摘要
目的观察"解毒利咽"针法联合中频电脑治疗仪对脑卒中后吞咽障碍的康复干预效果.方法选取该院2021年1-12月收治的90例脑卒中后吞咽障碍患者为研究对象,按照随机数字表法将患者分为观察组(n=45)、对照组(n=45).对照组患者采用常规吞咽功能训练,观察组在对照组基础上采用"解毒利咽"针法联合中频电脑治疗仪干预,均连续治疗4周.对比两组的临床疗效、吞咽功能、神经功能、中医证候积分、血清中神经元特异性烯醇化酶(NSE)水平.结果观察组临床总有效率为93.33%,高于对照组的75.55%,差异有统计学意义(P<0.05).治疗前,两组洼田饮水试验(WST)评分比较,差异无统计学意义(P<0.05);治疗4周后,观察组的WST评分为(2.75±0.43)分,低于对照组的(3.43±0.51)分,差异有统计学意义(P<0.05).治疗前,两组美国国立卫生研究院卒中量表(NIHSS)评分、中医证候积分比较,组间差异无统计学意义(P>0.05);治疗4周后,观察组NIHSS评分、中医证候积分分别为(7.40±1.78)分、(5.38±0.92)分,均低于对照组的(11.25±2.93)分、(7.25±0.73)分,组间差异有统计学意义(P<0.05).观察组治疗4周后的血清中NSE水平为(37.28±3.19)U/L,低于对照组的(41.42±5.03)U/L,差异有统计学意义(P<0.05).结论"解毒利咽"针法联合中频电脑治疗仪对脑卒中后吞咽障碍患者具有确切的康复治疗效果,可促进吞咽功能与神经功能恢复,缓解临床症状.
Objective To observe the rehabilitation intervention effect of"Jiedu Liyan"acupuncture combined with medium frequency computer therapy instrument on swallowing disorder after stroke.Methods 90 patients with dysphagia after stroke admitted to the hospital from January to December 2021 were selected as the research objects and divided into an observation group(n=45)and a control group(n=45)according to random number table.The control group received routine swallowing function training,and the observation group received"Jiedu Liyan"acupuncture combined with medium frequency computer therapy instrument on the basis of the control group,and were treated continuously for 4 weeks.The clinical efficacy,swallowing function,degree of neurological impairment,total scores of TCM syndrome,and serum level of neuron-specific enolase(NSE)were compared between the two groups.Results The total clinical effective rate of the observation group was 93.33%,which was higher than 75.55%of the control group,and the difference was statistically significant(P<0.05).Before treatment,there was no significant difference in water swallow test(WST)scores between the two groups(P<0.05);after 4 weeks of treatment,the WST scores of the observation group were(2.75±0.43)points,respectively,which were lower than(3.43±0.51)points of the control group,and the differences between groups were statistically significant(P<0.05).Before treatment,the National Institute of Health stroke scale(NIHSS)score and TCM syndrome score of the two groups showed no statistical significance(P>0.05);after 4 weeks of treatment,NIHSS score and TCM syndrome score in the observation group were(7.40±1.78)points and(5.38±0.92)points,respectively,which were lower than(11.25±2.93)points and(7.25±0.73)points in the control group,and the differences between groups were statistically significant(P<0.05).After 4 weeks of treatment,the serum NSE level in the observation group was(37.28±3.19)U/L,lower than(41.42±5.03)U/L in the control group,and the difference was statistically significant(P<0.05).Conclusion"Jiedu Liyan"acupuncture combined with medium frequency computer therapy instrument has an exact rehabilitation effect on patients with swallowing disorders after stroke,can promote the recovery of swallowing function and neurological function,relieve clinical symptoms.
作者
吴华
WU Hua(Department of Rehabilitation Medicine,Zichuan District Hospital,Zibo City,Zibo Shandong,255100,China)
出处
《反射疗法与康复医学》
2023年第4期9-12,共4页
Reflexology And Rehabilitation Medicine
关键词
脑卒中
吞咽障碍
针刺
中频电脑治疗仪
康复效果
Stroke
Dysphagia
Acupuncture
Mediate frequency computer therapy instrument
Rehabilitation effect
作者简介
吴华(1981-),女,山东淄博人,硕士研究生,主治医师,研究方向:脑卒中的康复治疗。
