摘要
目的:观察在常规疗法基础上加用补肾利咽汤联合揿针埋针治疗卒中后吞咽障碍肾虚痰瘀阻窍证患者的临床疗效。方法:选取86例卒中后吞咽障碍肾虚痰瘀阻窍证患者作为研究对象,以随机数字表法分为对照组和观察组各43例。2组均给予常规西药治疗与康复训练,对照组予揿针埋针治疗,观察组予补肾利咽汤联合揿针埋针治疗。10 d为1个疗程,2组均持续治疗3个疗程。治疗前后应用标准吞咽功能评定量表(SSA)评定吞咽功能恢复情况,比较2组临床疗效与不良反应发生率。结果:治疗3个疗程后,观察组临床疗效总有效率高于对照组(P<0.05)。2组SSA评分均较治疗前下降(P<0.05),观察组SSA评分低于对照组(P<0.05)。2组治疗期间的不良反应发生率比较,差异无统计学意义(P>0.05)。结论:在常规西药和康复训练的基础上加用补肾利咽汤联合揿针埋针治疗卒中后吞咽障碍肾虚痰瘀阻窍证患者效果显著,可有效促进吞咽功能恢复,且安全性较好。
Objective:To observe the clinical effect of the additional application of Bushen Liyan Decoction,thum-btack needling for subcutaneous embedding on patients with post-stroke dysphagia with syndrome of kidney deficiency with phlegm stasis obstructing orifices.Methods:A total of 86 poststroke dysphagia patients with syndrome of kidney deficiency with phlegm stasis obstructing orifices were selected as the study objects and divided into the control group and the observation group according to the random number table method,with 43 cases in each group.The two groups were given routine western medicine and rehabilitation training;the control group was treated with thum-btack needling for subcutaneous embedding,and the observation group was given Bushen Liyan Decoction,thum-btack needling for subcutaneous embedding for treatment.With 10 days as a course of treatment,the two groups were treated for 3 courses.Before and after treatment,the recovery of swallowing function was evaluated by Standardized Swallowing Assessment(SSA),and the clinical effects and incidence of adverse reactions were compared between the two groups.Results:After 3 courses of treatment,the total effective rate was higher than that in the control group(P<0.05).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).There was no significant difference being found in the comparison of incidence of adverse reactions between the two groups(P>0.05).Conclusion:Based on routine western medicine and rehabilitation training,the additional application of Bushen Liyan Decoction,thum-btack needling for subcutaneous embedding has a definite effect on patients with post-stroke dysphagia with syndrome of kidney deficiency with phlegm stasis obstructing orifices,which can effectively promote the recovery of swallowing function with good safety.
作者
凌婷婷
金微微
LING Tingting;JIN Weiwei
出处
《新中医》
CAS
2023年第10期37-41,共5页
New Chinese Medicine
关键词
脑卒中
吞咽障碍
肾虚痰瘀阻窍证
补肾利咽汤
揿针埋针
吞咽功能
Stroke
Dysphagia
Syndrome of kidney deficiency with phlegm stasis obstructing orifices
Bushen Liyan Decoction
TThum-btack needling for subcutaneous embedding:Swallowing function
