摘要
目的:观察中医芳香冷疗术联合常规吞咽康复训练治疗脑卒中后吞咽功能障碍的临床疗效。方法:选取经影像学检查诊断为缺血性脑卒中(ICS)且合并有吞咽功能障碍的住院患者60例,随机分为观察组与对照组各30例。2组均给予稳定血压、降糖调脂、抗血小板凝集、营养神经等常规治疗。对照组给予吞咽功能训练,观察组在对照组的基础上予中医芳香冷疗术。2组均治疗4周。比较2组吞咽功能洼田饮水试验(KDWT)、吞咽障碍特异性生活质量量表(SWAL-QOL)评分以及临床疗效。结果:观察组总有效率为93.33%,高于对照组的70.00%,2组比较,差异有统计学意义(P<0.05)。治疗前,2组KDWT评分比较,差异无统计学意义(P>0.05);治疗后,2组KDWT评分均较治疗前降低(P<0.05),且观察组KDWT评分低于对照组(P<0.05)。治疗前,2组SWAL-QOL评分比较,差异无统计学意义(P>0.05);治疗后,2组SWAL-QOL评分均较治疗前升高(P<0.05);且观察组SWAL-QOL评分高于对照组(P<0.05)。结论:中医芳香冷疗术联合吞咽康复训练治疗ICS伴吞咽障碍疗效显著,能促进吞咽功能康复,有效改善患者的生活质量。
Objective:To observe the curative effect of Chinese medicine aromatic cold therapy combined with routine swallowing rehabilitation training for dysphagia after cerebral apoplexy. Methods:A total of 60 cases of hospitalized patients with ischemic stroke(ICS) complicated with dysphagia diagnosed by imaging examination were randomly divided into the observation group and the control group,with 30 cases in each group. Both groups were given routine treatment including blood pressure stabilization,blood glucose reduction and lipid regulation,anti-platelet aggregation and neuro nutrition. The control group was given swallowing function training, and the observation group was additionally given Chinese medicine aromatic cold therapy based on the treatment of the control group. Both groups were treated for four weeks. The scores of Kubota Drinking Water Test(KDWT),Swallowing-Quality of Life Scale(SWAL-QOL) as well as the curative effects in the two groups were compared. Results:The total effective rate was 93.33% in the observation group,higher than that of 70.00% in the control group, the difference being significant(P<0.05). Before treatment, there was no significant difference being found in the comparison of KDWT scores between the two groups(P>0.05);after treatment, KDWT scores in the two groups were decreased when compared with those before treatment(P<0.05),and the score in the observation group was lower than that in the control group(P<0.05). Before treatment, there was no significant difference being found in the comparison of SWAL-QOL scores between the two groups(P>0.05);after treatment, SWAL-QOL scores in the two groups were increased when compared with those before treatment(P<0.05);the score in the observation group was higher than that in the control group(P<0.05). Conclusion: Chinese medicine aromatic cold therapy combined with routine swallowing rehabilitation training for dysphagia has a significant curative effect in the treatment of ICS complicated with dysphagia,which can promote the recovery of swallowing function and improve the quality of life of patients.
作者
郑瑶
陈芬
李菁
ZHENG Yao;CHEN Fen;LI Jing
出处
《新中医》
CAS
2022年第6期76-79,共4页
New Chinese Medicine
基金
温州市卫生健康委员会中医药课题(Z2020017)。
关键词
脑卒中
吞咽障碍
芳香冷疗术
吞咽康复训练
洼田饮水试验
Cerebral apoplexy
Dysphagia
Aromatic cold therapy
Swallowing rehabilitation training
Kubota Drinking Water Test
