摘要
目的观察针刺配合康复训练治疗脑卒中后吞咽障碍的临床疗效。方法将229例脑卒中后吞咽障碍患者随机分为治疗1组(74例),治疗2组(75例),对照组(80例)。治疗1组采用针刺治疗,治疗2组采用针刺配合康复训练,对照组采用康复训练;每周治疗5次,连续治疗4周。评定3组患者中医吞咽障碍评价量表、洼田咽水试验量表以及吞咽障碍特异性生活质量量表疗效。结果针刺1组、针刺2组、对照组吞咽障碍中医评价量表总有效率分别为83.56%、74.67%、64.00%,3组比较差异有统计学意义(P<0.01);治疗1组、治疗2组、对照组洼田咽水试验量表总有效率分别为83.56%、89.33%、66.67%,3组比较差异有统计学意义(P<0.01)。3组患者治疗后吞咽障碍特异性生活质量量表积分均较本组治疗前明显改善(P<0.01),治疗后治疗1组和治疗2组与对照组比较差异亦有统计学意义(P<0.01)。结论针刺配合康复训练治疗脑卒中后吞咽障碍疗效肯定,针刺方案安全有效。
Objective To observe the therapeutic effect of acupuncture plus rehabilitation training for dysphagia after stroke. Methods Totally 229 cases were randomized into three groups, treatment group Ⅰ （74 cases）, treatment group Ⅱ （75 cases）, and the control group （80 cases）. The treatment group Ⅰ was treated with acupuncture, the treatment group Ⅱ with acupuncture and rehabilitation training, and the control group with rehabilitation training. Five times of treatment were applied every week, 4 weeks in succession. After treatment for four weeks, the effect was evaluated according to the TCM swallowing assessment, swallowing test, and SWAL QOL of the three groups. Results The total effective rate of TCM swallowing assessment was 83.56% in the treatment group Ⅰ , 74.67% in the treatment group Ⅱ , and 64.00% in the control group with significant difference among them （P〈0.01）. The total effective rate of swallowing test was 83.56% in the treatment group Ⅰ , 89.33% in the treatment group Ⅱ , and 66.67% in the control group with significant difference among the three （P〈0.01）. The scores of SWAL QOL of three groups were all improved （P〈0. 01）, compared with the control group, the difference in treatment group Ⅰ and Ⅱ was also significant after treatment （P〈0.01）, Conclusion Acupuncture plus rehabilitation training is effective for dysphagia after stroke and it is a safe treatment.
出处
《中医杂志》
CSCD
北大核心
2011年第1期45-48,共4页
Journal of Traditional Chinese Medicine
基金
四川省科技厅重点攻关项目(2006Z08-079)
关键词
脑卒中
吞咽障碍
针刺疗法
康复训练
stroke
dysphagia
acupuncture therapy
rehabilitation training
作者简介
通讯作者：lfr@cdutcm．edu．cn，（028）61800000
