辨证取穴利咽针刺联合呼吸-吞咽协调训练对脑梗死吞咽障碍患者吞咽功能的影响

Effect of Point Selection Based on Syndrome Differentiation Pharyngeal Acupuncture Combined with Breathing-Swallowing Coordination Training on Swallowing Function of Patients with Dysphagia in Cerebral Infarction

目的分析辨证取穴利咽针刺联合呼吸-吞咽协调训练在脑梗死吞咽障碍患者中的应用效果。方法选取该院2021年4月—2023年2月收治的120例脑梗死吞咽障碍患者为研究对象,以密闭信封法将其分为对照组(n=60)和研究组(n=60)。对照组进行呼吸-吞咽协调训练,研究组在对照组基础上结合辨证取穴利咽针刺。治疗1个月后,对比两组治疗效果、血清白蛋白(ALB)、前白蛋白(PA)水平及吞咽生活质量量表(SWAL-QOL)评分。结果研究组治疗总有效率为96.67%,高于对照组的86.67%,差异有统计学意义(P<0.05)。治疗前,两组ALB、PA水平比较,组间差异无统计学意义(P>0.05);治疗1个月后,研究组ALB、PA水平均高于对照组,组间差异有统计学意义(P<0.05)。治疗前,两组SWAL-QOL评分比较,差异无统计学意义(P>0.05);治疗1个月后,两组SWAL-QOL评分均高于治疗前,且研究组SWAL-QOL评分高于对照组,差异有统计学意义(P<0.05)。结论脑梗死吞咽功能障碍患者联合应用呼吸-吞咽协调训练与辨证取穴利咽针刺治疗的效果显著,可增强其吞咽功能,提高其营养水平,从而提高生活质量。

Objective To analyze the application effect of point selection based on syndrome differentiation pharyngeal acupuncture combined with breathing-swallowing coordination training in patients with dysphagia in cerebral infarction.Methods A total of 120 patients with dysphagia with cerebral infarction admitted to our hospital from April 2021 to February 2023 were selected as the research objects,and they were divided into a control group(n=60)and a study group(n=60)by sealed envelope method.The control group underwent breathing-swallowing coordination training,and the study group combined with point selection based on syndrome differentiation pharyngeal acupuncture.After 1 month of treatment,the therapeutic effect,serum albumin(ALB),prealbumin(PA)levels and Swallowing Quality of Life scale(SWAL-QOL)score of the two groups were compared.Results The total effective rate of the study group was 96.67%,which was higher than 86.67%of the control group,the difference was statistically significant(P<0.05).Before treatment,there were no significant differences in the ALB and PA levels between the two groups(P>0.05);after 1 month of treatment,the levels of ALB and PA in the study group were higher than those in the control group,and the differences between the groups were statistically significant(P<0.05).Before treatment,there was no significant difference in the SWAL-QOL scores between the two groups(P>0.05);after 1 month of treatment,the SWAL-QOL scores of both groups were higher than before treatment,and the SWAL-QOL score of the study group was higher than that of the control group,and the differences were statistically significant(P<0.05).Conclusion The effect of breathing-swallowing coordination training combined with point selection based on syndrome differentiation pharyngeal acupuncture on patients with dysphagia in cerebral infarction is remarkable,which can enhance their swallowing function,improve their nutritional level,and thus improve their quality of life.