益气活血、化痰开窍中药配合功能训练治疗脑梗死患者吞咽障碍的临床观察.pdfVIP

中国医药导报 2014年7月第 11卷第20期 窑中医中药 窑 益气活血、化痰开窍中药配合功能训练 治疗脑梗死患者吞咽障碍的临床观察 毕小丽 胡建芳 周 伍 陈宝玲 广州市中西医结合医院袁广东广州 510800 [摘要] 目的观察益气活血尧化痰开窍中药配合功能训练治疗脑梗死患者吞咽障碍的临床效果遥 方法将广州市 中西医结合医院2012年3月耀2013年 10月收治的86例急性脑梗死相关吞咽功能障碍患者随机分为治疗组和 对照组袁两组均给予常规西医基础治疗及吞咽尧进食功能训练袁治疗组在此基础上加用益气活血尧化痰开窍中药 汤剂袁通过评定患者洼田饮水试验比较两组吞咽障碍的改善程度遥 结果治疗后两组洼田饮水试验评分比较袁差 异有统计学意义渊P 约0.05冤曰两组总疗效比较袁治疗后治疗组总有效率为97.7%袁对照组总有效率为83.7%袁差异 有统计学意义渊P约0.05冤遥 结论益气活血尧化痰开窍中药配合吞咽功能训练对脑梗死相关吞咽障碍的临床疗效 优于单纯功能训练袁提示益气活血尧化痰开窍中药对脑梗死相关吞咽障碍的恢复具有一定的促进作用袁值得临床 推广应用遥 [关键词] 中药曰功能训练曰脑梗死曰吞咽障碍 [中图分类号] R743.3 [文献标识码]A [文章编号] 1673-7210渊2014冤07渊b冤-0103-04 Clinical observation of supplementing qi and activating blood, eliminating phlegm for resuscitation of traditional Chinese medicine with clinical and functional training for cerebralinfarctionpatientswithdysphagia BIXiaoli HU Jianfang ZHOU Wu CHENBaoling GuangzhouHospitalofIntegratedTraditional andWestern Medicine, GuangdongProvince, Guangzhou 510800, China [Abstract] Objective To observe the effects of supplementing qi and activating blood, eliminating phlegm for resusci鄄 tation oftraditional Chinesemedicinewith clinical andfunctional trainingfor cerebral infarction patientswith dyspha鄄 gia.Methods 86casesof cerebral infarctionpatientswith dysphagia admittedto Guangzhou Hospital of IntegratedTra鄄 ditional and Western Medicine from March 2012 to October 2013 were randomly divided into the treatment group and the control group. Based on routine treatment, the treatment groupwas given decoctionwhich has supplementing qi and activating blood, eliminating phlegm for resuscitation effects, while the control group was given western medicine foun鄄 dation treatment, eating and swallowing function training. The t