舌三针联合咽部冰刺激对脑卒中后吞咽障碍患者康复的影响

Effect of Three-tongue Acupuncture Combined with Ice Stimulation of Pharynx on Rehabilitation o f Patients with Dysphagia after Stroke

目的观察脑卒中(cerebral stroke,CS)后吞咽障碍(deglutition disorders,DD)患者接受舌三针辅助咽部冰刺激训练的康复效果,为临床拟定康复方案提供依据。方法选取2020年1月~2020年6月我院接收的60例CS后DD患者,通过随机数字表法分为对照组(30例)及观察组(30例),两组均接受常规干预,对照组接受咽部冰刺激训练,观察组接受舌三针辅助咽部冰刺激训练;5d为1疗程,治疗2个疗程,评估两组康复效果;于干预前、干预2个疗程后,评估两组吞咽功能(采用标准吞咽功能评价量表)、生活质量(采用吞咽障碍特异性生活质量表),观察记录并比较相关恢复指标情况。结果干预2个疗程后,观察组整体康复效果优于对照组、康复总有效率高于对照组,差异有统计学意义(P<0.05);两组sEMG最大波幅值均较干预前升高,观察组高于对照组;吞咽时长均较干预前缩短,且观察组短于对照组,差异有统计学意义(P<0.05);两组SSA评分均较干预前降低,且观察组低于对照组,两组SWAL-QOL评分均较干预前升高,且观察组高于对照组,差异有统计学意义(P<0.05)。结论CS后DD患者接受舌三针辅助咽部冰刺激训练,康复效果确切,患者吞咽功能得到明显提高,生活质量得到改善。

Objective To observe the rehabilitation effect of post-cerebral stroke(CS) patients with deglutition disorders(DD)receiving three-tongue-assisted pharyngeal ice stimulation training,so as to provide a basis for clinical rehabilitation programs.Methods From January 2020 to June 2020,60 patients with post-CS DD received in our hospital were selected and divided into a control group(30 cases) and an observation group(30 cases) by a random number table.Both groups received routine intervention.The control group received pharyngeal ice stimulation training,and the observation group received three tongue acupuncture assisted pharyngeal ice stimulation training;5 days was 1 course of treatment,2 courses of treatment,and the rehabilitation effects of the two groups were evaluated;before the intervention and after 2 courses of treatment,the two groups were evaluated.Group swallowing function(using standard swallowing function evaluation scale),quality of life(using dysphagia-specific quality of life scale),observe and record and compare related recovery indicators.Results After the intervention for 2 courses,the overall rehabilitation effect of the observation group was better than that of the control group,and the total rehabilitation efficiency was higher than that of the control group.The difference was statistically significant(P<0.05);the maximum amplitude of sEMG in the two groups was higher than before the intervention,The observation group was higher than the control group;the swallowing time was shorter than before the intervention,and the observation group was shorter than the control group,the difference was statistically significant(P<0.05);the SSA scores of the two groups were lower than before the intervention,and the observation group was lower than that before the intervention In the control group,the SWAL-QOL scores of the two groups were higher than before the intervention and the observation group was higher than the control group,the difference was statistically significant(P<0.05).Conclusion After CS,patients with DD who received three tongue acupuncture assisted pharyngeal ice stimulation training have a definite rehabilitation effect, the swallowing function of the patients has been significantly improved, and the quality of life has been improved.