针灸治疗脑肿瘤患者术后吞咽障碍的效果观察

Efficacy of acupuncture and moxibustion for postoperative dysphagia in patients with brain tumors

目的 探讨针灸治疗脑肿瘤患者术后吞咽障碍的效果。方法 选取2018年1月至2021年12月间上海德济医院收治的60例脑肿瘤术后吞咽功能障碍的患者,采用随机数表法将患者分为对照组与观察组,每组30例。对照组采用吞咽功能康复训练方法,观察组在对照组基础上使用针灸治疗,对比两组治疗前后的洼田饮水试验结果、吞咽功能情况和治疗效果。结果 治疗后,两组的洼田饮水试验结果均改善,且观察组试验结果优于对照组,差异有统计学意义(P<0.05)。治疗后,两组的标准吞咽功能量表、吞咽障碍特异性生活质量量表评分均降低,且观察组均低于对照组,差异有统计学意义(P<0.05)。观察组的吞咽障碍治疗效果好于对照组,差异有统计学意义(P<0.05)。结论 在脑肿瘤术后发生吞咽障碍的患者治疗过程中使用针灸,有助于提升治疗效果,改善患者的吞咽功能。

Objective To explore the efficacy of acupuncture and moxibustion for dysphagia after operation for brain tumors. Methods Sixty patients with brain tumors who were admitted to Shanghai Deji Hospital for postoperative swallowing disorders were selected from January 2018 to December 2021. Using the random number table, the patients were divided into an observation group and a control group with 30 patients in each group. The observation group underwent acupuncture and moxibustion besides swallowing rehabilitation exercise and the control group received swallowing rehabilitation exercise alone. The results of Watian drinking water test, swallowing function and treatment efficacy were compared between the two groups before and after treatment. Results After the treatment, the results of Wada drinking water test were improved in the two groups(P<0.05). Moreover, the results of Wada drinking water test were better in the observation group than in the control group(P<0.05). After the treatment, the scores of standard swallowing function scale and swallowing disorder specific quality of life scale decreased in the two groups, and the scores of standard swallowing function scale and swallowing disorder specific quality of life scale were lower in the observation group than in the control group(all P<0.05). The treatment efficacy was better in the observation group than in the control group(all P<0.05). Conclusion The use of acupuncture and moxibustion for the treatment of dysphagia after surgery for brain tumors is helpful to improve treatment efficacy and swallowing function.