摘要
目的观察项针配合中药冰刺激治疗脑卒中后吞咽障碍的临床疗效。方法将60例脑卒中合并吞咽障碍患者随机分为治疗组和对照组各30例。治疗组在脑卒中常规治疗基础上采用项针配合中药冰刺激治疗,对照组采用脑卒中常规治疗配合吞咽康复训练。两组均治疗4周后评价临床疗效,比较两组治疗前、治疗后1周、2周、3周、4周吞咽功能评分。结果治疗组治疗后2、3、4周吞咽功能评分与治疗前比较均降低(P<0.05);对照组治疗后各时间点吞咽功能评分与治疗前比较差异无统计学意义(P>0.05)。治疗组治疗后3、4周吞咽功能评分与对照组同时间比较差异有统计学意义(P<0.05)。治疗组临床疗效痊愈率为43.3%,对照组为10.0%,两组比较差异有统计学意义(P<0.05)。结论项针配合中药冰刺激治疗脑卒中后吞咽障碍疗效肯定,能明显改善患者吞咽功能。
Objective To observe the therapeutic effect of nape needling eomhined with Chinese herhal ice stimulation for dysphagia after stroke. Methods Totally 60 patients with dysphagia after stroke were randomized into treatment group and control group, with 30 in each. The treatment group was given nape needling and Chinese herhal ice stimulation based on routine therapy. The control group was given routine therapy and swallowing rehabilitation. The efficacy was evaluated after 4-week treatment in both groups. The scores of swallowing function were compared before and after treatment in both groups. Results The scores of swallowing fnnetion were significantly decreased in the treatment grot,p after 2-week, 3-week and 4-week treatment （P 〈0.05）. There was no significant difference be- tween before and after treatment in the scores of swallowing function in the control group （ P 〉 0.05 ）. There was a significant difference between groups in the scores of swallowing function at the same time point after 3-week or 4-week treatment （P 〈0.05）. The cure rate in the treatment group and control group was 43.3% and 10.0% respectively, with a significant difference between groups （ P 〈 0.05）. Conclusion The combo therapy of nape needling and Chinese herbal ice stimulation is effective for dysphagia after stroke and can obviously improve the swallowing function.
出处
《中医杂志》
CSCD
北大核心
2014年第11期931-934,共4页
Journal of Traditional Chinese Medicine
基金
国家中医药管理局"十二五"中医药重点学科建设项目
浙江省教育厅2012年度高校科研计划资助项目(Y201223465)
浙江省名老中医专家传承工作室建设项目(GZS2012015)
关键词
脑卒中
吞咽障碍
项针
冰刺激
饮水试验
stroke
dysphagia
nape needling
ice stimulation
water drinking test
