局部取穴联合背俞穴埋线治疗中风后吞咽障碍的临床效果

Clinical effect of local acupoint selection combined with back transport acupoint embedding in the treatment of dysphagia after stroke

目的探讨局部取穴联合背俞穴埋线治疗中风后吞咽障碍的临床效果。方法选取温州市中医院2019年4月—2020年4月收治的中风后吞咽障碍患者96例,根据随机数字表法随机分为观察组和对照组,每组48例。2组患者均给予规范化药物治疗。对照组患者在规范化药物治疗基础上行常规康复训练治疗,观察组在对照组常规康复训练基础上给予局部取穴联合背俞穴埋线治疗,2组均连续治疗4周。采用洼田饮水试验(Koubm water swallowing test,KWST)和电视透视吞咽功能检查(video fluoroscopic swallowing study,VFSS)评定2组患者治疗前后的吞咽功能,并应用健康调查简表(F-36量表)评定2组患者治疗前后的生活质量。观察比较2组患者的临床疗效。结果治疗前,2组患者KWST评分、VFSS评分比较差异无统计学意义(均P>0.05);治疗后2组患者KWST评分、VFSS评分均较治疗前改善(均P<0.05),观察组患者治疗后KWST评分明显低于对照组[(2.35±0.26)分vs.(4.13±0.52)分,P<0.05],而VFSS评分明显高于对照组[(7.85±0.91)分vs.(5.21±0.81)分,P<0.05]。治疗前,2组患者各生活质量评分比较差异无统计学意义(P>0.05),治疗后观察组各生活质量评分均明显高于对照组(均P<0.01)。观察组患者临床治疗总有效率明显高于对照组(χ^(2)=5.315,P=0.021)。结论局部取穴联合背俞穴埋线治疗中风后吞咽障碍的临床效果显著,能明显改善患者吞咽功能,提高生活质量。

Objective To explore the clinical effect of local acupoint selection combined with back transport acupoint embedding in the treatment of swallowing disorder after stroke.Methods A total of 96 patients with swallowing disorder after stroke from April 2019 to April 2020 were selected and randomly divided into the observation group and control group according to the random number table method(n=48).Patients in both groups were treated with standardised drugs.Patients in the control group received routine rehabilitation training on the basis of standardised drug therapy,whereas those in the observation group received local acupoint selection combined with back transport acupoint embedding therapy on the basis of routine rehabilitation training in the control group.Both groups received continuous treatment for 4 weeks.Swallowing function before and after treatment was assessed by Koubm Water Swallowing test(KWST)and Video fluoroscopic swallowing study(VFSS),and the quality of life before and after treatment was assessed by the Health Survey Summary table(F-36 scale).The clinical efficacy of the two groups of patients were observed and compared.Conclusion The clinical effect of local acupoint selection combined with back transport acupoint embedding in the treatment of dysphagia after stroke is remarkable,which can significantly improve the swallowing function of patients and improve the quality of life.It is worth promoting and using in clinical practice.