早期吞咽康复训练联合针刺对卒中后吞咽障碍患者的疗效

Therapeutic effects of early swallowing rehabilitation training combined acupuncture on patients with dysphagia after stroke

目的:分析早期规范吞咽康复训练联合针刺对卒中后吞咽障碍患者的疗效。方法:选择本院98例卒中后吞咽障碍患者,随机分为吞咽训练组(给予早期规范吞咽康复训练)及联合治疗组(在吞咽训练组基础上联合针刺进行治疗),各49例。分别于治疗前、治疗后3个月通过洼田饮水试验与藤岛一郎吞咽障碍评分对两组进行评价。结果:与治疗前比较,两组治疗后3个月后洼田饮水试验评分均显著降低,藤岛一郎吞咽障碍评分均显著提高(P均=0.001);且与吞咽训练组比较,治疗后3个月联合治疗组患者洼田饮水试验评分[(1.83±0.74)分比(1.41±0.63)分]降低更显著,藤岛一郎吞咽障碍评分[(8.96±1.23)分比(9.86±1.04)分]提高更显著(P均<0.01)。联合治疗组吞咽障碍复常率显著高于吞咽训练组(69.39%比42.6%,P=0.008)。结论:早期规范吞咽康复训练联合针刺有助于改善卒中后吞咽障碍患者的临床症状,增强治疗效果。

Objective:To analyze therapeutic effect of early standardized swallowing rehabilitation training combined acupuncture on patients with dysphagia after stroke.Methods:A total of 98 patients with dysphagia after stroke were selected,randomly and equally divided into swallowing training group(received early standardized swallowing rehabilitation training)and combined treatment group(received acupuncture based on swallowing training group).All patients were assessed by Scores of Kubota's water drinking test and Ichiro Fujishima dysphagia score and its results were compared between two groups before and three months after treatment.Results:Compared with before treatment,there was significant reduction in score of Kubota's water drinking test,and significant rise in Ichiro Fujishima dysphagia score after three-month treatment in two groups,P=0.001 all.Compared with swallowing training group after three-month treatment,there was significant reduction in score of Kubota's water drinking test[(1.83±0.74)scores vs.(1.41±0.63)scores],and significant rise in Ichiro Fujishima dysphagia score[(8.96±1.23)scores vs.(9.86±1.04)scores]in combined treatment group,P﹤0.01 both.Dysphagia recover-to-normal rate of combined treatment group was significantly higher than that of swallowing training group(69.39%vs.42.6%,P=0.008).Conclusion:Early standardized swallowing rehabilitation training combined acupuncture can help to improve Clin symptoms and enhance therapeutic effect in patients with dysphagia after stroke.