针灸结合康复功能训练治疗脑卒中后吞咽障碍的效果和安全性

Effect and safety of acupuncture and moxibustion combined with rehabilitation training in the treatment of dysphagia after stroke

目的探讨针灸结合康复功能训练治疗脑卒中后吞咽障碍的效果和安全性。方法选取成都中医药大学附属医院2018年10月—2020年6月收治的94例脑卒中后吞咽障碍患者进行研究,使用随机数字表法对患者进行分组,分为对照组和观察组,每组各47例。对照组采用康复功能训练治疗方法,观察组采用针灸结合康复功能训练治疗方法。对两组治疗后的临床治疗效果、吞咽功能评分、并发症发生率、生活质量评分进行比较。结果治疗后,观察组的治疗效果优于对照组,差异有统计学意义(P<0.05)。治疗前,两组的吞咽功能评分比较,差异无统计学意义(P>0.05);治疗后,观察组的吞咽功能评分低于对照组,差异有统计学意义(P<0.05)。治疗期间,观察组并发症总发生率低于对照组,差异有统计学意义(P<0.05)。治疗后,观察组各项生活质量评分均高于对照组,差异有统计学意义(P<0.05)。结论通过实施针灸与康复功能训练,脑卒中患者的吞咽功能显著提升,生活质量得到大幅提升,并且患者的并发症相对较少,临床应用效果良好,值得在临床上推广应用。

Objective To explore the effect and safety of acupuncture combined with rehabilitation training in the treatment of dysphagia after stroke.Methods A total of 94 patients with post-stroke swallowing dysfunction admitted to the Affiliated Hospital of Chengdu University of Traditional Chinese Medicine from October 2018 to June 2020,using a randomlist method,they were divided into control groups,observation group,47 cases in the group.The control group used rehabilitation function training treatment methods,and the observation group used acupuncture combined with rehabilitation function training treatment.The clinical therapeutic effect,swallowing function score,complications,and quality of life score were compared.Results After treatment,the treatment effect of the observation group was better than that of the control group,and the difference was statistically significant(P<0.05).Before treatment,there was no statistically significant difference in swallowing function score between the two groups(P>0.05);after treatment,the swallowing function score of the observation group was lower than that of the control group,and the difference was statistically significant(P<0.05).During the treatment period,the total incidence of complications in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).After treatment,the quality of life scores of the observation group were higher than those of the control group,and the differences were statistically significant(P<0.05).Conclusion Through the implementation of acupuncture and rehabilitation function training,the swallowing function of stroke is significantly improved,and the quality of life is greatly improved,and the patient′s complication are relatively fewer,and the clinical application is good,it is worthwhile.