项针配合康复训练治疗脑卒中后吞咽障碍临床研究

Clinical research on post-stroke dysphagia treated with nape acupuncture and rehabilitation training

目的:观察项针配合康复训练对脑卒中后吞咽障碍(DFS)的改善作用。方法:将符合纳入标准的80例患者按入院时间先后随机分为项针组和康复组各40例。康复组在一般药物治疗基础上给予吞咽功能康复训练,项针组在常规组基础上给予项针治疗。结果:两组患者治疗后,洼田饮水试验、标准吞咽功能评估(SSA)评分、吞咽功能电视荧光透视检查(VFSS)评分以及咽通过时间改善均优于治疗前(均P<0.05),项针组上述指标的改善均优于常规组(均P<0.05);项针组总有效率为85.0%(34/40),高于康复组的65.0%(26/40),两组间比较差异有统计学意义(P<0.05)。结论:项针配合康复训练能显著改善脑卒中后患者的吞咽功能。

Objective To observe the improvement in post-stroke dysphagia after treatment of nape acupunc- ture and rehabilitation training. Methods Eighty patients who were in compliance with the inclusive criteria were randomized into a conventional treatment group and a nape acupuncture group, 40 cases in each one, according to the admission sequence. In the conventional treatment group, on the basis of general medication, the rehabilitation training of swallowing function was applied. In the nape acupuncture group, on the basic treatment as the conven- tional treatment group, nape acupuncture group was given. Results After treatment, the improvements in bedside water swallowing test, SSA, VFSS and pharynx transit time were all superior to those before treatment for the pa- tients in the two groups （all P〈0. 05）. The improvements in bedside water swallowing test, SSA, VFSS and pharynx transit time in the nape acupuncture group were all superior to those in the conventional treatment group （all P〈0.05）. The total effective rate was 85.0% （34/40） in the nape acupuncture group, which was higher than 65.0 % （26/40） in the conventional treatment group, indicating the significantly statistical difference between the two groups （P〈0.05）. Conclusion Nape acupuncture combined with rehabilitation training significantly improves swallowing function of the patients after stroke.