中药联合针灸治疗脑卒中后吞咽障碍肺部感染临床观察

Clinical Observation of Traditional Chinese Medicine Combined with Acupuncture on Pulmonary Infection in Patients with Dysphagia after Stroke

目的探讨针灸疗法联合中药治疗脑卒中后肺部感染的临床疗效。方法选择156例脑卒中后吞咽困难并发肺部感染患者,随机分为观察组和对照组各78例,对照组患者给予常规治疗,观察组患者另予针灸疗法联合化痰祛瘀汤进行治疗。观察两组临床疗效并进行分析。结果观察组患者吞咽障碍临床有效率为93.59%,明显优于对照组的82.05%,两组比较差异有统计学意义(P<0.05)。肺部感染临床疗效显示观察组临床总有效率92.31%,优于对照组的74.36%(P<0.05)。结论针灸疗法联合中药治疗脑卒中后吞咽障碍并发肺部感染患者临床疗效显著,吞咽障碍和肺部感染症状明显改善。

Objective： To evaluate the clinical efficacy of traditional Chinese medicine combined with acupuncture on pulmonary infection in patients with dysphagia after stroke,providing the basis for clinical treatment. Methods： 156 cases of pulmonary infection with dysphagia after stroke from February 2014 to March 2015 were randomly divided into the observation group and the control group,78 cases in each. The control group were given conventional treatment;the observation group were treated with acupuncture combined with Huatan Quyu Decoction. Differences of clinical effects between the two groups were observed and analyzed. Results： After treatment, the clinical effective rate of dysphagia in the observation group was 93.59% ,which was significantly better than that of the control group 82.05%;the difference was statistically significant （P〈 0.05 ）. The total clinical effective rate of pulmonary infection in the observation group was 92.31% ,better than that of the control group 74.36%（P〈 0.05）. Conclusion： Acupuncture combined with traditional Chinese medicine on pulmonary infection in patients with dysphagia after stroke has an obvious clinical efficacy ;swallowing dysfunction and pulmonary infection symptoms of patients improved significantly ,worth further study