疗后,2 组FOIS 吞咽功能分级均优于治疗前(P< 0.05),观察组FOIS 分级优于对照组(P<0.05)。治疗后,2 组SSA 评分均较治疗前下降(P<0.05),观察组 低于对照组(P<0.05)。观察组不良反应发生率为5.26%,对照组为15.79%,2 组比较,差异有统计学意 义(P<0.05)。结论:任督通调针刺法联合康复训练治疗缺血性脑卒中后吞咽障碍临床疗效显著,可缓解临床 症状,促进吞咽功能恢复,治疗安全性高。

    Abstract:

    Abstract: Objective: To observe the clinical effect of the therapy of needling method of regulating conception and governor vessels combined with rehabilitation training on dysphagia after ischemic stroke. Methods: A total of 76 patients with dysphagia after ischemic stroke were divided into the control group and the observation group according to the random number table method,with 38 cases in each group. The control group was given routine rehabilitation training,and the observation group was additionally treated with needling method of regulating conception and governor vessels based on the treatment of the control group. The clinical effects and incidence of adverse reactions in both groups were observed, and the changes in the traditional Chinese medicine(TCM) syndrome scores and the scores of Functional Oral Intake Scale(FOIS) and Standardized Swallowing Assessment(SSA) before and after treatment were compared between the two groups. Results: After treatment, the TCM syndrome scores of hemiparalysis, dizziness, stiff tongue and dysphagia, dysfunction of turning over, hemiplegia of limbs and thin coated tongue and excessive white phlegm in both groups were decreased when compared with those before treatment(P<0.05), and the above scores in the observation group were lower than those in the control group(P<0.05). The total clinical effective rate was 89.47% in the observation group, higher than that of 76.32% in the control group,the difference being significant(P<0.05). After treatment,the FOIS grading of swallow function in both groups was superior to that before treatment(P<0.05),and the abovegrading in the observation group was better than that in the control group(P<0.05). After treatment,the SSA scores in both groups were decreased when compared with those before treatment(P<0.05),and the SSA score in the observation group was lower than that in the control group(P<0.05). The incidence of adverse reactions was 5.26% in the observation group and 15.79% in the control group, the difference being significant(P<0.05). Conclusion: The therapy of needling method of regulating conception and governor combined with rehabilitation training has a significant clinical effect on dysphagia after ischemic stroke, which can improve the clinical symptoms and promote the recovery of the swallow function,with a good safety.

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于勰荔,黄建亮,刘建英,方盛.任督通调针刺法联合康复训练治疗缺血性脑卒中后吞咽障碍疗效观察[J].新中医,2023,55(1):164-168

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  • 在线发布日期: 2023-01-17
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