摘要
目的 观察“中枢-外周-中枢”闭环康复理论指导下运用头针联合吞咽治疗仪治疗脑卒中后吞咽困难的临床疗效。方法 60例脑卒中后遗留吞咽困难的患者被随机分为治疗组(n=30)和对照组(n=30)。治疗组与对照组均给予脑血管二级预防和吞咽功能康复训练,此外,对照组接受吞咽治疗仪治疗,治疗组接受头针联合吞咽治疗仪治疗。每次治疗持续20 min,1次/d,5次/周,共3周。分别在治疗前后对患者进行标准吞咽评定量表(SSA)、吞咽生活质量量表(SWAL-QOL)评估统计2组拔除胃管例数。结果 治疗后,2组患者SAA分值较治疗前均下降(P <0.01),SWAL-QOL分值较治疗前升高(P <0.01);经过治疗,治疗组的SSA分值小于对照组(P <0.05),SWAL-QOL分值大于对照组(P <0.01),治疗组拔除胃管例数多于对照组,比较具有统计学意义(P <0.05)。结论 在“中枢-外周-中枢”闭环康复理论指导下,头针联合吞咽治疗仪可改善脑卒中患者吞咽功能和生活质量。
Objective To observe the clinical efficacy of using acupuncture combined with swallowing therapy device guided by the“central-peripheral-central”closed-loop rehabilitation theory in the treatment of post-stroke dysphagia.Methods 60 patients with post-stroke dysphagia were randomly divided into treatment group(n=30)and control group(n=30).Both groups received secondary prevention of cerebrovascular disease and swallowing rehabilitation training.In addition,the control group received treatment with a swallowing therapy device,while the treatment group received treatment with acupuncture combined with the swallowing therapy device.Each treatment session lasted for 20 minutes,once a day,5 times per week,for a total of 3 weeks.The patients were evaluated using the Standard Swallowing Assessment(SSA)and the Swallowing Quality of Life Questionnaire(SWAL-QOL)before and after the treatment.the cases in both groups whose gastric tubes were removed were calculated.Results After treatment,SAA score in 2 groups significantly decreased(P<0.01),and SWAL-QOL scores significantly increased(P<0.05).After treatment,the SSA score of the treatment group was significantly lower than that of the control group(P<0.05),and the SWAL-QOL score was significantly higher than that of the control group(P<0.01).There were more patients whose gastric tubes were removed in treatment group than that of control group(P<0.05).Conclusion Under the guidance of“central-peripheral-central”closed-loop rehabilitation theory,head acupuncture combined with swallowing apparatus can improve the swallowing function and quality of life of stroke patients.
作者
何思锦
陈小霞
陈奇刚
赵荣
刘朵
廖映迪
李黛颖
顾力华
HE Sijin;CHEN Xiaoxia;CHEN Qigang;ZHAO Rong;LIU Duo;LIAO Yingdi;LI Daiying;GU Lihua(Dept.of Rehabilitation,Kunming Municipal Hospital of Chinese Medicine,Kunming Yunnan 650500;Yunnan Association of Rehabilitation Medicine,Kunming Yunnan 650500,China)
出处
《昆明医科大学学报》
CAS
2023年第8期105-109,共5页
Journal of Kunming Medical University
基金
云南省中医联合专项青年项目(202101AZ070001-127)
昆明市卫生科技人才培养项目暨“十百千”程后备人选基金[2020-sw(后备)-84]
昆明市卫生健康委员会卫生科研课题项目(2022-16-01-018)。
关键词
脑卒中
吞咽困难
头针
吞咽治疗仪
“中枢-外周-中枢”闭环康复理论
Stroke
dysphagia
Scalp acupuncture
Swallowing therapy device
“Central-peripheral-central”closed-loop rehabilitation theory
