摘要
目的:探析头针舌针配合康复训练对卒中后假性球麻痹吞咽障碍恢复的影响。方法:选取2017年5月-2018年11月在我院接受治疗的60例卒中后假性球麻痹吞咽障碍患者作为主要研究对象,采用数字随机表达法进行分组,每组30例。两组患者均给予西医常规对症治疗,对照组增加康复训练,观察组在西医对症和康复训练的基础上配合头针舌针治疗,比较两组的治疗效果。结果:经治疗,观察组患者的治疗总有效率显著高于对照组,两组比较差异有统计学意义;两组患者治疗后和随访期的洼田饮水试验评分均显著高于治疗前,且观察组明显高于对照组,差异有统计学意义;两组患者治疗后和随访期的Barthel指数明显高于治疗前,且观察组明显高于对照组,差异有统计学意义;两组患者治疗后和随访期的美国国立卫生院卒中量表(National Institutes of Health Stroke Scale,NIHSS)评分明显低于治疗前,且观察组明显低于对照组,差异有统计学意义。结论:在卒中后假性球麻痹吞咽障碍的治疗上,采用头针舌针配合康复训练的治疗方案更有利于患者病情的恢复,可改善患者的临床症状,远期效果较好,值得进一步推广和应用。
Objective:To analyze the efficacy of Touzhen(头针),Shezhen(舌针)plus rehabilitation training on dysphagia of pseudobulbar paralysis after stroke.Methods:60 pseudobulbar paralysis patients with dysphagia after stroke from May 2017 to November 2018 were randomly divided into the observation group and control group,30 cases in each group.All of pseudobulbar paralysis patients with dysphagia after stroke received routine symptomatic treatment in Western medicine.The control group was treated by rehabilitation training.The observation group was treated by Touzhen,Shezhen plus rehabilitation training.The treatment effect in two groups was compared.Results:The cure rate and total efficiency in the observation group were significantly higher than the control group.After treatment,the score in two groups by Putian drinking test were significantly higher than before,and the score in the observation group higher than the control group.After the treatment and during the follow-up period,the Barthel index in the two groups were significantly higher than before.The score in the observation group were higher than the control group.The NIHSS score in patients with dysphagia was lower than before.The score in the observation group were lower than the control group.Conclusion:Touzhen,Shezhen plus rehabilitation training on dysphagia of pseudobulbar paralysis after stroke was more conducive to the recovery of the patients,can improve the clinical symptoms,show a good long-term effect,and is worthy of further promotion and application.
出处
《中医临床研究》
2019年第26期87-89,共3页
Clinical Journal Of Chinese Medicine
