针康法联合浮针疗法治疗中风后吞咽障碍临床价值及对患者营养状态的影响

Clinical Value of Acupuncture Kang Method Combined With Floating Acupuncture Therapy in Treating Swallowing Dysphagia After Stroke and Its Effect on Patients′Nutritional Status

目的探究针康法联合浮针疗法治疗中风后吞咽障碍临床价值及对患者营养状态的影响。方法按照随机数字表法将收治的81例中风后吞咽障碍患者分为针康组、浮针组与联合组,每组27例。3组均按照神经内科诊疗常规,给予药物对症支持治疗、控制危险因素,在此基础上,针康组给予头穴丛刺、康复训练治疗,浮针组给予浮针治疗,联合组给予头穴丛刺+康复训练+浮针治疗,3组均治疗1个月。对比3组患者临床疗效、肺部感染发生率、治疗安全性,治疗前后吞咽功能评分(Swallowing function score,SSA)、血清营养学指标[前白蛋白(Prealbumin,PA)、白蛋白(Albumin,ALB)、转铁蛋白(Transferrin,TRF)]、生活质量评分(The Swallowing Quality of Life,SWAL-QOL)改善情况。结果联合组治疗总有效率高于针康组和浮针组,差异有统计学意义(P<0.05);治疗后3组患者SSA评分均较本组治疗前降低,且联合组较针康组、浮针组低,差异有统计学意义(P<0.05);治疗后3组患者血清PA、ALB、TRF水平均较本组治疗前升高,且联合组较针康组、浮针组高,差异有统计学意义(P<0.05);治疗后3组患者SWAL-QOL评分均较本组治疗前升高,且联合组较针康组、浮针组高,差异有统计学意义(P<0.05);3组患者肺部感染发生率比较,差异无统计学意义(P>0.05);治疗期间,3组患者均未发生影响治疗的不良反应,且不良反应发生率比较,差异无统计学意义(P>0.05)。结论针康法结合浮针疗法治疗中风后吞咽障碍疗效显著,可有效提高患者吞咽功能,促进营养状态改善,提高生活质量,且具有一定安全性。

Objective To explore the clinical value of acupuncture therapy combined with floating needle therapy in the treatment of post-stroke dysphagia and its effect on the nutritional status of patients.Methods According to the random number table method,81 patients with dysphagia after stroke in our hospital were divided into needle Kang group,floating needle group and combined group,27 cases in each group.All three groups were given symptomatic supportive treatment and risk factors control according to the routine diagnosis and treatment of neurology.On this basis,the acupoint group was given scalp plexus acupuncture and rehabilitation training treatment.The floating needle group was given floating needle treatment.And the combined group was given scalp plexus acupuncture+rehabilitation training+loating needle treatment,all three groups were treated for 1 month.The clinical efficacy,incidence of pulmonary infection,treatment safety,swallowing function score(SSA),serum nutritional indicators[prealbumin(PA),albumin(ALB),transferrin(TRF)],and quality of life score(SWAL-QOL)were compared between the three groups before and after treatment.Results The total effective rate of treatment in the combination group was higher than that of the acupuncture group and the floating needle group(P<0.05),and the difference was statistically significant.After treatment,the SSA scores of the three groups were lower than those before the treatment.The floating needle group was low(P<0.05),and the difference was statistically significant.After treatment,the levels of serum PA,ALB,and TRF in the three groups were higher than those before the treatment,and the combined group was higher than the acupuncture group and the floating needle group(P<0.05),the difference was statistically significant;after treatment,the SWAL-QOL scores of the 3 groups were higher than those of this group before treatment,and the combination group was higher than the acupuncture group and the floating needle group(P<0.05),the difference was statistically significant.There was no statistically significant difference in the incidence of lung infection among the three groups(P>0.05).During the treatment period,no adverse reactions affecting the treatment occurred in the three groups,and there was no statistically significant difference in the incidence of adverse reactions(P>0.05).Conclusion Acupuncture Kang method combined with floating needle therapy has a significant effect in treating post-stroke dysphagia.It can effectively improve the swallowing function of patients,promote the improvement of nutritional status,improve the quality of life,and has a certain safety.