针刺疗法配合康复训练治疗脑梗塞后吞咽障碍(DFS)的疗效观察

Curative Effect of Using Acupuncture and Rehabilitation Training to Treat Swallowing Disorder after Cerebral Infarction (DFS)

目的:观察针刺疗法配合康复训练治疗脑梗塞后吞咽障碍(DFS)的疗效。方法:从2011年2月到2013年2月,于我院共有96例病患被诊断为脑梗塞后吞咽障碍,以数字法随机分成观察组(48例)和对照组(48例),两组病患均进行康复训练。对照组不进行针刺治疗;观察组在此基础上进行针刺治疗。对比两组疗效及拔管率及拔管时间。结果:观察组效果为优的病患占37.50%(18/48),改善率为89.58%(43/48),均优于对照组的18.75%(9/48),58.33%(28/48),差异均有统计学意义(均P<0.05)。观察组治疗后拔管时间为13.02±6.55天,明显少于对照组治疗后拔管时间,差异均有统计学意义(均P<0.05)。治疗后,观察组拔管的病患占100%(48/48),明显高于对照组的58.33%(28/48),差异均有统计学意义(均P<0.05)。结论:针刺疗法配合康复训练治疗脑梗塞后DFS,不仅可明显改善吞咽障碍,还可以减少拔管所需时间,提高拔管率,安全性好,值得临床推荐。

Objective ： To study the curative effect of applying acupuncture and rehabilitation training to treat swallowing disorder after cerebral infarction. Methods ： From February 2011 to February 2011, a total of 96cases of patients in our hospital diagnosed as swallowing disorder after cerebral infarction. In digital method randomly divided into survey group （48cases） and com- parison group （48cases）. Two groups of patients were performed rehabilitation training. The controlled group for acupuncture treatment ; the observed group on the basis of the acupuncture therapy. To compared two groups of curative effect and decannulation rate and extubation time. Results： The effect of survey group patients was 37.50% （18/48） for optimal, period was 89. 58% （43/48）. They were superior to that of comparison group which was 18.75% （9/48）, 58.33% （28/48）. It was statistically significant differences （all P〈0. 05）. Decannulation time was 13.02±6. 55days after treatment of Survey group, signifi- cantly less than the comparison group. It was statistically significant differences （ all P〈0. 05）. After treatment, the survey group extubation of patients accounted for 100% （48/48）. It was apparently higher than the comparison group of 58. 33% （28/48）. It was statistically significant differences （ all P〈0. 05）. Conclusion ： Acupuncture and rehabilitation training on DFS after cerebral infarction, not only can obviously improve the swallowing disorder, also can reduce the time needed for tube drawing and increase decannulation rate. Good safety, it is worth clinical recommendations.