黄连冰刺激对脑卒中后吞咽障碍的护理干预观察

Observation of Iced Rhizoma Coptidis Decoction Stimulation for Intervention of Post-stroke Swallowing Disorder

【目的】观察黄连冰刺激对脑卒中后吞咽障碍的临床疗效。【方法】选择2012年6月至2014年6月在本院接受治疗的脑卒中后吞咽障碍患者62例,随机分为干预组和对照组各31例。对照组给予常规治疗,并进行冰刺激护理干预;干预组在常规治疗的基础上,给予黄连冰刺激护理干预。2组均每周治疗7 d,共治疗4周。观察2组改善吞咽能力的疗效和治疗前后吞咽障碍评分的变化情况。【结果】(1)干预组总有效率为87.09%,对照组为67.74%,干预组在改善吞咽能力方面的疗效优于对照组,2组比较差异有统计学意义(P<0.05)。(2)治疗后,2组患者的吞咽障碍评分均较治疗前提高,差异均有统计学意义(P<0.05),且干预组较对照组提高更明显,差异有统计学意义(P<0.05)。【结论】黄连冰刺激疗法对脑卒中后吞咽障碍进行干预治疗,能明显改善患者的吞咽功能。

Objective To observe the therapeutic effect of iced Rhizoma Coptidis decoction stimulation for post-stroke swallowing disorder. Methods Sixty-two post-stroke swallowing disorder patients admitted from June of 2012 to June of 2014 in Sanya Hospital of Traditional Chinese Medicine were enrolled into the study. The patients were evenly randomized into intervention group and control group. The control group was given conventional intervention and stomatological nursing with ice, and the intervention group was given conventional intervention and stomatological nursing with iced Rhizoma Coptidis decoction, once a day for 4 continuous weeks. After treatment, the therapeutic effect on swallowing disorder was evaluated, and the changes of scores of swallowing disorder before and after treatment were compared in the two groups. Results （1） The total effective rate of intervention group was 87.09%, and that of the control group was 67.74%, the difference being significant （P〈0.05） . （2） After treatment, scores of swallowing disorder were increased in both groups （P〈0.05 compared with those before treatment） , and the increase in the intervention group was superior to that in the control group （ P〈0.05） . Conclusion Iced Rhizoma Coptidis decoction stimulation is effective on improving swallowing function of post-stroke swallowing disorder patients.