补肾活血法治疗缺血性中风吞咽障碍临床研究

Clinical Study on the Treatment of Ischaemic Stroke and Swallow Dysfunction with the Method of Kidney-nourishing and Blood-activating

目的探讨并分析补肾活血法治疗缺血性中风吞咽障碍的临床疗效。方法将84例缺血性中风吞咽障碍患者采用数字表法随机分为治疗组与对照组各42例,两组患者均给予西医常规治疗及常规吞咽康复训练,治疗组在此基础上加用补肾活血法。两组患者治疗前后均采用洼田氏饮水试验评分、吞咽功能评价量表评分检测,治疗28 d后进行临床疗效评价。结果在临床疗效方面,治疗组总有效率88.10%(37/42),对照组总有效率69.05%(29/42),两组患者总有效率比较有差异(P<0.05),治疗组疗效优于对照组;治疗后在洼田氏饮水试验评分方面,两组患者比较有差异(P<0.05),治疗组优于对照组,在吞咽功能评价量表评分方面,两组患者比较有显著差异(P<0.01),治疗组明显优于对照组。结论补肾活血法治疗缺血性中风吞咽障碍疗效显著,能显著改善患者吞咽功能及生活质量,是治疗缺血性中风吞咽障碍行之有效的方法之一。

Objective To explore and analyze the clinical efficacy of kidney-nourishing and blood-activating method in treating the swallowing dysfunction of ischemic stroke.Methods 84 patients with ischemic stroke and swallowing dysfunction were randomly divided into treatment group(n=42)and control group(n=42).The treatment group was given routine treatment of Western medicine and routine swallowing rehabilitation training.The score of drinking water test and the score of swallowing function evaluation scale were used to detect the two groups before and after treatment and the clinical efficacy was evaluated after 28 days of treatment.Results In terms of clinical efficacy,the total effective rate of the treatment group was 88.10%(37/42),and that of the control group was 69.05%(29/42).There was a difference in the total effective rate between the two groups(P<0.05).The curative effect of the treatment group was better than that of the control group.After treatment,there was a difference between the two groups(P<0.05).The treatment group was superior to the control group in the drinking water test score.There was a significant difference between the two groups(P<0.01)in the swallowing function evaluation scale score.The treatment group was significantly superior to the control group.Conclusion Kidney-nourishing and blood-activating method is effective in the treatment of the swallowing dysfunction of ischemic stroke.It can improve the swallowing function and quality of life of the patients.It is one of the effective methods to treat the swallowing dysfunction of ischemic stroke.