Timing selection of acupuncture and rehabilitation training for patients with dysphagia after stroke
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摘要: 目的 比较不同时机针刺和康复训练治疗脑卒中后吞咽障碍患者的临床疗效。 方法 选择80例缺血性脑卒中合并吞咽障碍患者作为研究对象,随机分为2组,每组40例。2组均给予针刺和吞咽功能康复训练,其中观察组在急性期(发病2周以内)即介入干预,对照组则在恢复期(发病2周~半年)进行干预。比较2组患者的临床疗效,采用功能性经口摄食量表(FOIS)评分、视频透视吞咽检查(VFSS)评分评价患者吞咽功能,采用吞咽障碍特异性生活质量量表评价患者生活质量。 结果 观察组治疗总有效率为90.0%, 高于对照组的72.5%, 差异有统计学意义(P<0.05); 治疗后, 2组患者FOIS评分、VFSS评分和吞咽障碍特异性生活质量量表评分均高于治疗前,且观察组各评分高于对照组,差异均有统计学意义(P<0.05)。 结论 针刺联合康复训练应用于脑卒中后吞咽障碍患者可取得较好的疗效,在急性期介入可以更好地改善患者的吞咽功能,提高疗效。Abstract: Objective To compare the clinical efficacy of acupuncture and rehabilitative training at different timing selection in the treatment of dysphagia after stroke. Methods A total of 80 patients with dysphagia after ischemic stroke were selected as research objects, and were randomly divided into two groups, with 40 cases in each group. Patients of two groups were given acupuncture and swallowing function rehabilitation training, and the intervention was performed at acute stage of onset within two weeks in the observation group, and at recovery period from two weeks to six months of onset in the control group. The clinical effects of the two groups were compared. The swallowing function was evaluated by Functional Oral Intake Scale(FOIS)scores and Voice Frequency Signaling System(VFSS)scores, and the quality of life was assessed by Swallowing-related Quality of Life Scale. Results The total effective rate of observation group was 90.0%, which was significantly higher than 72.5% in the control group(P<0.05); after treatment, the scores of FOIS, VFSS and Swallowing-related Quality of Life Scale scores were significantly higher, and the observation group was significantly higher than the control group, the difference was statistically significant(P<0.05). Conclusion Acupuncture combined with rehabilitation training can achieve better curative effect in patients with dysphagia after stroke. Intervention and treatment in acute phase can better improve swallowing function and curative effect.
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Keywords:
- ischemic stroke /
- dysphagia /
- rehabilitation training /
- acupuncture /
- acupoint
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