吞咽治疗仪结合醒脑开窍针治疗脑卒中后吞咽障碍的效果

摘要

目的:探讨吞咽治疗仪结合醒脑开窍针对脑卒中后吞咽障碍患者的治疗效果.方法:选择98例脑卒中伴吞咽障碍患者,按照随机数字表法,随机均分为单纯吞咽治疗组(在常规治疗基础上仅接受单纯吞咽治疗仪治疗)和联合治疗组(在单纯吞咽治疗组基础上加用醒脑开窍针).评价比较两组治疗前后视频荧光造影(VFG)评分和吞咽障碍特异性生活质量量表(SWAL-QOL)评分,以及两组的治疗总有效率.结果:与治疗前比较,两组治疗后VFG评分均显著升高,SWAL-QOL评分均显著降低,P均=0.001;与单纯吞咽治疗组比较,联合治疗组治疗后VFG评分[(5.46±2.04)分比(6.54±2.75)分]升高更显著,SWAL-QOL评分[(741.33±25.92)分比(632.54±26.77)分]降低更显著,P依次=0.032, 0.001.联合治疗组总有效率显著高于单纯吞咽治疗组(93.88%比75.51%),P=0.014.结论:与单纯使用吞咽治疗仪比较,吞咽治疗仪结合醒脑开窍针治疗脑卒中合并吞咽障碍患者更有利于吞咽功能的恢复,值得临床推广.%Objective:To explore therapeutic effect of pharyngeal treatment machine (PTM) combined resuscitating acupuncture (RA) on patients with dysphagia after stroke.Methods: A total of 98 stroke patients with dysphagia were selected.According to random number table, they were randomly and equally divided into pure pharyngeal treatment group (received pure PTM therapy based on routine treatment) and combined treatment group (received RA based on pure pharyngeal treatment group).Video fluorography (VFG) score and swallow-quality of life (SWAL-QOL) score before and after treatment, and total effective rate were evaluated and compared between two groups.Results: Compared with before treatment, there was significant rise in VFG score, and significant reduction in SWAL-QOL score in both groups after treatment, P<0.01 all;compared with pure pharyngeal treatment group after treatment, there was significant rise in VFG score [(5.46±2.04) scores vs.(6.54±2.75) scores], and significant reduction in SWAL-QOL score [(741.33±25.92) scores vs.(632.54±26.77) scores] in combined treatment group, P=0.032, 0.001 respectively.Total effective rate of combined treatment group was significantly higher than that of pure pharyngeal treatment group (93.88% vs.75.51%), P=0.014.Conclusion: Compared with pure pharyngeal treatment machine, pharyngeal treatment machine combined resuscitating acupuncture possesses better therapeutic effect for recovery of swallowing function, which is worth extending.