摘要
目的观察运用针刺法结合吞咽障碍治疗仪治疗脑出血后吞咽障碍的临床疗效。方法选取脑出血后吞咽障碍的患者50例,随机分为针刺组、针刺结合吞咽障碍治疗仪组(简称"结合组"),每组各25例。针刺组给予针刺治疗,结合组给予针刺治疗加用吞咽障碍治疗仪治疗。治疗14 d后采用洼田饮水实验、脑卒中患者神经功能缺损程度评分标准中的吞咽困难亚量表进行评定。结果治疗后,2组吞咽功能较治疗前均有显著改善(P<0.01),2组间的评分差值,较结合组,均具有统计学意义(P<0.01),结合组总有效率(96.0%)优于针刺组总有效率(88.0%)(P<0.05)。结论针刺结合吞咽障碍治疗仪通过刺激咽喉部,使吞咽肌群运动障碍缓解,实现吞咽反射的恢复和重建,明显提高脑出血后吞咽障碍患者的吞咽功能。
Objective The research aims to observe the clinical effect of acupuncture combined treatment with a therapeutic equipment on dysphagic patients after cerebral hemorrhage .Methods The 50 dysphagic patients with cerebral hemorrhage were selected and randomly divided into acupuncture group and acupuncture combined with therapeutic equipment group （combination group for short ） ,25 cases in each group .The patients in acupuncture group were given acupuncture treatment , and the patients in combination group were given acupuncture treatment in combination with therapeutic equipment .14 days after treatment ,watian drinking water experiment ,and the dysphagia scale were used to evaluate the therapeutic effect .Re-sults After the treatment ,swallowing function of the patients in two groups was significantly improved （ P〈0 .01 ） ,the score difference among the two groups is statistical significance from the score of combination group （ P〈0 .01 ） ,effective-ness of combination group （96 .0% ）was higher than that of acupuncture group （88 .0% ） （ P〈0 .05 ） .Conclusion Acupuncture combined with swallowing treatment apparatus can modify swallowing muscle movement disorders through irri-tating throat ,then realize the recovery and reconstruction of swallowing reflex ,obviously improve the swallowing function of patient after cerebral hemorrhage .
出处
《吉林中医药》
2015年第7期727-729,共3页
Jilin Journal of Chinese Medicine
基金
武警后勤学院附属医院种子基金(FMY201103)
关键词
针刺
吞咽障碍治疗仪
吞咽障碍
吞咽反射
脑出血
acupuncture
therapeutic equipment of dysphagia
swallow disability
swallowing reflex
cerebral hemorrhage
