咽五针联合康复训练对卒中后假性延髓麻痹吞咽障碍患者影响研究

Effect of Combined Pharyngeal and Five-needle Rehabilitation Training for Patients with Dystrophic Palsy and Dysphagia after Stroke

目的:观察咽五针联合康复训练对卒中后假性延髓麻痹吞咽障患者影响。方法:选取2016年6月至2018年6月期间在本院收治的卒中后假性延髓麻痹碍吞咽障碍患者177例,随机分为对照组和观察组,对照组88例,给予康复训练;观察组89例,给予咽五针联合康复训练。连续治疗30天。观察两组患者治疗前后标准吞咽功能评估(SSA)评分、电视透视吞咽功能检查(VFSS)评分及洼田饮水试验结果,比较两组治疗总有效率。结果:治疗前,两组患者SSA评分、VFSS评分及洼田饮水试验等级相比,差异无统计学意义(P>0.05);治疗后,两组患者SSA评分、洼田饮水试验等级较治疗前显著降低,VFSS评分较治疗前显著升高,差异有统计学意义(P<0.05);两组相比,观察组以上指标较对照组改善更为显著,差异有统计学意义(P<0.05);治疗后,观察组治疗总有效率为94.38%,对照组治疗总有效率为80.68%,两组相比,观察组显著优于对照组,差异有统计学意义(P<0.05)。结论:咽五针联合康复训练治疗卒中后假性延髓麻痹吞咽障碍疗效显著,能显著提高患者的吞咽困难,值得临床大力推广。

Objective:To investigate the effect of combined rehabilitation of pharyngeal and five-needle rehabilitation for patients with dystrophic palsy and dysphagia after stroke.Methods:177 patients with dystrophic palsy and dysphagia after stroke were enrolled in our hospital from June 2016 to June 2018.They were randomly divided into controlled group and observation group,and 88 patients in the controlled group were given rehabilitation training.The observation group with 89 patients for example,were given five-needle joint rehabilitation training.Continuous treatment for 30 days.The standard swallowing function assessment(SSA)score,TV fluoroscopy function(VFSS)score and test grade of drinking water in Watian were observed before and after treatment.The total effective rate of the two groups was compared.Results:Before treatment,there was no significant difference in SSA score,VFSS score and Test grade of drinking water in Watian between the two groups(P>0.05).After treatment,the SSA score and Test grade of drinking water in Watian of the two groups were significantly lower than before treatment.The VFSS score was significantly higher than that before treatment(P<0.05).After treatment,the total effective rate was 94.38%in the observation group and 80.68%in the controlled group.Conclusion:The combination of pharyngeal and five-needle rehabilitation training for the treatment of pseudobulbar paralysis and dysphagia after stroke is significant,which can significantly improve the dysphagia of patients,which is worthy of clinical promotion.