摘要
目的 观察舌三针联合补阳还五汤合地黄饮子治疗桥脑梗死患者吞咽障碍的临床疗效。方法 将80例桥脑梗死合并吞咽障碍患者按随机数字表法分为两组(观察组和对照组),每组40例。对照组予口服补阳还五汤合地黄饮子治疗,观察组在对照组口服中药治疗基础上联合舌三针针刺治疗。比较两组临床疗效,观察两组治疗前后洼田饮水试验、功能性经口摄食量表(functional oral intake scale,FOIS)和吞咽生活质量量表(swallowing-quality of life,SWAL-QOL)评分的变化,观察两组治疗前后吞咽造影检查指标的变化。结果 观察组总有效率高于对照组(P<0.05)。两组治疗后洼田饮水试验、FOIS和SWAL-QOL评分均优于同组治疗前(P<0.05),且观察组治疗后上述评分均优于对照组(P<0.05)。两组治疗后吞咽造影检查误吸和吞咽困难程度评分以及上食道括约肌开放时间、开放程度和咽收缩持续时间均优于同组治疗前(P<0.05),且观察组治疗后上述吞咽造影检查指标均优于对照组(P<0.05)。结论 舌三针联合补阳还五汤合地黄饮子可明显改善桥脑梗死合并吞咽障碍患者的吞咽功能,提高患者生活质量,疗效优于单纯口服中药治疗。
Objective To observe the clinical efficacy of She San Zhen(acupuncture at three points for tongue) plus Bu Yang Huan Wu Tang and Di Huang Yin Zi in treating dysphagia in pontine infarction patients.Method Eighty patients with pontine infarction complicated with dysphagia were divided into two groups(an observation group and a control group) using the random number table method,with 40 cases in each group.The control group was treated with oral administration of Bu Yang Huan Wu Tang combined with Di Huang Yin Zi,and the observation group received additional She San Zhen treatment based on the control group's oral Chinese medication.The clinical efficacy was compared between the two groups.The Kubota's water swallowing test score,functional oral intake scale(FOIS) score,and swallowing-quality of life(SWAL-QOL) score were observed before and after the treatment,as well as the videofluoroscopic swallowing study(VFSS) parameters.Result The observation group achieved a higher total effective rate than the control group(P<0.05).The Kubota's water swallowing test,FOIS,and SWAL-QOL scores improved after the treatment in both groups(P<0.05) and were better in the observation group than in the control group(P<0.05).According to the VFSS,the aspiration and swallowing difficulty scores,duration and degree of upper esophageal sphincter opening,and duration of pharyngeal constriction all improved after the intervention in the two groups(P<0.05),and the observation group outperformed the control group in comparing these VFSS parameters(P<0.05).Conclusion She San Zhen plus Bu Yang Huan Wu Tang combined with Di Huang Yin Zi can improve the swallowing function and quality of life in treating dysphasia in patients with pontine infarction,producing more significant efficacy than the sole use of oral Chinese medication.
作者
程晓娜
吕学海
郝棚娜
郎晓光
梁志娟
CHENG Xiaona;LÜXuehai;HAO Pengna;LANG Xiaoguang;LIANG Zhijuan(Hebei Handan Central Hospital,Handan 056000,China)
出处
《上海针灸杂志》
CSCD
2024年第2期129-134,共6页
Shanghai Journal of Acupuncture and Moxibustion
基金
河北省医学科学研究计划项目(20220549)。
关键词
针刺疗法
针药并用
舌三针
中风后遗症
脑梗死
吞咽障碍
Acupuncture therapy
Acupuncture medication combined
She San Zhen
Post-stroke sequelae
Cerebral infarction
Deglutition disorders
