摘要
目的:观察康复训练联合补阳还五汤加减对中风后吞咽困难的临床疗效。方法:将因脑中风入院并出现吞咽困难后遗症的87例患者,按随机数字表法分为对照组44例与实验组43例。对照组单独采用康复训练(包括进食以及吞咽功能方面的训练)治疗,实验组在康复功能训练的基础上联合补阳还五汤加减进行治疗。比较2组治疗前后洼田饮水试验评分,以及总体疗效与并发症发生情况的比较。结果:与对照组比较,实验组治疗后洼田饮水实验评分为1级的人数显著增多,差异有统计学意义(P<0.05)。实验组总有效率为90.7%,对照组为79.5%,差异有统计学意义(P <0.05)。对照组不良反应发生率15.9%,实验组为4.7%,2组比较,差异有统计学意义(P <0.05)。结论:康复训练联合补阳还五汤加减在中风后吞咽困难的治疗中能发挥疗效,能够显著改善患者吞咽功能,有效改善患者饮水与进食的能力,提高生活质量,给患者减少负担与痛苦。
Objective:To observe the clinical effect of rehabilitation training combined with Buyang Huanwu tang for dysphagia after stroke.Methods:Divided 87 cases of patients enrolled in the hospital with sequela of dysphagia due to cerebral apoplexy randomly into the control group(44 cases)and the experimenta group(43 cases)according to the random number table.The control group was treated with rehabilitation training(including training in feeding and swallowing function),while the experiment group was treated with Buyang Huanwu tang on the basis of rehabilitation function training.Compared the scores of the water swallow test before and after treatment in the two groups and the overall clinical effect and the occurrence of complications.Results:Compared with that in the control group,the number of people who scored level 1 in the water swallow test after treatment in the experiment group was increased significantly,difference being significant(P<0.05).The total effective rate was 90.7%in the experiment group and 79.5%in the control group,difference being significant(P<0.05).The incidence of adverse reactions was 15.9%in the control group and 4.7%in the experiment group,difference being significant(P<0.05).Conclusion:The application of rehabilitation training combined with Buyang Huanwu tang has curative effect for dysphagia after stroke.It can significantly improve the swallowing function of patients,effectively increase the ability to drink and eat of patients,promote the quality of life,and reduce the burden and pain of patients.
作者
王秀丽
汪芳军
毛福荣
陈红星
WANG Xiuli;WANG Fangjun;MAO Furong;CHEN Hongxing
出处
《新中医》
CAS
2019年第6期329-331,共3页
New Chinese Medicine
关键词
中风
吞咽困难
康复训练
补阳还五汤加减
Stroke
Dysphagia
Rehabilitation training
Modified Buyang Huanwu tang
