整体观念取穴法结合吞咽治疗仪治疗脑卒中后吞咽功能障碍疗效观察

Clinical Observation of Acupoint-selecting Method Based on the Concept of Wholism Combined with Swallowing Therapeutic Instrument for Post-stroke Swallowing Dysfunction

目的:观察整体观念取穴法结合吞咽治疗仪治疗脑卒中后吞咽功能障碍的临床疗效。方法:选取60例脑卒中后吞咽功能障碍患者,按照随机数字表法分为观察组和对照组各30例。对照组采用吞咽治疗仪治疗,观察组采用整体观念取穴法结合吞咽治疗仪治疗。记录患者治疗前后洼田饮水试验及藤岛一郎吞咽功能评分,评估治疗效果。结果:观察组总有效率93.33%,愈显率70.00%。对照组总有效率83.33%,愈显率23.33%。2组总有效率比较,差异无统计学意义(P>0.05);2组愈显率比较,差异有统计学意义(P<0.01)。治疗前,2组洼田饮水试验及藤岛一郎吞咽功能评分比较,差异均无统计学意义(P>0.05)。治疗后,2组洼田饮水试验评分均较治疗前降低(P<0.05),藤岛一郎吞咽功能评分均较治疗前提升(P<0.05);观察组洼田饮水试验评分低于对照组(P<0.05),藤岛一郎吞咽功能评分高于对照组(P<0.05)。结论:整体观念取穴法结合吞咽仪治疗可有效改善脑卒中后吞咽功能障碍患者的吞咽功能。

Objective： To observe the clinical effect of acupoint-selecting method based on the concept of wholism combined with swallowing therapeutic instrument for post-stroke swallowing dysfunction. Methods： Divided 60 cases of patients with post-stroke swallowing dysfunction into the observation group and the control group randomly, 30 cases in each case. The control group was given swallowing therapeutic instrument for treatment,while the observation group was additionally given acupoint-selecting method based on the concept of wholism for treatment. Recorded the scores of water swallow test and Fujishima＇s swallowing function grades of patients before and after treatment, and evaluated the clinical effect. Results：The total effective rate was 93.33% in the observation group and 83.33% in the control group,difference being insignificant（P〈0.05）. The cured and remarkably effective rate was 70.00% in the observation group and 23.33% in the control group,difference being significant（P〈0.01）. Before treatment,there was no significant difference being found in the scores of water swallow test and Fujishima＇s swallowing function grades of both groups（P〈0.05）. After treatment, the scores of water swallow test in both groups were lower than those before treatment（P〈0.05）,and Fujishima＇s swallowing function grades in both groups were higher than those before treatment（P〈0.05）;the scores of water swallow test in the observation group were lower than those in the control group（P〈0.05）,and Fujishima＇s swallowing function grades in the observation group were higher than those before in the control group（P〈0.05）. Conclusion： Acupoint-selecting method based on the concept of wholism combined with swallowing therapeutic instrument can effectively improve the swallowing function of patients with post-stroke swallowing dysfunction.