摘要
目的 观察针刺运动疗法治疗脑卒中后吞咽障碍的临床效果。方法 选取2023年5月—2024年5月就诊于吉林省人民医院的70例脑卒中后吞咽障碍患者为研究对象,以随机数字表法分为对照组(n=35,吞咽功能康复训练+常规针刺)与治疗组(n=35,吞咽功能康复训练+针刺运动疗法)。比较2组洼田饮水试验(water swallow test,WST)分级、标准吞咽功能评价量表(standardized swallowing assessment,SSA)评分、功能性经口摄食量表(functional oral intake scale,FOIS)分级、临床疗效。结果 治疗后,治疗组患者WST分级(Ⅰ级3例,Ⅱ级22例,Ⅲ级7例,Ⅳ级3例,Ⅴ级0例)、FOIS分级(1级0例,2级0例,3级1例,4级1例,5级1例,6级23例,7级9例)优于对照组的WST分级(Ⅰ级0例,Ⅱ级15例,Ⅲ级11例,Ⅳ级9例,Ⅴ级0例)、FOIS分级(1级0例,2级1例,3级4例,4级3例,5级15例,6级8例,7级4例),差异有统计学意义(P<0.05)。治疗组SSA评分为(22.45±2.08)分,低于对照组的(26.14±2.18)分,差异有统计学意义(P<0.001)。治疗组总有效率为94.29%,高于对照组的74.29%,差异有统计学意义(P<0.05)。结论 针刺运动疗法可有效改善脑卒中后吞咽障碍功能,提高患者生活质量。
Objective To observe the clinical effect of acupuncture exercise therapy in the treatment of dysphagia after stroke.Methods A total of 70 patients with dysphagia after stroke who visited Jilin Province People's Hospital from May 2023 to May 2024 were selected as the research subjects and divided into the control group(n=35,swallowing function rehabilitation training+conventional acupuncture)and the treatment group(n=35,swallowing function rehabilitation training+acupuncture exercise therapy)by random number table method.The water swallow test(WST)grades,standardized swallowing assessment(SSA)score,functional oral intake scale(FOIS)grades and clinical efficacy of the two groups were compared.Results After treatment,the WST grades(3 cases of gradeⅠ,22 cases of gradeⅡ,7 cases of gradeⅢ,3 cases of gradeⅣ,and 0 case of gradeⅤ)and FOIS grades(0 case of grade 1,0 case of grade 2,1 case of grade 3,1 case of grade 4,1 case of grade 5,23 cases of grade 6,and 9 cases of grade 7)of the treatment group were better than those of the control group(0 case of gradeⅠ,15 cases of gradeⅡ,11 cases of gradeⅢ,9 cases of gradeⅣand 0 case of gradeⅤ)and(0 case of grade 1,1 case of grade 2,4 cases of grade 3,3 cases of grade 4,15 cases of grade 5,8 cases of grade 6,and 4 cases of grade 7),and the differences were statistically significant(P<0.05).The SSA score of the treatment group was(22.45±2.08)points,which was lower than(26.14±2.18)points of the control group,and the difference was statistically significant(P<0.001).The total effective rate of the treatment group was 94.29%,which was higher than that 74.29%of the control group,and the difference was statistically significant(P<0.05).Conclusion Acupuncture exercise therapy can effectively improve dysphagia function after stroke and enhance the quality of life of patients.
作者
李响
范振林
LI Xiang;FAN Zhenlin(Rehabilitation Medicine Diagnosis and Treatment Center,Jilin Province People's Hospital,Changchun Jilin 130021,China)
出处
《中国卫生标准管理》
2025年第18期125-129,共5页
China Health Standard Management
基金
2023年度吉林省中医药科技项目(2023176)。
