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“高氏项针”对脑卒中后假性延髓麻痹患者吞咽功能及生活质量的影响:随机对照研究

发布时间:2019-08-19 07:59
【摘要】:目的:观察"高氏项针"配合吞咽康复训练对假性延髓麻痹患者吞咽功能及生活质量的影响。方法:将100例患者随机分为观察组和对照组,每组50例。对照组给予神经营养、清除自由基等基础药物治疗和吞咽康复训练,观察组在对照组疗法基础上结合"高氏项针",取风池、翳明、"供血"、廉泉、外金津玉液、"吞咽""治呛""发音"进行治疗,每日1次,每周5次,治疗8周。观察两组治疗前后的反复唾液吞咽测试(RSST)、标准吞咽功能评分(SSA)、吞咽障碍特异性生活质量评分(SWAL-QOL);并观察观察组发病部位、发病次数与"高氏项针"治疗脑卒中后假性延髓麻痹疗效的关系。结果:两组治疗后RSST、SSA、SWAL-QOL评分均明显优于治疗前(均P0.01),且观察组改善程度均明显优于对照组(均P0.01);观察组总有效率为91.7%(44/48),优于对照组的75.5%(37/49,P0.01);观察组发病次数1次者11例,≥2次者37例,发病1次者疗效优于发病≥2次者[100.0%(11/11)vs 89.2%(33/37),P0.01];观察组病变部位为皮质、皮质下者21例,内囊、基底节者27例,两者疗效比较差异无统计学意义(P0.05)。结论:"高氏项针"配合吞咽康复训练可有效改善脑卒中后假性延髓麻痹吞咽困难,提高患者的生活质量;发病部位对"高氏项针"的疗效无影响,而发病次数可能与其疗效成反比。
[Abstract]:Objective: to observe the effect of Gaoshi Needle combined with swallowing rehabilitation training on swallowing function and quality of life in patients with pseudobulbar palsy. Methods: 100 patients were randomly divided into observation group (n = 50) and control group (n = 50). The control group was treated with basic drugs such as neuronutrition, scavenging free radicals and dysphagia rehabilitation training. On the basis of the control group, the observation group was treated with "Gao's acupuncture", taking Fengchi, Yiming, "blood supply", Lianquan, Weijin Jinju liquid, "swallowing", "treating choking" and "pronunciation", once a day, 5 times a week for 8 weeks. To observe the (RSST), standard swallowing function score (SSA), specific quality of life score (SWAL-QOL) of repeated saliva swallowing test before and after treatment in the two groups, and the relationship between the incidence site and the frequency of onset and the curative effect of "Gaoshi Needle" in the treatment of pseudobulbar palsy after stroke. Results: after treatment, the RSST,SSA,SWAL-QOL score of the two groups was significantly better than that of the control group (P 0.01), and the improvement degree of the observation group was significantly better than that of the control group (P 0.01), and the total effective rate of the observation group was 91.7% (44 卤48), which was better than that of the control group (75.5%). In the observation group, 11 cases occurred once and 37 cases 鈮,

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