针刺联合吞咽专项训练治疗卒中后吞咽障碍临床研究
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广东省工伤康复医院,广东 广州 510440

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R246.6

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* 基金项目: 广东省中医药管理局医学科研项目(20162036) 收稿日期: 2016 - 08 - 16 作者简介: 黄辉霞(1982-),女,广东河源人,主治医师,研究方向:针刺治疗神经系统病变。


The Clinical Study of Treating Swallowing Disorder after Stroke by Special Trainingon Acupuncture Joint Swallowing
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Injury RehabilitationHospital of Guangdong Province, Guangzhou 510440, China

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    摘要:

    目的〓观察针刺联合吞咽专项训练治疗卒中后吞咽障碍的临床疗效,为临床卒中后吞咽障碍患者的治疗提供参考。方法〓采用数字随机表法选择2013年10月-2015年10月我院收治的卒中后吞咽障碍患者120例作为研究对象,将上述患者随机分为对照组和观察组,每组60例,对照组患者采用药物联合吞咽综合训练进行康复进行治疗,观察组在常规治疗的基础上再予以针刺联合吞咽功能专项训练辅助治疗患者,两组患者治疗2个月后,采用洼田饮水实验比较两组患者治疗前后吞咽干功能的变化情况,分析针刺联合吞咽专项训练在治疗卒中后吞咽障碍患者中的临床意义。结果〓观察组与对照组患者治疗前洼田饮水实验的分级构成比较差异无统计学意义(P>0.05),2组患者治疗2个月后,两组组患者洼田饮水实验1、2级构成比明显升高,4、5级构成比明显下降,较治疗前比较两组洼田饮水实验分级构成比差异均有统计学意义(P<0.05),治疗后观察组患者洼田饮水实验1、2级构成比明显高于对照组,组间比较差异有统计学意义(P<0.05)。结论〓针刺辅助吞咽专项训练治疗卒中后吞咽障碍患者,可显著提高患者吞咽能力,对卒中吞咽功能障碍患者具有较高的临床价值。

    Abstract:

    Objective By observing the clinical effect on treating swallowing disorder after stroke by special training on acupuncture joint swallowing, it can make reference to treat clinical swallowing disorder after stroke. Methods we cheese 120 patient treated in our hospital from October 2013 to October 2015, and divided them into control group and observe group, 60 patients in each group. We treated the control group in the normal way, and except the normal way, we also used special training on acupuncture joint swallowing to treat the observe group. Two months later, we made comparation for the two groups patients’ swallowing before and after by the water swallowing test, and then, analysis the clinical meanings for treating swallowing disorder after stroke by special training on acupuncture joint swallowing. Results Before the treatment, there was no significant difference between the two groups(P>0.05). After two months’ treatment, the first and second class structure in water swallowing test increased obviously and the fourth and fifth class structure had visibly deteriorated in the two groups, the classification structure after treatment, in the two groups’ water swallowing test had statistical difference between the two groups(P<0.05). After treatment, the observe group, first and second class structure in water swallowing test was higher compared with control group, there was statistical difference between the two groups(P<0.05). Conclusion Compared with the patients only treated in normal treatment, these patients treated on special training were better in swallowing, which has high clinical value to patients who have swallowing disorder after stroke.

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