针刺治疗重度脑外伤后吞咽障碍的疗效观察

Therapeutic Effect of Acupuncture at Cervical Acupoints on Dysphagia after Severe Traumatic Brain Injury

目的:探讨针刺治疗重度脑外伤后吞咽障碍的临床疗效。方法:将40例重度脑外伤后吞咽功能障碍患儿随机分为康复训练组及针刺组,每组20例。分别在治疗前、治疗1个月、治疗2个月及治疗3个月后,对两组患儿进行洼田饮水试验评分和标准吞咽功能评定量表(SSA)评定,比较两组患儿洼田饮水试验评分和标准吞咽功能评定量表(SSA)评分及治疗3个月后的临床疗效。结果:治疗1、2、3个月后,两组患儿洼田饮水试验评分均较治疗前增加,SSA评分均较治疗前降低。治疗2、3个月后两组比较,针刺组患儿洼田饮水试验评分高于康复训练组,差异有统计学意义(P<0.05);治疗1、2、3个月后两组比较,针刺组患儿SSA评分低于康复训练组,差异有统计学意义(P<0.05)。治疗3个月后,康复训练组总有效率为75.00%,针刺组总有效率为95.00%,针刺组总有效率高于康复训练组(P<0.05)。结论:针刺治疗重度脑外伤吞咽障碍患儿有较好疗效。

Objective:To investigate the clinical effect of acupuncture at cervical acupoints on dysphagia after severe traumatic brain injury.Methods:Forty children with swallowing dysfunction after severe traumatic brain injury were randomly divided into rehabilitation training group and acupuncture group,twenty cases in each group,before treatment,and one month,two months,three months after treatment,the two groups of children were evaluated by the Putian Drinking Water Test Scale and the Standard Swallowing Function Rating Scale(SSA).The two indexes at different time points between the two groups and the clinical efficacy after three months of treatment were compared.Results:After one,two and three months of treatment,the score of the field drinking water experiment in the two groups was higher than that before treatment,and the score of SSA was lower than that before treatment.After two and three months of treatment,the score of the field drinking water experiment in acupuncture group was higher than that in rehabilitation training group,the difference was statistically significant(P<0.05);after one,two and three months of treatment,the score of SSA in acupuncture group was lower than that in rehabilitation training group,the difference was statistically significant(P<0.05).After three months of treatment,the total effective rate of the rehabilitation training group was 75.00%,the total effective rate of the acupuncture group was 95.00%,and the total effective rate of the acupuncture group was higher than that of the rehabilitation training group(P<0.05).Conclusion:Adding acupuncture points on the basis of rehabilitation training is more effective for dysphagia in children with severe traumatic brain injury.