舌三针联合中药棒冰刺激治疗脑卒中后吞咽障碍临床研究

Clinical Study on Tongue Three Needles Combined with Ice Stimulation of Decoction-Contained Popside for Post-stroke Dysphasia

目的:观察舌三针联合中药棒冰刺激治疗对脑卒中后吞咽障碍的临床疗效。方法:选择脑卒中后吞咽障碍患者96例为研究对象,采用随机数字表法分为对照组和观察组各48例。对照组给予常规治疗联合吞咽康复训练,观察组在对照组基础上采用舌三针联合中药棒冰刺激治疗。2组均治疗1个月。比较2组临床疗效和Rosenbek误吸程度分级,以及2组治疗前后吞咽功能改善情况。结果:观察组总有效率为93.75%,对照组为72.92%,2组比较,差异有统计学意义(P<0.05)。治疗后,观察组Rosenbek误吸程度分级优于对照组,差异有统计学意义(P<0.05)。治疗后,2组食物残留分级、洼田饮水试验分级、标准吞咽功能评价量表(SSA)评分均较治疗前降低(P<0.05),2组功能性经口摄食量表评分均较治疗前升高(P<0.05);且观察组食物残留分级、洼田饮水试验分级、SSA评分低于对照组(P<0.05),功能性经口摄食量表评分高于对照组(P<0.05)。结论:舌三针联合中药棒冰刺激治疗脑卒中后吞咽障碍可提高临床疗效,有效改善患者吞咽及经口摄食功能,改善食物残留,减少误吸发生。

Objective:To observe the clinical effect of the therapy of tongue three needles combined with ice stimulation decoction-contained popside post-stroke dysphasia.Methods:A total of 96 patients with post-stroke dysphasia were selected as the study objects and divided into the control group and the observation group according to the random number table method,with 48 cases in each group.The control group was given routine treatment combined with swallowing rehabilitation training for treatment,and the observation group was additionally treated with tongue three needles combined with ice stimulation decoction-contained popside based on the treatment of the control group.Both groups were treated for 1 month.The clinical effects,classification of Rosenbeck penetration aspiration scale and improvement of swallowing function were compared before and after treatment between the two groups.Results:The total effective rate was 93.75%in the observation group and 72.92%in the control group,the difference being significant(P<0.05).After treatment,the classification of Rosenbeck penetration aspiration scale in the observation group was better than that in the control group,the difference being significant(P<0.05).After treatment,the scores of food residues classification,Kubota Drinking Water Test and Standardized Swallowing Assessment(SSA)in both groups were decreased when compared with those before treatment(P<0.05),and the scores of Functional Oral Intake Scale in both groups were increased when compared with those before treatment(P<0.05);the scores of food residues classification,Kubota Drinking Water Test and SSA in the observation group were lower than those in the control group(P<0.05),and the score of Functional Oral Intake Scale was higher than that in the control group(P<0.05).Conclusion:The therapy of tongue three needles combined with ice stimulation decoction-contained popside can enhance the clinical effect on post-stroke dysphasia,effectively improve the swallowing function and oral intake function of patients,and improve food residue and reduce the occarrence of aspiration.