活血通窍饮Ⅰ号方联合吞咽功能训练治疗脑梗死后吞咽障碍临床观察

Clinical Observation of Recipe Ⅰ of Huoxue Tongqiao Yin Combined with Swallowing Function Training for Dysphagia after Cerebral Infarction

目的:观察活血通窍饮Ⅰ号方联合吞咽功能训练对脑梗死后吞咽障碍患者吞咽功能、神经功能及生活质量的影响。方法:将102例脑梗死后吞咽障碍风痰瘀阻证患者随机分为对照组和观察组各51例。对照组给予吞咽功能训练,观察组则加用活血通窍饮Ⅰ号方内服治疗,2组连续治疗2周。对比2组治疗后的效果,用洼田饮水试验、美国国立卫生研究院卒中量表(NIHSS)及脑卒中专用生活质量量表(SS-QOL)评定患者治疗前后的吞咽障碍情况、神经功能缺损程度与生活质量。结果:治疗后,观察组总有效率92.2%,对照组总有效率76.5%,2组相比,差异有统计学意义(P<0.05)。观察组洼田饮水试验吞咽功能分级情况优于对照组(P<0.05)。2组洼田饮水试验评分、NIHSS评分均低于治疗前,SS-QOL评分均高于治疗前,差异均有统计学意义(P<0.05)。观察组洼田饮水试验评分、NIHSS评分均低于对照组,SS-QOL评分高于对照组,差异均有统计学意义(P<0.05)。结论:活血通窍饮Ⅰ号方联合吞咽功能训练治疗脑梗死后吞咽障碍疗效肯定,有利于减轻患者的吞咽障碍,改善神经功能,提高患者的生活质量,凸显出中西医结合治疗脑梗死并发症的优势与特色。

Objective：To observe the effect of recipe Ⅰ of Huoxue Tongqiao yin combined with swallowing function training on swallowing function,nerve function,and quality of life in treating patients with dysphagia after cerebral infarction.Methods：Divided 102 cases of patients with dysphagia after cerebral infarction with syndrome of wind-phlegm stasis into the control group and the observation group randomly,51 cases in each group. Both groups were given swallowing function training,while the observation group additionally received recipe Ⅰ of Huoxue Tongqiao yin for treatment. The treatment of both groups continuously lasted for 2 weeks. Compared the effect of two groups after treatment, and evaluated the dysphagia,degree of neurologic impairment,and quality of life by means of water swallow test,National Institute of Health stroke scale（NIHSS）,and stroke special quality of life scale（SS-QOL）. Results：After treatment,the total effective rate was 92.2% in the observation group and was 76.5% in the control group, the difference being significant（P〈0.05）. The classification of swallowing function of water swallow test in the observation group was better than that in the control group（P〈0.05）. The scores of water swallow test and NIHSS in two groups were both lower than those before treatment,while the scores of SS-QOL were higher than those before treatment,differences being significant（P〈0.05）. The scores of water swallow test and NIHSS scores in the observation group were both lower than those in the control group,while the SS-QOL scores were higher than those in the control group,differences being significant（P〈0.05）. Conclusion：The therapy of recipe Ⅰ of Huoxue Tongqiao yin combined with swallowing function training shows significant curative effect in treating dysphagia after cerebral infarction,and it is good for reducing dysphagia of patients,improving nerve function,and developing their quality of life so as to highlight the advantages and characteristics of the integrated Chinese and western medicine treatment for cerebral infarction complications.