针刺预防脑梗死伴吞咽障碍患者发生卒中相关性肺炎的疗效

Application of Acupuncture Rehabilitation in Patients of Stroke-associated Pneumonia

目的:探讨针刺治疗在预防脑梗死伴吞咽困难患者并发相关性肺炎的应用价值。方法:按照随机数字表法将100例脑梗死伴吞咽困难患者随机分为A组及B组,每组50例,其中A组接受卒中常规治疗,B组在常规治疗的基础上加用针刺治疗。对比2组患者在住院期间卒中相关性肺炎的发生率和卒中及相关性肺炎的治疗效果。结果:B组住院期间共发生卒中相关性肺炎25例(50.00%)明显低于A组的38例(76.00%)(P<0.05);同时治疗前2组间美国国立卫生院卒中量表(NIHSS)评分及Barthel指数(BI)评分比较无统计学意义(P>0.05),但经4 w治疗后,B组以上评分改善较A组更为明显(P<0.05)。此外,B组发生相关性肺炎患者在接受治疗后体温正常、咳嗽消失及啰音消失时间均明显优于A组发生相关性肺炎患者(P<0.05),且B组脑梗死伴吞咽困难治疗效果及相关性肺炎治疗总有效率均明显优于A组(P<0.05)。结论:在脑梗死伴吞咽困难患者中应用针刺治疗可有效减低相关性肺炎的发生率,并可改善患者脑梗死伴吞咽困难及相关性肺炎的临床治疗效果。

Objective： To analysis the effective of the patients of stroke-associated pneumonia who receiving acupuncture rehabilitation. Methods： according to the random number table method, 100 cases of post-stroke patients complicated with associated pneumonia were randomly divided into A and B two groups, including A group received routine treatment of stroke and pneumonia, B group with acupuncture and rehabilitation therapy on the basis of conventional therapy, 50 cases in each group. Compared to two groups of patients in hospitalization incidence of pneumonia correlation stroke and stroke and the therapeutic effect of correlation of pneumonia. Results： Group B was in the hospital during A total of 25 cases pneumonia correlation stroke 38 cases （76. 00% ） was obviously lower than group A （ 50.00% ） （ P 〈 O. 05 ） . Before treatment between the two groups USA National Institutes of Health Stroke Scale （NIHSS） score and Barthel index （BI） score showed no statistical significance （P 〉 0.05）, but 4 weeks after treatment, B score improvement is more groups was more pronounced in the A group （P 〈 0. 05） . At the same time, B group after treatment temperature is normal, cough disappeared and rales disappear time were significantly better than those in A group （P 〈0. 05 ） In B group, therapeutic effect and treatment of stroke associated pneumonia and total effective rate were significantly better than those in A group （ P 〈 0.05 ） . Conclusion： Application of acupuncture in patients with cerebral infarction with difficulty swallowing reha- bilitation therapy can effectively reduce the incidence of pneumonia, and can improve patients with cerebral infarction associated with dysphagia and the correlation between clinical treatment effect of pneumonia.