摘要
目的:观察舌针面针结合吞咽康复疗法治疗脑卒中口腔期吞咽障碍的临床疗效。方法:选取2021年7月至2023年7月上海市第一康复医院治疗的脑卒中后口腔期吞咽障碍患者60例,根据投掷硬币法分成对照组28例和观察组32例。对照组给予吞咽康复疗法治疗,观察组在对照组治疗的基础上给予舌针面针治疗。比较两组患者治疗前后电视透视X线吞咽造影检查(videofluoroscopic swallowing study,VFSS)、经口进食能力、洼田氏饮水试验评级情况、舌肌力量及临床疗效。结果:两组治疗后VFSS评分均高于治疗前(P<0.05),且观察组治疗后VFSS评分高于对照组,差异有统计学意义(P<0.05)。两组治疗后口腔传送时间、咽传送时间、咽延迟时间均低于治疗前(P<0.05),且观察组治疗后口腔传送时间、咽传送时间、咽延迟时间均低于对照组,差异有统计学意义(P<0.05)。两组治疗后洼田氏饮水试验评级均优于治疗前(P<0.05),且观察组治疗后洼田氏饮水试验评级优于对照组,差异有统计学意义(P<0.05)。观察组治疗后舌压平均值、舌压持续时间、舌压峰值高于对照组,差异有统计学意义(P<0.05)。观察组有效率为90.62%,对照组有效率为71.43%,观察组有效率高于对照组,差异有统计学意义(P<0.05)。结论:舌针面针结合吞咽康复疗法能够改善脑卒中口腔期吞咽障碍患者吞咽功能的异常、舌肌力量,促进经口进食能力的恢复。
Objective:To observe the clinical efficacy of tongue acupuncture and facial acupuncture combined with swallowing rehabilitation therapy on oral phase dysphagia after stroke.Methods:A total of 60 patients with oral phase dysphagia after stroke treated at The First Rehabilitation Hospital of Shanghai from July 2021 to July 2023 were selected and randomly divided into the control group with 28 cases and the observation group with 32 cases by the coin-tossing method.The control group was treated with swallowing rehabilitation therapy,while the observation group was treated with tongue acupuncture and facial acupuncture on the basis of the control group′s treatment.The videofluoroscopic swallowing study(VFSS),oral feeding ability,Watian′s water-drinking test rating,tongue muscle strength and clinical efficacy of the two groups were compared before and after treatment.Results:After treatment,the VFSS scores of both groups were higher than those before treatment(P<0.05),and the VFSS score of the observation group was higher than that of the control group,with a statistically significant difference(P<0.05).The oral transport time,pharyngeal transport time,and pharyngeal delay time of both groups were lower than those before treatment(P<0.05),and the oral transport time,pharyngeal transport time,and pharyngeal delay time of the observation group were lower than those of the control group,with statistically significant differences(P<0.05).The Watian′s water-drinking test ratings of both groups were better than those before treatment(P<0.05),and the Watian′s water-drinking test rating of the observation group was better than that of the control group,with a statistically significant difference(P<0.05).The average tongue pressure,tongue pressure duration,and tongue pressure peak of the observation group were higher than those of the control group,with statistically significant differences(P<0.05).The effective rate of the observation group was 90.62%,and that of the control group was 71.43%.The effective rate of the observation group was higher than that of the control group,with a statistically significant difference(P<0.05).Conclusion:The combination of tongue acupuncture and facial acupuncture with swallowing rehabilitation therapy can improve the abnormal swallowing function and tongue muscle strength of patients with oral phase dysphagia after stroke,and promote the recovery of oral feeding ability.
作者
孙亚男
王茜
李明礼
梁文玉
朱慧雯
陈柳
夏秋芳
SUN Ya′nan;WANG Qian;LI Mingli;LIANG Wenyu;ZHU Huiwen;CHEN Liu;XIA Qiufang(The First Rehabilitation Hospital of Shanghai,Shanghai,China,200090;Jiading Hospital of Traditional Chinese Medicine,Shanghai,China,201800)
出处
《河南中医》
2025年第3期440-445,共6页
Henan Traditional Chinese Medicine
基金
上海市杨浦区卫生健康委员会中医专项科研课题项目(YPZM202104,YK-2021-04-034)。
关键词
脑卒中口腔期吞咽障碍
舌针
面针
吞咽康复疗法
经口进食能力
oral phase dysphagia after stroke
tongue acupuncture
facial acupuncture
swallowing rehabilitation therapy
oral feeding ability
