中西医综合疗法治疗卒中后吞咽障碍的疗效比较

发布时间：2019-03-06 16:39

【摘要】：目的探讨中西医综合法治疗脑卒中后吞咽障碍的疗效。方法将84例卒中后吞咽障碍患者随机分为研究组和对照组,每组各42例。对照组患者仅给予常规的吞咽训练和低频电刺激疗法,研究组患者则给予推拿方法结合针刺疗法进行治疗,两组患者均连续治疗15天。观察并对比两组患者治疗前后洼田氏饮水试验评分及临床疗效。结果治疗前,两组患者的洼田氏饮水试验评分无显著差异(P0.05)。治疗后,两组患者的洼田氏饮水试验评分均显著降低(P0.01),且研究组患者的洼田氏饮水试验评分显著低于对照组(t=1.862,P0.05)。研究组治疗有效率为95.2%,对照组治疗有效率为81.0%,研究组治疗有效率显著高于对照组(χ2=4.086,P0.05)。结论中西医综合疗法治疗卒中后吞咽障碍患者的疗效显著,可显著改善洼田氏饮水试验评分,值得推广。
[Abstract]:Objective To study the effect of integrated traditional Chinese and western medicine on the treatment of dysphagia after stroke. Methods 84 patients with post-stroke dysphagia were randomly divided into study group and control group, each group of 42 cases. In the control group, only the conventional swallowing training and low-frequency electric stimulation therapy were given, and the patients in the study group were treated with the massage method in combination with the acupuncture therapy, and the two groups were treated for 15 consecutive days. To observe and compare the clinical efficacy of the two groups of patients before and after treatment. Results Before the treatment, there was no significant difference in the water-drinking test scores between the two groups (P0.05). After the treatment, the water-drinking water test scores of the two groups were significantly lower (P0.01), and the water-drinking water test scores of the patients in the study group were significantly lower than that of the control group (t = 1.862, P0.05). The effective rate of treatment in the study group was 95.2%, the effective rate of the control group was 81.0%, and the effective rate of the study group was significantly higher than that of the control group (Sup2 = 4.086, P0.05). Conclusion The curative effect of integrated traditional Chinese and western medicine in the treatment of patients with dysphagia after stroke can significantly improve the water-drinking test score of the low-lying area, and it is worth to be popularized.
【作者单位】：广东省阳春市中医院内三科;
【分类号】：R743.3

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