冰酸K点刺激在脑卒中口腔期吞咽障碍患者中的应用效果

Application effect of the acetic acid K point stimulation in the stroke patients with dysphagia in the oral stage

目的 探讨冰酸K点刺激对脑卒中口腔期吞咽障碍的临床疗效.方法 选取2014年5月—2016年8月在丽水市人民医院康复医学科进行治疗的脑卒中并发口腔期吞咽障碍患者80例,随机分为对照组和研究组各40例,对照组给予脑卒中后常规护理及基础康复治疗,研究组在常规护理及基础康复治疗基础上给予冰酸K点刺激,分别于治疗前及治疗后2周进行X线透视吞咽功能检查（VFSS）评分及口腔功能评定.结果 对照组和研究组治疗前VFSS评分和口腔功能评分差异无统计学意义（t值分别为0.07、0.03;P〉0.05）.治疗后研究组患者VFSS评分和口腔功能评分分别为（9.40±3.75）、（9.72±4.70）分,分别优于对照组的（6.20±2.19）、（6.55±3.60）分,差异有统计学意义（t值分别为3.19、5.79;P〈0.01）.结论 在常规护理及康复治疗基础上联合冰酸K点刺激能更好地促进脑卒中口腔期吞咽障碍患者吞咽功能的恢复.

Objective To investigate the clinical effect of the acetic acid K point stimulation in thestroke patients with dysphagia in the oral stage.Methods Eighty stroke patients with dysphagia in the oral stage after stroke who were treated in the department of rehabilitation medicine of Lishui People＇s Hospital from May 2014 to August 2016 were randomly divided into the control group and the experimental group （n=40 in each group）. The patients in the control group were given the routine nursing and the basic rehabilitation therapy. The patents in the experimental group were given the acetic acid K point stimulation on the basis of the routine nursing and the basic rehabilitation therapy. The patients in the two groups were evaluated by the X-ray videofluoroscopy swallowing study （VFSS） score and the oral function assessment before the treatment and two weeks after the treatment.Results The VFSS score and the oral function score of the patients in the experimental group were not significantly different from those in the control group before the treatment （control group：t=0.07,experimental group：t=0.03;P〉0.05）. After the treatment, the VFSS score and the oral function score were （9.40±3.75）and（9.72±4.70）respectively in the experimental group,and （6.20±2.19） and （6.55±3.60）in the control group （t=3.19, 5.79;P〈0.01）.Conclusions The routine nursing and the rehabilitation therapy combined with the acetic acid K point stimulation can improve the recovery of swallowing function of the stroke patients with dysphagia in the oral stage.