穴位按摩改善缺血性脑卒中急性期后吞咽功能障碍的疗效分析

发布时间：2018-05-02 20:03

本文选题：卒中 + 穴位疗法　；参考：《中国全科医学》2017年18期

【摘要】：目的探讨穴位按摩配合综合康复护理对缺血性脑卒中急性期后吞咽功能障碍患者的治疗效果。方法选取瑞金二路街道社区卫生服务中心2015年7月—2016年7月收治的缺血性脑卒中急性期后吞咽功能障碍患者120例,采用抽签法分为按摩组(60例)和对照组(60例)。两组患者均接受神经内科常规治疗和综合康复护理,包括直接训练、间接训练、心理护理与健康教育,90 d为1个疗程,连续3个疗程。同时,按摩组在此基础上选取翳风、廉泉、天突、太溪穴进行按摩,每日早晚各1次,90 d为1个疗程,连续3个疗程。结果对照组显效13例(21.7%)、有效29例(48.3%)、无效18例(30.0%);按摩组显效41例(68.3%)、有效14例(23.3%)、无效5例(8.3%),两组疗效比较,差异有统计学意义(u=5.069,P0.05)。对照组营养不良、电解质紊乱发生率高于按摩组(P0.05)。结论对缺血性脑卒中急性期后吞咽功能障碍患者进行穴位按摩配合综合康复护理,可明显改善患者吞咽功能并降低营养不良、电解质紊乱发生率。
[Abstract]:Objective to explore the therapeutic effect of acupoint massage combined with comprehensive rehabilitation nursing on patients with dysphagia after acute ischemic stroke. Methods 120 patients with dysphagia after acute ischemic stroke were selected and divided into massage group (n = 60) and control group (n = 60) by drawing lots. The patients in both groups received routine treatment and comprehensive rehabilitation nursing, including direct training, indirect training, psychological nursing and health education for 90 days as a course of treatment, three consecutive courses of treatment. At the same time, the massage group selected Yifeng, Lianquan, Tianzhu and Taixi acupoints for massage, 90 days each day as a course of treatment, 3 consecutive courses of treatment. Results in the control group, there were 13 cases with remarkable effect, 29 cases with effective 48.3% and 18 cases with no effect, while in the massage group, there were 41 cases with significant effect (68.3%), 14 cases with effective control, and 5 cases with no effect. The difference between the two groups was statistically significant (P 0.05). The incidence of malnutrition and electrolyte disturbance in the control group was higher than that in the massage group (P 0.05). Conclusion Acupoint massage combined with comprehensive rehabilitation nursing in patients with dysphagia after acute ischemic stroke can obviously improve the swallowing function and reduce the incidence of malnutrition and electrolyte disturbance.
【作者单位】：上海市瑞金二路街道社区卫生服务中心病房;上海市瑞金二路街道社区卫生服务中心行政;上海市瑞金二路街道社区卫生服务中心全科;上海市瑞金二路街道社区卫生服务中心检验科;
【基金】：上海市黄浦区科技项目(HKW201552)
【分类号】：R248.9

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