项针治疗对脑梗死患者吞咽功能的影响

Influence of nape acupuncture therapy on swallowing function of patients with cerebral infarction

目的探讨项针治疗对脑梗死患者吞咽功能的影响。方法选择2015年10月-2018年2月苏州大学附属第二医院收治的符合纳入标准的脑梗死后吞咽障碍患者80例,随机分为治疗组和对照组,每组40例。对照组给予一般药物治疗和吞咽功能康复训练,治疗组在对照组治疗的基础上再给予项针治疗。两组治疗前后均行纤维鼻咽喉镜吞咽功能检查,获取5ml布丁样食物、5ml水、10ml水3种食团吞咽的Rosenbek渗透-误吸量表(PAS)评分,以及洼田饮水试验分级、标准吞咽功能(SSA)评分。结果治疗前两组纤维鼻咽喉镜吞咽功能检查结果及SSA评分差异均无统计学意义(P>0.05)。治疗后两组患者3种食团的PAS评分及SSA评分均较治疗前明显改善(P<0.05),且治疗组5ml和10m水PAS评分及SSA评分改善情况均优于对照组(P<0.05)。治疗组总有较率明显高于对照组(χ2=5.00,P<0.05)。结论项针疗法能显著改善脑梗死后患者的吞咽功能。

Objective To observe the influence of nape acupuncture therapy on swallowing function of patients with cerebral infarction.Methods Eighty patients with dysphagia after cerebral infarction were recruited and randomly allocated to the nape acupuncture group and the control group,40 each group.Both groups were given general medicine therapy and swallowing functional training,while the nape acupuncture group was given nape acupuncture based on the control group,and fiberoptic nasopharyngoscopy was used for the swallowing function before and after treatment.Rosenbek Penetration-Aspiration Scale(PAS)score of 5ml pudding food,5ml and 10ml liquid food,and the scores for bedside water-swallowing test and standardized swallowing assessment(SSA)were obtained.Before and after treatment,the differences between the two groups were identified respectively.Results After treatment,the scores of SSA and PAS of swallowing of 3 kinds of food in both groups were significantly improved compared with those before treatment(P<0.05).The improvement of SSA and PAS scores of 5ml and 10ml liquid food in the nape acupuncture group were superior to the control group(P<0.05).The total effective rate of the nape acupunture group was significantly higher than that of control group(χ^2=5.00,P<0.05).Conclusion Nape acupuncture therapy may significantly improve the swallowing function of patients with dysphagia following cerebral infarction.