摘要
目的观察针灸联合吞咽障碍治疗仪治疗脑卒中吞咽障碍患者的临床疗效及对其吞咽、摄食功能的影响。方法选取2020年1月—2021年1月潍坊市中医院收治的脑卒中吞咽障碍患者80例,按抽签法分为观察组和对照组,每组各40例。对照组行针灸治疗,观察组在对照组治疗的基础上联合行吞咽障碍治疗仪治疗。治疗4周后,观察比较两组患者的临床疗效、不良反应情况,治疗前后中医证候积分、标准吞咽功能评价表(Standardized swallowing assessment,SSA)评分、吞咽障碍特异性生活质量量表(Swallowing quality of life questionnaire,SWAL-QOL)评分及舌骨喉复合体活动度。结果治疗后观察组临床总有效率95.00%(38/40)明显高于对照组75.00%(30/40),差异有统计学意义(P<0.05)。治疗后两组患者SSA评分、中医证候积分均较治疗前降低,SWAL-QOL评分均较治疗前升高,差异有统计学意义(P<0.05);且观察组SSA评分、中医证候积分均较对照组明显降低,SWAL-QOL评分较对照组明显升高,差异有统计学意义(P<0.05)。治疗后两组患者舌骨前移、上移距离均较治疗前增加,差异有统计学意义(P<0.05);且观察组舌骨前移、上移距离均较对照组明显增加,差异有统计学意义(P<0.05)。治疗期间,两组患者均未见不良反应发生。结论针灸联合吞咽障碍治疗仪治疗脑卒中吞咽障碍患者能够促进吞咽功能的改善以及生活质量的提升,并且对舌骨喉复合体的活动性有所增强。
Objective To observe the clinical efficacy of acupuncture and moxibustion combined with a dysphagia therapy device in the treatment of post-stroke dysphagia and its effects on swallowing and feeding function.Methods A total of 80 patients with post-stroke dysphagia treated at Weifang Hospital of Traditional Chinese Medicine from January 2020 to January 2021 were selected and randomly divided into an observation group and a control group by the drawing method,with 40 cases in each group.The control group received acupuncture and moxibustion treatment,while the observation group received additional treatment with a dysphagia therapy device.After 4 weeks of treatment,the clinical efficacy,incidence of adverse reactions,traditional Chinese medicine(TCM)syndrome scores,Standardized Swallowing Assessment(SSA)scores,Swallowing Quality of Life questionnaire(SWAL-QOL)scores,and the mobility of the hyoid-laryngeal complex were compared between the two groups before and after treatment.Results After treatment,the total effective rate in the observation group was 95.00%(38/40),significantly higher than 75.00%(30/40)in the control group(P<0.05).SSA scores and TCM syndrome scores decreased in both groups,while SWAL-QOL scores increased,with statistically significant differences compared to baseline(P<0.05).Furthermore,the observation group showed significantly lower SSA and TCM syndrome scores and higher SWAL-QOL scores than the control group(P<0.05).The anterior and superior displacement distances of the hyoid bone increased in both groups after treatment(P<0.05),with significantly greater increases observed in the observation group compared to the control group(P<0.05).No adverse reactions were observed in either group during the treatment period.Conclusion Acupuncture and moxibustion combined with a dysphagia therapy device can effectively improve swallowing function and quality of life in patients with post-stroke dysphagia,while also en hancing the mobility of the hyoid-laryngeal complex.
作者
王文霞
姜建萍
周楠
WANG Wen-xia;JIANG Jian-ping;ZHOU Nan(Weifang Hospital of Traditional Chinese Medicine,Weifang Shandong 261000;Weifang People's Hospital,Weifang Shandong 261041)
出处
《世界中西医结合杂志》
2025年第6期1189-1192,共4页
World Journal of Integrated Traditional and Western Medicine
基金
潍坊市卫生健康委员会中医药科研项目2022年(第四类)(第WFZYY2022-4-048)。
关键词
针灸
吞咽障碍治疗仪
脑卒中
吞咽障碍
摄食功能
Acupuncture and Moxibustion
Dysphagia Therapy Device
Stroke
Dysphagia
Feeding function
