摘要
目的探讨辨证取穴利咽针刺疗法配合吞咽功能训练在脑梗死后吞咽功能障碍(SFD)患者中的应用效果.方法选取我院2020年5月—2023年5月收治的70例SFD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,各35例.对照组采用吞咽功能训练治疗,观察组加用辨证取穴利咽针刺疗法治疗,两组均持续治疗4周.比较两组临床疗效﹑吞咽功能﹑摄食能力﹑舌肌力及生活质量.结果观察组治疗总有效率高于对照组,差异有统计学意义(P<0.05).治疗后,观察组吞咽功能评定量表评分为(20.41±2.38)分,低于对照组的(25.73±2.75)分,功能性经口摄食量表评分为(5.58±0.84)分,高于对照组的(4.87±0.65)分,组间差异有统计学意义(P<0.05).治疗后,观察组舌压峰值﹑舌压平均值分别为(55.69±5.18)kPa﹑(45.63±4.18)kPa,均高于对照组的(49.86±4.75)kPa﹑(40.41±4.13)kPa,舌压持续时间为(19.35±1.32)s,长于对照组的(16.24±1.25)s,组间差异有统计学意义(P<0.05).治疗后,观察组生活质量各领域评分分别为(86.38±5.41)分﹑(88.17±5.14)分﹑(89.37±4.32)分﹑(90.17±4.05)分,均高于对照组的(80.24±5.34)分﹑(81.07±5.32)分﹑(82.25±5.13)分﹑(84.22±5.34)分,组间差异有统计学意义(P<0.05).结论联用辨证取穴利咽针刺疗法及吞咽功能训练可提高SFD治疗效果,增强患者舌肌力,加快患者吞咽功能恢复,改善患者生活质量.
Objective To explore the application effect of dialectical acupoint selection and pharyngeal acupuncture therapy combined with swallowing function training in swallowing dysfunction(SFD)after cerebral infarction.Methods 70 SFD patients admitted to our hospital from May 2020 to May 2023 were selected as the research objects and they were randomly divided into a control group and an observation group,with 35 patients in each group.The control group received swallowing function training treatment,while the observation group received acupuncture therapy based on syndrome differentiation to promote swallowing,lasting for 4 weeks.Compare the clinical efficacy,swallowing function,feeding ability,tongue muscle strength,and quality of life between two groups.Results The total effective rate of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).After treatment,the Swallowing Function Assessment Scale score of the observation group was(20.41±2.38)points,lower than(25.73±2.75)points of the control group,and the Functional Oral Intake Scale score was(5.58±0.84)points,higher than(4.87±0.65)points of the control group,and the differences between groups were statistically significant(P<0.05).After treatment,the peak and average values of tongue pressure in the observation group were(55.69±5.18)kPa and(45.63±4.18)kPa,which were higher than(49.86±4.75)kPa and(40.41±4.13)kPa in the control group,and the duration of tongue pressure was(19.35±1.32)s,which was longer than(16.24±1.25)s in the control group,and the differences between groups were statistically significant(P<0.05).The quality of life scores in various fields of the observation group after treatment were(86.38±5.41)points,(88.17±5.14)points,(89.37±4.32)points,and(90.17±4.05)points,which were higher than(80.24±5.34)points,(81.07±5.32)points,(82.25±5.13)points,and(84.22±5.34)points of the control group,and the differences between groups were statistically significant(P<0.05).Conclusion The combination of acupoint selection based on syndrome differentiation and pharyngeal acupuncture therapy with swallowing function training can improve the therapeutic effect of SFD,enhance tongue muscle strength,accelerate swallowing function recovery,and improve patients'quality of life.
作者
石宁
SHI Ning(Department of Rehabilitation Medicine,Chengyang District People's Hospital,Qingdao Shandong,266000,China)
出处
《反射疗法与康复医学》
2023年第20期26-29,共4页
Reflexology And Rehabilitation Medicine
关键词
脑梗死
吞咽功能障碍
辨证取穴利咽针刺疗法
吞咽功能训练
舌肌力
Cerebral infarction
Swallowing dysfunction
Differentiation of symptoms and signs
acupoint selection
pharynx promoting acupuncture therapy
Swallowing function training
Tongue muscle strength
