【作者】 卢琰琰； 林国华； 王晓荷； 李秋佳； 黄洪；

【Author】 LU Yanyan;LIN Guohua;Acupuncture and Massage department,Guangxi Jiangbin Hospital;The first hospital affiliated to Guangzhou University of Chinese Medicine;

【机构】 广西壮族自治区江滨医院针推科； 广州中医药大学第一附属医院；

【摘要】 目的观察运动针刺治疗亚急性期脑卒中吞咽障碍的临床效果。方法共纳入60例亚急性期脑卒中吞咽障碍患者,按入院先后顺序随机分为治疗组与对照组,两组均接受相同的神经内科,吞咽康复训练及偏瘫侧针刺,治疗组采用运动针刺,对照组采用常规针刺,共治疗2个疗程,用洼田饮水试验、电视透视吞咽检查(VFSS)作为观察指标。结果对照组有效率为60%,治疗组的有效率为93.4%,差异有统计学意义(P<0. 05);对照组和治疗组在疗程前和疗程1时,洼田饮水试验结果差异不存在统计学意义(P>0. 05),随着治疗时间的延长,对照组和治疗组在疗程2的结果差异均存在统计学意义(P<0. 05);对照组治疗前后,治疗组治疗前后,两组治疗前后的VFSS评分差异均存在统计学意义(P<0.05),治疗后对照组与治疗组VFSS差异存在统计学意义(P<0. 05);两组未见明显不良反应。结论运动针刺治疗亚急性期脑卒中吞咽障碍安全有效,可以恢复吞咽功能,改善营养状况,值得临床推广。更多还原

【Abstract】 Background Dysphagia is a common complication after stroke, which can cause malnutrition, dehydration, aspiration pneumonia, bronchospasm, asphyxia and other adverse consequences. The rehabilitation of this disease has become a focus of attention in clinical practice. Objective To observe the clinical effect of exercise acupuncture on dysphagia in subacute stroke. Method A total of 60 subacute stroke patients with dysphagia were enrolled and randomly divided into treatment group and control group according to admission order. Both groups received the same neurology department, swallowing rehabilitation training and hemiplegic side acupuncture. The treatment group received exercise acupuncture, while the control group received conventional acupuncture. The two courses of treatment were completed.The water swallow test and television fluoroscopy swallowing test(VFSS) were used as observation indexes. Result The effective rate of the control group was 60%, and that of the treatment group was 93.4%, with statistically significant difference(p < 0.05). There was no significant difference in the results of the water swallow test between the control group and the treatment group before treatment course and at the time of treatment course 1(P>0. 05). With the extension of treatment time, there was significant difference in the results of treatment course 2 between the control group and the treatment group(p < 0.05). Before and after treatment in thecontrol group, before and after treatment in the treatment group, the differences in VFSS scores between the two groups before and after treatment were statistically significant(P<0.05), while the differences between the control group and the treatment group after treatment were statistically significant(p < 0.05). No obvious adverse reactions were found in the two groups.Conclusion Exercise acupuncture is safe and effective in the treatment of dysphagia in subacute stroke, which can restore swallowing function and improve nutritional status, and is worthy of clinical promotion.更多还原