风油精K点刺激对ICU最小意识状态患者吞咽功能的干预效果

Effect of essential balm K-piont stimulation on the swallowing rehabilitation of patients with minimally consciousness state

目的探讨风油精K点刺激对ICU最小意识状态患者吞咽功能的干预效果, 为患者康复提供参考。方法本研究为前瞻性随机对照研究, 采用便利抽样法选取2021年1-12月河南省人民医院收治的60例最小意识状态患者作为研究对象, 按照随机数字表法分为试验组和对照组, 每组30例。2组患者均给予常规康复治疗, 对照组在此基础上采用常规K点刺激治疗, 试验组采用风油精K点刺激治疗。干预前和干预4周后, 采用洼田饮水试验和修订版昏迷恢复量表(CRS-R)评价干预效果。结果干预前, 2组患者洼田饮水试验分级、CRS-R得分差异均无统计学意义(均P>0.05)。干预4周后, 对照组洼田饮水试验Ⅰ~Ⅴ级分别为1、6、13、7、3例, 试验组分别为4、12、8、3、3例, 试验组明显优于对照组, 差异有统计学意义(Z = 2.09, P<0.05);试验组口部运动/言语分量表得分为(2.60 ± 1.16)分, 高于对照组的(1.90 ± 0.32)分, 差异有统计学意义(t = 2.18, P<0.05)。结论风油精K点刺激可有效改善最小意识状态患者吞咽功能, 提高患者口腔运动功能。

Objective To explore applications of essential balm K-point stimulation on the swallowing rehabilitation in patients with minimally consciousness state,so as to provide reference for patients rehabilitation.Methods This was a prospective randomized contrlled study.A total of 60 minimally consciousness state patients were enrolled by convenience sampling method from Henan Provincial People Hospital from January to December 2021,who were divided into experimental group and control group according to the random number table method,with 30 cases in each group.Both groups received routine rehabilitation therapy,based on this,the control group was given routine K-point stimulation,the experimental group implemented essential balm K-point stimulation.Before and after 4 weeks of intervention,the Kubota water swallowing test and Coma Recovery Scale-revised(CRS-R)was used for assessment.Results Before intervention,there was no significant difference in Kubota water swallowing test grade and CRS-R scores between two groups(both P>0.05).After 4-week intervention,Kubota water swallowing test Ⅰ~Ⅴ grade were 1,6,13,7 and 3 cases in the control group,while 4,12,8,3 and 3 cases in the experimental group,the difference was statistically significant(Z=2.09,P<0.05);the scores of oral motor/verbal function scale were(2.60±1.16)in the experimental group,higher than in the control group(1.90±0.32),the difference was statistically significant(t=2.18,P<0.05).Conclusions Essential balm K-point stimulation can effectively promote swallowing function of patients with minimally consciousness state,and improve patient's oral motor function.