舌三针联合高压氧治疗脑卒中吞咽障碍临床观察

Efficacy observation of tongue triple needling and hyperbaric oxygen on stroke-induced dysphagia

目的:观察舌三针疗法联合高压氧治疗脑卒中吞咽障碍患者的临床效果。方法:选取50例脑卒中吞咽障碍患者,通过随机数表法分为两组各25例。对照组予康复科常规治疗,治疗组予高压氧舱联合舌三针治疗,两组均治疗3周。比较两组患者标准吞咽功能评定量表(SSA)、洼田饮水试验、美国国立卫生研究院卒中量表(NIHSS)评分参数。结果:治疗后,治疗组总有效率88.00%,对照组64.00%,两组比较差异有统计学意义(P﹤0.05)。治疗组洼田饮水试验评分、SSA评分低于对照组(P﹤0.05),NIHSS评分高于对照组(P﹤0.05)。结论:舌三针联合高压氧治疗可有效改善患者的吞咽功能、提升生活质量。

Objective:To observe the clinical efficacy of tongue triple needling and hyperbaric oxygen on stroke-induced dysphagia.Methods:50 cases of patients with stroke-induced dysphagia were selected and randomly divided into two groups,25 cases in each group.The control group was treated by routine rehabilitation,while the treatment group was treated with hyperbaric oxygen chamber and tongue triple needling.Both groups were treated for 3 weeks.The scores of Standardized Swallowing Assessment(SSA),Kubota water swallow test and National Institute of Health Stroke Scale(NIHSS)of patients were compared between two groups.Results:After treatment,the total effective rate of treatment group was 88.00%,while that of control group was 64.00%,and the comparative difference between two groups was statistically significant(P﹤0.05).The scores of Kubota water swallow test and SSA of treatment group were lower than those of control group(P﹤0.05),while NIHSS score of treatment group was higher than that of control group(P﹤0.05).Conclusion:Tongue triple needling and hyperbaric oxygen can effectively improve the swallowing function of patients and enhance their quality of life.