针药结合治疗脑梗死后吞咽障碍临床观察

Clinical observation on treating dysphagia after cerebral infarction by acupuncture combined with medicine

目的:观察针药结合治疗脑梗死后吞咽障碍的临床疗效。方法:将170例脑梗死后吞咽障碍患者随机分为对照组和观察组各85例,对照组给予系统功能康复锻炼,观察组在对照组治疗基础上加用针灸和中药结合治疗,2个疗程后对比分析两组临床疗效及吸入性肺炎发生率。结果:观察组总有效率97.65%优于对照组总有效率85.88%,差异有显著性统计学意义(P<0.01);观察组吸入性肺炎发生率2.35%少于对照组的12.94%,差异有显著性统计学意义(P<0.01)。结论:针药结合治疗脑梗死后吞咽障碍以中医理论为基础,全面调节人体机能,局部增强舌咽功能,在明显提高临床疗效的同时减少并发症的发生,值得临床继续探讨及推广应用。

Objective：To observe the clinical efficacy of acupuncture combined with medicine in treating dysphagia after cerebral infarction.Methods：170 cases of dysphagia after cerebral infarction were randomly divided into the control group and the observation group,85 cases in each;the control group was given the system functional rehabilitation exercises,the observation group plus the treatment acupuncture combined with medicine on the basis of the treatment of the control group,after two courses of treatment,compared and analyzed the clinical efficacy and aspiration pneumonia incidence.Results：The total effective rate of the observation group was 97.65% better than 85.88% of the control group,the difference was statistically significant（P0.01）;aspiration pneumonia incidence of the observation group was 2.35% less than 12.94% of the control group,the difference was statistically significant（P0.01）.Conclusion：Acupuncture combined with medicine in treating dysphagia after cerebral infarction,based on TCM theory,comprehensively regulate body functions,the local enhancement glossopharyngeal function,significantly improved clinical outcomes while reducing the incidence of complications,was worth to continue to explore and promote the application.