摘要
目的:观察揿针(皮内针)结合康复训练诊治帕金森吞咽障碍的临床疗效。方法:将60例帕金森吞咽障碍患者按随机数字表法分为治疗组与对照组,每组30例。2组在药物治疗的基础上,对照组采用吞咽康复训练,治疗组在吞咽康复训练的同时使用揿针治疗。观察2组在诊疗前以及诊疗2个疗程后藤岛吞咽评分、标准吞咽功能评估量表(SSA)评分。比较2组洼田饮水试验疗效评定结果。结果:治疗组总有效率为86.67%,高于对照组的53.33%(P<0.05)。与同组治疗前比较,2组治疗后藤岛吞咽评分升高(P<0.01),SSA评分降低(P<0.01);与对照组治疗后比较,治疗组的藤岛吞咽评分较高(P<0.05),SSA评分较低(P<0.05)。结论:揿针联合康复训练能有效治疗帕金森吞咽障碍。
Objective:To observe the clinical effect of thumbtack needle(intradermal needle) combined with rehabilitation training for dysphagia in Parkinson disease. Methods:A total of 60 cases of patients with dysphagia in Parkinson disease were divided into the treatment group and the control group according to the random number table method, 30 cases in each group. Based on drug therapy,the control group was additionally given swallowing rehabilitation training,and the treatment group was additionally treated with thumbtack needle based on the treatment of the control group. Before and after two courses of treatment,the changes in Fujishima swallowing scores,Standardized Swallowing Assessment(SSA) scores were observed in the two groups. The efficacy evaluation results of water swallow test in the two groups was compared. Results:The total effective rate was 86.67% in the treatment group,higher than that of 53.33% in the control group(P<0.05). After treatment,Fujishima swallowing scores in the two groups were increased when compared with those before treatment(P<0.01),and SSA scores were decreased(P<0.01);Fujishima swallowing score in the treatment group was higher than that in the control group(P<0.05) and SSA score was lower(P<0.05). Conclusion:The therapy of thumbtack needle combined with rehabilitation training can effectively treat dysphagia in Parkinson disease.
作者
伊仙琼
金永喜
郑雪君
刘少娜
YI Xianqiong;JIN Yongxi;ZHENG Xuejun;LIU Shaona
出处
《新中医》
CAS
2021年第6期172-175,共4页
New Chinese Medicine
基金
温州市科学技术局课题(Y20190728)。
关键词
帕金森病
吞咽障碍
揿针
皮内针
康复
Parkinson disease
Dysphagia
Thumbtack needle
Intradermal needle
Rehabilitation
作者简介
伊仙琼(1979-),女,副主任护师,E-mail:returng@126.com。
