浮针治疗卒中后吞咽障碍(咽期)临床研究

Clinical Study of Fu’s Subcutaneous Needling in Treating Post-Stroke Dysphagia(Pharyngeal Stage)

目的:观察浮针治疗卒中后吞咽障碍(咽期)治疗效果,并采用床边吞咽量表、吞咽功能分级标准、洼田饮水试验评定量表和吞咽障碍程度评分,同时监测两组患者的血清白蛋白、血清总蛋白评价治疗的有效性。方法:采用随机对照原则,将50例卒中后吞咽障碍(咽期)患者随机分为治疗组和对照组,每组25例,治疗组采用浮针治疗,对照组采用门德尔松手法训练,两组均治疗14 d。两组患者于治疗前、治疗后1 d、7 d和14 d分别采用床边吞咽量表、吞咽功能分级标准、洼田饮水试验评定量表和吞咽障碍程度评分评价,同时在治疗前、治疗后7 d和14 d分别监测两组患者的血清白蛋白、血清总蛋白,并评定临床疗效。结果:治疗组总有效率92.0%(23/25),对照组80.0%(20/25)。两组患者治疗后床边吞咽量表、吞咽功能分级标准、洼田饮水试验评定量表、吞咽障碍程度评分、血清白蛋白和血清总蛋白进行统计学比较,差异具有统计学意义(P<0.05)。且治疗组疗前与疗后1 d进行统计学比较,差异具有统计学意义(P<0.05);对照组疗前与疗后1 d进行统计学比较,差异无统计学意义(P>0.05)。结论:两种治疗方法治疗卒中后吞咽障碍均有效,同时体现了浮针治疗卒中后吞咽障碍起效快、疗效持久的特点。

Objective:To observe the effect of Fu’s subcutaneous needling in the treatment of post-stroke dysphagia(pharyngeal stage).Methods:50 patients with post-stroke dysphagia(pharyngeal stage)were randomly divided into the treatment group and the control group,with 25 cases in each group.The treatment group was treated with Fu’s subcutaneous needling,and the control group was trained by Mendelssohn manipulation.The two groups were treated for 14 days.The scores of bedside swallowing scale,swallowing function grading standard,Kubota drinking test and the degree of dysphagia were assessed,and the serum contents of albumin and the total protein were detected before the treatment,1 d,7 d and 14 d after the treatment in the two groups.Results:The total effective rate was 92.0%(23/25)in the treatment group,which was significantly higher than 80.0%(20/25)in the control group(P<0.05).In terms of the scores of bedside swallowing scale,swallowing function grading standard,Kubota drinking test and the degree of dysphagia,and the serum contents of albumin and total protein,there were statistical differences between the two groups after the treatment(P<0.05);there were statistical differences between before the treatment and 1d after the treatment in the treatment group(P<0.05),but there were no statistical differences between before the treatment and 1d after the treatment in the control group(P>0.05).Conclusion:Both treatment methods are effective for post-stroke dysphagia.The results showed that Fu's subcutaneous needling has a rapid and long-lasting effect in the treatment of post-stroke dysphagia.