頭體針結(jié)合治療中風(fēng)后吞咽障礙60例臨床觀察研究

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1、頭體針結(jié)合治療中風(fēng)后吞咽障礙60例臨床觀察研究周震，張玉蓮，袁河，郭家奎(天津中醫(yī)藥人學(xué)第二附屬醫(yī)院)摘要：［目的］通過吞咽功能評價最表及相關(guān)營養(yǎng)指標研究頭體針結(jié)合治療屮風(fēng)后吞咽障礙患者的臨床療效。［方法］將符介納入標準的60例患者隨機分為針刺組與康復(fù)組。其中針刺組30例，采用頭體針結(jié)合治療；康復(fù)組30例，采用現(xiàn)代康復(fù)治療。每名患者治療前后均采用洼田飲水試驗、BI指數(shù)及營養(yǎng)學(xué)指標(MNA、MAMC、TSF)進行臨床評估，以比較兩組臨床療效。［結(jié)果］(1)頭體針結(jié)介治療2周后有效率達56.7%,治療

2、3月后育效率達83.3%,明顯高于康復(fù)治療(PC0.05)；(2)洼□□飲水試驗分級顯示，兩種治療方法均能明顯提高患者的飲水試驗等級(P<0.05)，且治療3月后效果更明顯(P<0.05),同時治療3月后針刺組療效明顯髙于康復(fù)組(PV0.05)；(3)BI指數(shù)顯示，治療后3個月針刺組明顯髙于康復(fù)組(PV0.05)；(4)營養(yǎng)學(xué)指標(MNA、MAMC、TSF)顯示，治療三月后針刺組與康復(fù)組均有改善趨勢，但二者間無明顯差界。［結(jié)論］頭體針結(jié)合治療可明顯減輕中風(fēng)后吞咽障礙，具有較好的臨床療效，適于廣泛應(yīng)

3、用于臨床治療。關(guān)鍵詞：吞咽障礙；中風(fēng)；頭體針結(jié)合；吞咽評估；營養(yǎng)學(xué)評估中圖分類號：TheStudyofClinicalObservationon60casesaboutDysphagiaafterStrokeTreatedbyCombinedScalpandBodyAcupunctureZhouZhen,ZhangYulian,YuanHe,GuoJiakui(TheSecondHospitalAttachtoTianjinofTCM)Abstract:Objective:Tostudythecl

4、inicaleffectofcombinedscalpandbodyacupuncturetreatmentfordysphagiaafterstrokebyevaluationscaleofswallowingfunctionandcorrelatednutriologyindex.Methods:Sixtycasesaccordancewiththeinclusioncriteriawererandomizedintotheacupunctureandrehabilitationgroups.

5、Theacupuncturegroup,whichhadthirtycases,wasreceivedwithcombinedscalpandbodyacupuncturetreatment.Therehabilitationgroup,whichhadthirtycases,wasreceivedwithmodemrehabilitativetreatment.Comparetheclinicaleffectbetweentwogroupspreandposttreatmentbybedside

6、water-swallowingtest、BIindexandnutriologyindex(includingMNA、MAMC^TSF).Rcsults:(l)Inacupuncturegroup,thccuredratewas56.7%attwoweeksafterthetreatment,theeffectiveratewas83.3%atthreemonthsafterthetreatment,whichwassignificantlysuperiortotherehabilitation

7、group(P<0.05);(2)Bedsidewater-swallowingtestrevealedthattwomethodsbothcouldimproveobviouslythegradeofbedsidewater-swallowingtcst(P<0.05),andtheeffectwasbetteratthreemonthsaftertreatment(P<0.05).(3)Atthreemonthsafterthetreatment,BIindexoftheacupuncture

8、groupwassignificantlybetterthanthatinrehabilitationgroup(P<0.05).(4)TheresultofnutriologyindexshowedthatthesignificantgrowthimprovementofMNA>MAMCandTSFwasobservedbothintwogroupsatthreemonthsafterthetreatment,buttherewasnodifferencebetweentwogr