摘要
目的观察采用舌三针和颞三针联合球囊扩张在脑卒中后吞咽障碍的应用效果。方法选取本院收治的66例脑卒中后环咽肌失弛缓型吞咽障碍患者作为研究对象,随机分为观察组和对照组各33例。两组均接受吞咽障碍治疗仪进行吞咽相关肌肉电刺激,在此基础上,观察组采用舌三针、颞三针联合球囊扩张治疗,对照组采用球囊扩张治疗,两组均治疗1个月。比较两组患者治疗前后的吞咽造影检查(VFSS)评分、经口摄食功能评估(FOIS)和咽通过时间。结果治疗后,观察组患者的吞咽造影检查(VFSS)评分、经口摄食功能评估(FOIS)和咽通过时间均优于对照组,差异均有统计学意义(P<0.05);观察组总有效率高达93.94%(31/33),对照组总有效率72.73%(24/33),观察组明显优于对照组(P<0.05)。结论运用舌三针、颞三针联合球囊扩张治疗脑卒中后吞咽障碍疗效确切,联合治疗比单一的治疗更有优势。
Objective To observe the effect of tongue three-needle acupuncture and temporal three-needle acupuncture combined with balloon dilatation on dysphagia after stroke.Methods Sixty-six patients with hypopharyngeal achalasia after stroke were randomly divided into the observation group and the control group.On the basis of dysphagia treatment instrument,the observation group was treated with tongue three-needle acupuncture,temporal three-needle acupuncture and balloon dilation.The control group was treated with balloon dilation,and both groups were treated for one month.Results After treatment,VFSS,Fois and passage time of swallowing in the observation group were significantly better than those in the control group(P<0.05).The total effective rate in the observation group was 93.94%(31/33),and that in the control group was 72.73%(24/33),which was significantly better than that in the control group(P<0.05).Conclusion The treatment of dysphagia after stroke with tongue three-needle acupuncture and temporal three-needle acupuncture combined with balloon dilatation is effective,and the combined treatment has more advantages than the single treatment.
作者
范培武
李斌
黄炎
杨玲
FAN Peiwu;LI Bin;HUANG Yan;YANG Ling(General Hospital of Huainan Oriental Hospital Group,Huainan 230021,Anhui,China)
出处
《辽宁中医杂志》
CAS
2020年第5期177-179,共3页
Liaoning Journal of Traditional Chinese Medicine
基金
淮南市科技基金项目(2015B43)
关键词
舌三针
颞三针
球囊扩张
脑卒中
吞咽障碍
tongue three-needle acupuncture
temporal three-needle acupuncture
balloon dilation
stroke
dysphagia
作者简介
范培武(1969-),男,安徽南市人,副主任医师,学士,研究方向:传统医学在神经康复中的应用。
