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论著.中医药与民族医药诊疗 | 更新时间:2023-12-05
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腹针联合经皮穴位电刺激治疗脑卒中后吞咽障碍患者的疗效和安全性
Efficacy and safety of abdominal needle combined with transcutaneous acupoint electrical stimulation for the treatment of patients with dysphagia after cerebral stroke

广西医学 2023第45卷18期 页码:2213-2218

作者机构:吕开月,在读硕士研究生,护士,研究方向:老年护理。

基金信息:广西壮族自治区中医药管理局自筹经费科研课题(GZZC2020124);广西壮族自治区卫生健康委员会自筹经费科研课题(Z20211576)

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目的 探讨腹针联合经皮穴位电刺激治疗脑卒中后吞咽障碍患者的疗效和安全性。方法 将60例脑卒中后吞咽障碍患者随机分为对照组和观察组,各30例。给予对照组常规对症治疗及经皮穴位电刺激治疗,观察组在对照组的基础上加用腹针治疗,治疗时间均为4周。比较两组患者治疗前后洼田饮水试验评级、中文版吞咽障碍造影评分量表(VDS)得分、吞咽障碍特异性生活质量(SWAL-QOL)量表得分,以及临床疗效,记录治疗期间两组患者的并发症发生情况。结果 治疗后,两组患者洼田饮水试验评级优于治疗前,VDS得分低于治疗前,SWAL-QOL量表评分高于治疗前,且观察组上述指标优于对照组(P<0.05)。观察组的临床疗效优于对照组(P<0.05),两组患者并发症发生率比较,差异无统计学意义(P>0.05)。结论 腹针联合经皮穴位电刺激治疗可提高脑卒中后吞咽障碍患者的吞咽功能及生活质量,安全性较好。
ObjectiveTo investigate the efficacy and safety of abdominal needle combined with transcutaneous acupoint electrical stimulation for the treatment of patients with dysphagia after cerebral stroke. MethodsA total of 60 patients with dysphagia after cerebral stroke were randomly divided into control group or observation group, with 30 cases in each group. The control group received routine symptomatic treatment and transcutaneous acupoint electrical stimulation for treatment, based on which the observation group additionally received abdominal needle for treatment. The therapeutic duration was 4 weeks. The pre- and post-treatment Kubota water swallowing test classification, Video-Fluoroscopic Dysphagia Scale (VDS) score in Chinese version, Swallowing Quality of Life (SWAL-QOL) scale score, and clinical efficacy were compared between patients of the two groups. The occurrence of complications during treatment was recorded in both groups. ResultsAfter treatment, patients in both groups obtained a superior classification of Kubota water swallowing test, a lower VDS score, and a higher SWAL-QOL scale score as compared with before treatment, as well as the observation group exhibited superior indices as above to compared with the control group (P<0.05). The clinical efficacy of the observation group was superior to that of the control group (P<0.05). There was no statistically significant difference in the incidence rate of complications between patients of the two groups (P>0.05). ConclusionAbdominal needle combined with transcutaneous acupoint electrical stimulation therapy can improve swallowing function and quality of life in patients with dysphagia after cerebral stroke, exerting a relatively good safety.

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