摘要
目的探讨吞咽训练辅助针灸对急性脑梗死患者吞咽功能的影响。方法将52例急性脑梗死患者随机分为治疗组(n=27)和对照组(n=25)。两组患者均接受吞咽训练(包括冰刺激、舌肌运动、软鄂上抬运动、喉活动训练、面肌训练、进食训练),治疗组在原有治疗基础上接受针灸治疗,每日1次,每次30min,共计治疗1个月。分别于治疗前和治疗1个月后进行反复唾液吞咽试验、饮水试验评分。结果治疗前两组患者反复唾液吞咽试验、饮水试验评分无显著性差异(P>0.05)。治疗1个月后,分别将治疗组和对照组的反复唾液吞咽试验、饮水试验评分与治疗前相比较,差异具有统计学意义(P<0.01),将治疗组饮水试验、RSST评分结果与对照组相比较,差异具有统计学意义(P<0.05)。结论吞咽训练辅助针灸治疗可以促进急性脑梗死患者吞咽功能的恢复。
Objective To study the effects of swallowing training and acupuncture treatment on the swallowing function of patients with dysphagia following acute cerebral ischemia. Metholds 52 patients with clinical dysphagia following the acute cerebral ischemia were randomly chosen and divided into two groups： the treatment group（n=27） and the control group（n=25）. Both groups received the similar swallowing training, including cold stimulation, tongue movement soft palate lifting, throat activity, facials muscle and eating training, in addition, the patients in the treatment group were treated with acupuncture treatment once every day for one month simultaneously. The patients were treated for 30 minutes each time. The swallowing function was evaluated by using drinking experiment and repetitive saliva swallowing test（RSST） before the treatment and one month after the treatment respectively. Results No significant difference was found in the scores of drinking experi- ment and RSST for the patients between the two groups before treatment （P〉0.05）. One month after the treatment, the scores of drinking experiment were significantly decreased, and the scores of RSST were significantly increased as compared with that before the treatment （P〈0.01）. One month after the treatment, the scores of drinking experiment in the treatment group were lower than that in the control group（P〈0.05）, and the scores of RSST in the treatment group were significantly higher than that in the control group （P〈0.05）. Conclusion These results indicate that the swallowing training and acupuncture treatment could improve swallowing function of the patient with acute cerebral ischemia.
出处
《海南医学》
CAS
2008年第9期31-34,共4页
Hainan Medical Journal
关键词
吞咽障碍
吞咽训练
脑梗死
针灸治疗
Dysphagia
Swallowing training
Cerebral ischemia
Acupuncture treatment
