针刺配合吞咽功能训练治疗中风后吞咽障碍50例临床观察

Clinical Observation of 50 Cases of Post-stroke Dysphgia Treated with Acupuncture and Swallowing Function Training

目的观察针刺配合吞咽功能训练治疗中风后吞咽障碍临床疗效。方法 100例中风后吞咽障碍患者随机分为两组:治疗组50例,给予针刺治疗,配合吞咽功能训练,对照组50例,给予单纯药物治疗。连续治疗21 d后分别观察两组临床综合疗效。结果治疗组治愈26例,显效14例,有效6例,无效4例,总有效率92%;对照组治愈18例,显效12例,有效10例,无效10例,总有效率80%。经Ridit检验,治疗组临床疗效显著优于对照组,差异有统计学意义(P<0.05)。结论针刺配合吞咽功能训练治疗中风后吞咽障碍效果显著,可以明显改善患者吞咽呛咳、进食困难等症状,疗效显著优于单纯药物组。

Objective To observe the clinical efficacy on post-stroke dysphgia treated with acupuncture and swallowing function training.Methods 100 cases of post-stroke dysphgia were randomized into two groups：a treatment group（50 cases）,in which acupuncture was applied in combination with swallowing function training;and a control group（50 cases）,in which,the simple medication was used.After 21 days continuous treatment,the clinical comprehensive efficacy was observed in two groups.Results In the treatment group,24 cases were cured,14 cases effective markedly,6 cases effective and 4 cases failed;the total effective rate was 92%.In the control group,18 cases were cured,12 cases markedly effectively,10 cases effective and 10 cases failed;the total effective rate was 80%.By the Ridit test,the clinical efficacy of the treatment group was significantly superior to that of the control group,presenting the statistical significant difference（P〈0.05）.Conclusions Acupuncture in combination with swallowing function training achieves the significant efficacy on dysphgia.This therapy relieves remarkably choking,difficulty in food intake,etc.The efficacy is significantly superior to the simple medication group.