针刺配合康复训练治疗脑卒中后吞咽障碍疗效观察

Therapeutic Observation on Acupuncture plus Rehabilitation for Post-stroke Deglutition Disorder

目的观察针刺配合康复训练治疗脑卒中后吞咽障碍的临床疗效。方法将42例脑卒中后吞咽障碍患者随机分为治疗组和对照组,每组21例。两组均接受内科基础治疗,治疗组采用针刺配合康复训练治疗,对照组采用单纯康复训练治疗。采用洼田吞咽功能评定表和改良Barthel指数(MBI)评定两组患者治疗前、治疗4星期后、治疗8星期后吞咽功能。结果治疗组总有效率为95.3%,对照组为71.4%,两组比较差异具有统计学意义(P<0.01)。两组患者治疗4星期后、8星期后MBI评分与同组治疗前比较,差异均具有统计学意义(P<0.01)。治疗组治疗8星期后MBI评分与对照组比较,差异具有统计学意义(P<0.05)。结论针刺配合康复训练是一种治疗脑卒中后吞咽障碍的有效方法。

Objective To observe the clinical efficacy of acupuncture plus rehabilitation training in treating post-stroke deglutition disorder. Method Forty-two patients with post-stroke deglutition disorder were randomized into a treatment group and a control group, 21 each. The two groups both received conventional internal treatment. In addition, the treatment group received acupuncture plus rehabilitation training, while the control group received rehabilitation training. Water drinking test and Modified Barthel Index （MBI） were adopted to evaluate swallowing function before treatment, after 4-week treatment, and after 8-week treatment. Result The total effective rate was 95.3% in the treatment group versus 71.4% in the control group, and the diflbrence was statistically significant （P〈0.01）. The two groups both had marked changes in MBI score after 4-week treatment and 8-week treatment （P〈0.01）. After 8-week treatment, the treatment group was significantly different from the control group in comparing MBI score （P〈0.05）. Conclusion Acupuncture plus rehabilitation training is an effective approach in treating post-stroke deglutition disorder.