中药冰棒咽部冷刺激治疗脑卒中后吞咽困难的疗效观察

Curative effectiveness of pharyngeal ice stimulation with traditional Chinese medicine for swallowing disorders following stroke

目的:观察中药冰棒咽部冷刺激对改善脑卒中后吞咽功能障碍的临床疗效。方法:59例脑卒中后吞咽障碍患者随机分为观察组30例和对照组29例。2组均给予常规药物治疗及吞咽功能训练。观察组在此基础上加用中药冰棒咽部冷刺激。治疗前后采用饮水试验评定、标准吞咽功能评估(SSA)和吞咽障碍特异性生活质量量表(SWAL-QOL)评定两组患者的吞咽功能及临床疗效。结果:治疗1个月后,2组饮水试验分级及SSA评分均较治疗前明显下降(P<0.05,0.01),且观察组更低于对照组(P<0.05);2组SWAL-QOL评分均较治疗前明显提高(P<0.05,0.01),且观察组更高于对照组(P<0.05);治疗后,观察组总有效率更优于对照组(P<0.05)。结论:中药冰棒咽部冷刺激可以明显改善脑卒中患者的吞咽功能,提高患者的生存质量。

Objective：To explore the effect of pharyngeal ice stimulation with traditional Chinese medicine on swallowing disorders following stroke.Methods：Fifty-nine patients with swallowing disorders following stroke were randomly divided into observation group（n=30）and control group（n=29）.Both groups were given ordinary drug treatment and swallowing functional training.The patients in observation group were given pharyngeal ice stimulation with traditional Chinese Medicine additionally.Both groups were evaluated with water drinking test,Standard Swallowing Assessment（SSA）and Swallow Quality-of-life（SWAL-QOL）before and after treatment.Results：After treatment for one month,the two groups had significant decreases in the rank of water drinking test and SSA（P〈0.05,or 0.01）,and the scores in observation group were lower than in the control group（P〈0.05）.The scores of SWAL-QOL were significantly increased in the two groups（P〈0.05,or 0.01）,and those in the observation group were significantly higher than in the control group（P〈0.05）.After treatment,the total effective rate in the observation group was obviously higher than in the control group.Conclusion：Pharyngeal ice stimulation with traditional Chinese medicine is effective in improving swallowing function and quality of life.