吞咽功能训练联合醒脑开窍针刺法治疗脑卒中后吞咽困难的疗效分析

Analysis of the therapeutic effect of swallowing function training combined with Xingnao Kaiqiao acupuncture on post-stroke dysphagia

目的 分析吞咽功能训练联合醒脑开窍针刺法对脑卒中后出现吞咽困难患者的治疗效果。方法 60例脑卒中后出现吞咽困难患者,随机分为观察组和对照组,各30例,对照组给予吞咽功能训练治疗,观察组在对照组的基础上联合醒脑开窍针刺法治疗。比较两组临床疗效、美国国立卫生院脑卒中量表(NIHSS)评分、Barthel指数评定量表(Barthel)评分、血液流变学指标。结果 观察组治疗总有效率93.33%高于对照组的73.33%,差异有统计学意义(P<0.05)。观察组NIHSS评分(7.42±1.21)分低于对照组的(10.86±1.62)分, Barthel评分(77.45±9.05)分高于对照组的(52.75±6.74)分,差异有统计学意义(P<0.05)。观察组纤维蛋白原(3.84±0.53)g/L、血浆粘度(2.05±0.36)mPa·s、红细胞压积(0.23±0.05)%均低于对照组的(4.28±0.61)g/L、(2.38±0.41)mPa·s、(0.40±0.08)%,差异有统计学意义(P<0.05)。结论 通过吞咽功能训练联合醒脑开窍针刺法,对脑卒中后出现吞咽困难的患者进行康复治疗,可以显著改善患者的临床症状,降低血液流变学指标水平,有利于患者恢复正常的吞咽功能,提高患者日常生活能力,广泛推荐使用。

Objective To analyze the therapeutic effect of swallowing function training combined with Xingnao Kaiqiao acupuncture on post-stroke dysphagia. Methods A total of 60 patients with poststroke dysphagia were randomly divided into an observation group and a control group, with 30 patients in each group. The control group was treated with swallowing function training, and the observation group was treated with Xingnao Kaiqiao acupuncture on the basis of the control group. The clinical efficacy, National Institutes of Health Stroke Scale(NIHSS) score, Barthel index score and blood rheology index were compared between the two groups. Results The total effective rate of treatment in the observation group was 93.33%, which was higher than 73.33% in the control group, and the difference was statistically significant(P<0.05). The NIHSS score(7.42±1.21) points of the observation group was lower than(10.86±1.62) points of the control group, and the Barthel score(77.45±9.05) points was higher than(52.75±6.74) points of the control group, and the differences were statistically significant(P<0.05). The fibrinogen(3.84±0.53) g/L, plasma viscosity(2.05±0.36) mPa·s,and hematocrit(0.23±0.05)% in the observation group were lower than(4.28±0.61) g/L,(2.38±0.41) mPa·s,and(0.40±0.08)% in the control group, and the differences were statistically significant(P<0.05). Conclusion Rehabilitation of patients with post-stroke dysphagia by swallowing function training combined with Xingnao Kaiqiao acupuncture can significantly improve patients’ clinical symptoms, reduce the level of blood rheological indexes, facilitate the recovery of normal swallowing function and improve patients’ activities of daily living, which can be widely recommended.