醒脑开窍针刺法联合呼吸-吞咽协调训练在促进脑中风吞咽功能障碍患者功能康复中的临床价值

Clinical Value of Awakening Brain and Opening Mind Acupuncture Method Combined with Respiratory Swallowing Coordination Training in Promoting Functional Recovery of Stroke Patients with Swallowing Dysfunction

目的探讨醒脑开窍针刺法联合呼吸-吞咽协调训练在促进脑中风吞咽功能障碍患者功能康复中的临床价值。方法选择2022年11月—2023年11月我院收治的86例脑中风吞咽功能障碍患者为研究对象,按随机数字表法将其分为对照组和观察组,每组43例。对照组行呼吸-吞咽协调训练,观察组行醒脑开窍针刺法联合呼吸-吞咽协调训练干预。干预时间为4周。比较两组的吞咽功能、舌肌力量及生活质量。结果干预前,两组吞咽功能、舌肌力及生活质量比较,组间差异无统计学意义(P>0.05);干预后,观察组标准吞咽功能评定量表、洼田饮水试验评分均低于对照组,功能性经口摄食评价量表、吞咽障碍特异性生活质量量表评分均高于对照组,舌压峰值为(50.28±5.67)kPa,舌压平均值为(45.62±4.58)kPa,均高于对照组的(41.52±5.23)kPa、(37.89±4.15)kPa,舌压持续时间为(19.47±3.54)s,长于对照组的(15.12±3.11)s,组间差异有统计学意义(P<0.05)。结论醒脑开窍针刺法联合呼吸-吞咽协调训练可改善脑中风吞咽功能障碍患者的吞咽功能,增强舌肌力,改善其生活质量。

Objective To explore the clinical value of the combination of Awakening Brain and Opening Mind acupuncture method and respiratory swallowing coordination training in promoting functional recovery of stroke patients with swallowing dysfunction.Methods A total of 86 patients with stroke and swallowing dysfunction admitted to our hospital from November 2022 to November 2023 were selected as the research subjects,and were divided into a control group and an observation group using a random number table method,with 43 cases in each group.The control group received respiratory swallowing coordination training,while the observation group received a combination of Awakening Brain and Opening Mind acupuncture method combined with respiratory swallowing coordination training intervention.The intervention period was 4 weeks.The swallowing function,tongue muscle strength,and quality of life between the two groups were compared.Results Before the intervention,the swallowing function,tongue muscle strength,and quality of life between the two groups had no statistically significant differences(P>0.05);after intervention,the Standardized Swallowing Assessment and water swallow test scores of the observation group were lower than those of the control group,while the Functional Oral Intake Scale and Swallowing Quality of Life scores were higher than those of the control group,the peak tongue pressure was(50.28±5.67)kPa,and the average tongue pressure was(45.62±4.58)kPa,which was higher than the control group's(41.52±5.23)kPa and(37.89±4.15)kPa,the duration of tongue pressure was(19.47±3.54)s,which was longer than the control group's(15.12±3.11)s,and the differences between the groups were statistically significant(P<0.05).Conclusion The combination of Awakening the Brain and Opening the Mind acupuncture method and respiratory swallowing coordination training can improve the swallowing function of brain stroke patients with swallowing dysfunction,enhance the tongue muscle strength and improve the quality of life.