中西医综合疗法治疗脑卒中吞咽障碍

Chinese and Western Medicine in Treatment of Dysphagia after Stroke

目的:观察综合性吞咽功能治疗对脑卒中吞咽功能障碍患者的长、短期疗效。方法:脑卒中恢复期吞咽障碍患者68例,随机分为治疗组33例及对照组35例,均给予常规药物治疗,治疗组同时进行针刺、按摩、解语丹和康复训练等治疗。结果:治疗组总有效率明显优于对照组(90.9%与48.6%,P<0.05)。治疗组长期疗效总有效率明显优于对照组(84.8%与34.3%,P<0.05),且治疗2个疗程后治疗组洼田饮水评级明显高于治疗前和对照组(P<0.05)。结论:中西医综合疗法治疗脑卒中吞咽障碍有显著的改善作用,而且具有长期疗效。

Objective：To observe the therapeutic effect of acupuncture combined with massage, Jieyudan and rehabilitation on dysphagia after stroke at different stages. Methods ： According to the randomized trial principle, 68 cases were divided into two groups ： control group（ n = 33 ） and observation group（ n = 35 ）. The control group was treated with routine treatment, and the ob- servation group was treated with acupuncture and massage, Jieyudan and rehabilitation training,5 times every week for 2 weeks. The two groups were assessed by TCM swallowing assessment scores and Kubota test before and after treatment. Results ： According to Kubota test, the total rate was 48.6% in the control group and 90.9% in the observation group with a significant difference be- tween the groups（P 〈 0.05）. After six months, according to Kubota test, the total rate was 34.3% in the control group and 84. 8% in the observation group with a significant difference between the groups （P 〈 0.05 ）. Conclusion：Acupuncture combined with massage ,Jieyudan and rehabilitation facilitates can improve the swallowing function in stroke patients not only in the near fu- ture but also in a long- dated period.