赋能教育模式下的皮内针疗法对卒中后吞咽障碍的干预效果

Effect of intracutaneous acupuncture combined with empowerment education mode on dysphagia after stroke

目的探讨赋能教育模式下的皮内针疗法干预卒中后吞咽障碍患者的效果。方法采用随机对照的研究方法选取2020年1月至10月在江苏省中医院神经内科收治的脑卒中后吞咽障碍患者做为研究对象,随机分为干预组和对照组,各30例两组患者均用赋能模式健康教育,干预组在对照组的基础上采用皮内针治疗,疗程为隔日1次,3次为1个疗程,连续治疗3个疗程。观察干预前、干预3个疗程后患者吞咽功能及生活质量。结果干预组吞咽治疗总有效率高于对照组,差异有统计学意义(89.29%vs 58.62%,P<0.01)。相较于干预前,干预组进食时间、选择食物、症状、恐惧、疲劳、心理健康、心理负担、社会交往、睡眠评分改善,对照组进食时间、心理健康、社会交往、睡眠评分改善,差异有统计学意义(P<0.05,P<0.01);且干预组进食时间、进食欲望、选择食物、症状、恐惧、疲劳、心理健康、心理负担、社会交往评分高于对照组,差异有统计学意义(P<0.05,P<0.01)。结论赋能教育模式下的皮内针疗法有利于促进患者吞咽功能的恢复,提高卒中后吞咽障碍患者生活质量,改善患者情绪障碍。

Objective To explore the effect of intracutaneous acupuncture with empowerment education mode on the patients with dysphagia after stroke(DAS).Methods The DAS patients treated in Jiangsu Province Hospital of Chinese Medicine from January 2020 to October 2020 were selected and randomly divided into intervention group and control group,30 cases each.The empowerment education mode was performed in both groups,and intradermal acupuncture was added in intervention group.Treatment was performed once every other day(three times as a course)for three consecutive courses.The swallowing function and quality of life were observed before and after three courses of intervention and compared between two groups.Results The total effective rate of treatment for swallowing disfunction in intervention group was significantly higher than that in control group(89.29%vs 58.62%,P<0.01).Compared with those before intervention,the scores of eating time,food selection,symptoms,fear,fatigue,mental health,psychological burden,social communication,and sleep quality were improved significantly in intervention group,and the scores of eating time,mental health,social communication,and sleep quality were improved in control group(P<0.05,P<0.01).The scores of eating time,appetite,food selection,symptoms,fear,fatigue,mental health,psychological burden,and social communication in intervention group were significantly higher than those in control group(P<0.05,P<0.01).Conclusion Intracutaneous acupuncture therapy with empowerment education mode is helpful to promote the recovery of swallowing function,improve the quality of life and emotional disorder of DAS patients.