针刺结合吞咽训练治疗脑卒中后吞咽障碍临床研究.docVIP

针刺结合吞咽训练治疗脑卒中后吞咽障碍临床研究 　　[摘要] 目的 探究脑卒中后吞咽障碍患者采用针刺结合吞咽训练的治疗效果以及吞咽功能恢复情况。方法 随机选取该院2014年2月―2016年10月收治脑卒中后吞咽障碍患者100例作为研究对象，根据治疗方式分为结合组和参照组，每组50例。结合组给予针刺结合吞咽训练治疗，参照组仅采用吞咽训练治疗，观察两组患者治疗效果。?Y果研究结果显示结合组总治疗有效率为88.00%优于参照组66.00%，且结合组洼田氏饮水试验评价量表和藤岛一郎吞咽评价标准评分优于参照组，对比显示差异有统计学意义（P0.05）。 结论 针刺结合吞咽训练治疗比单独的吞咽训练疗效更好，可提升患者吞咽功能，值得临床推广应用。 　　[关键词] 针刺；吞咽训练；脑卒中；吞咽障碍 　　[中图分类号] R49 [文献标识码] A [文章编号] 1674-0742（2016）12（c）-0174-03 　　[Abstract] Objective To Explore the Therapeutic Effect of Swallowing Training Combined with Acupuncture in the Treatment of Patients with Dysphagia after Stroke and the Recovery of Swallowing Function. Methods Random selection 100 patients with dysphagia after stroke in our hospital from February 2014 to October 2016 were selected as the research objects. According to the treatment methods，all of the 100 patients were divided into the combined group and the reference group ， each with 50 cases. The combined group was given the combined treatment of acupuncture and swallowing training， and the reference group was only treated with the swallowing training so as to observe the therapeutic effect on patients in two groups. Results The results showed that the effective rate in the combined group was 88.00%， which was superior to 66.00% in the reference group. Besides， the Kubota drinking water test evaluation questionnaire and cany island ichiro swallowing evaluation standard score in the combined group were higher than those in the reference group. The comparison was of statistical significance（P 0.05）. Conclusion It’s worthy of clinical application and promotion ，for the combined treatment of acupuncture and swallowing training is better than that of the sole swallowing training and it can promote the swallowing function of patients. 　　[Key words] Acupuncture； Swallow Training； Stroke； Dysphagia 　　据统计，全国近一半脑卒中患???有吞咽功能障碍。吞咽功能障碍主要表现为误吸、呛咳等，严重会发展为肺炎，甚至死亡[1]。目前，临床对该疾病治疗多采用现代吞咽康复训练方式为主，但国内部分学者认为脑卒中后吞咽障碍可结合中医治疗[2]。但因吞咽障碍患者难以口服中药，因此中医治疗以针刺为主。为探究针刺结合吞咽训练对脑卒中后吞咽障碍患者的治疗效果，