尹国朝,白法睿,周春艳,陈念辉,张燚德,段金良.基于冲脉理论针刺治疗联合康复训练在脑卒中患者吞咽功能障碍中的临床研究[J].转化医学杂志,2021,10(5):315-317+306
基于冲脉理论针刺治疗联合康复训练在脑卒中患者吞咽功能障碍中的临床研究
Effect of AcuPuncture Therapy Combined with Rehabilitation Training Based on Chongmai Theory on Swallowing Dysfunction in Stroke Patients
  
DOI:
中文关键词:  冲脉  针刺  康复训练  脑卒中  吞咽功能障碍
英文关键词:Chong pulse  Acupuncture  Rehabilitation training  Stroke  Dysphagia
基金项目:
作者单位
尹国朝 解放军联勤保障部队桂林康复疗养中心疗养三科 
白法睿 解放军联勤保障部队桂林康复疗养中心疗养三科 
周春艳 解放军联勤保障部队桂林康复疗养中心疗养三科 
陈念辉 解放军联勤保障部队桂林康复疗养中心中医康复科 
张燚德 解放军联勤保障部队桂林康复疗养中心中医康复科 
段金良 解放军联勤保障部队924医院生殖中心 
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中文摘要:
      目的 探讨基于冲脉理论针刺治疗联合康复训练在脑卒中患者吞咽功能障碍中的应用价值。方法 选取2017年5月-2019年5月期间因脑卒中后吞咽功能障碍在解放军联勤保障部队桂林康复疗养中心进行救治的80例患者作为研究对象,按就诊顺序单双号分为观察组(n=40,基于冲脉理论针刺联合康复训练)和对照组(n=40,常规针刺联合康复训练)。比较两组患者疗效、治疗前后吞咽功能量表(SSA)评分和电视透视吞咽功能(VFSS)评分。结果 治疗后,观察组SSA评分(22.10±7.21)和VFSS评分(8.93±1.88)均显著优于对照组(26.08±8.11)分和(5.46±2.12)分,(均P<0.05),观察组治疗总有效率97.50%显著高于对照组82.50%(P<0.05)。结论 基于冲脉理论针刺治疗联合康复训练对脑卒中患者吞咽功能障碍有积极的影响,可改善吞咽功能,提高治疗效果,值得推广应用。
英文摘要:
      Objective To explore the effect of acupuncture treatment combined with rehabilitation training based on pulse-chong theory on swallowing dysfunction in stroke patients. Methods In this study, 80 patients with dysphagia after stroke treated in our hospital from May 2017 to May 2019 were selected as the study subjects. They were divided into observation group (n= 40) and control group (n= 40) according to the order of visiting . Patients in the control group were treated with routine acupuncture combined with rehabilitation training, while patients in the observation group were treated with acupuncture combined with rehabilitation training based on pulse-Chong theory. The curative effect, SSA score and VFSS score before and after treatment were compared between the two groups. Result After treatment, the scores of SSA (22.10 +7.21) and VFSS (8.93 +1.88) in the observation group were better than those in the control group (26.08 +8.11) and (5.46 +2.12). The total effective rate of the observation group was 97.50%, which was significantly higher than that of the control group 82.50% (P < 0.05). Conclusion Acupuncture based on pulse-chong theory combined with rehabilitation training has a positive impact on swallowing dysfunction of stroke patients, can effectively improve swallowing function of patients, effectively improve the curative effect, and is worthy of promotion and application.
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