發(fā)布時(shí)間：2019-08-19 07:59

【摘要】：目的:觀察"高氏項(xiàng)針"配合吞咽康復(fù)訓(xùn)練對(duì)假性延髓麻痹患者吞咽功能及生活質(zhì)量的影響。方法:將100例患者隨機(jī)分為觀察組和對(duì)照組,每組50例。對(duì)照組給予神經(jīng)營(yíng)養(yǎng)、清除自由基等基礎(chǔ)藥物治療和吞咽康復(fù)訓(xùn)練,觀察組在對(duì)照組療法基礎(chǔ)上結(jié)合"高氏項(xiàng)針",取風(fēng)池、翳明、"供血"、廉泉、外金津玉液、"吞咽""治嗆""發(fā)音"進(jìn)行治療,每日1次,每周5次,治療8周。觀察兩組治療前后的反復(fù)唾液吞咽測(cè)試(RSST)、標(biāo)準(zhǔn)吞咽功能評(píng)分(SSA)、吞咽障礙特異性生活質(zhì)量評(píng)分(SWAL-QOL);并觀察觀察組發(fā)病部位、發(fā)病次數(shù)與"高氏項(xiàng)針"治療腦卒中后假性延髓麻痹療效的關(guān)系。結(jié)果:兩組治療后RSST、SSA、SWAL-QOL評(píng)分均明顯優(yōu)于治療前(均P0.01),且觀察組改善程度均明顯優(yōu)于對(duì)照組(均P0.01);觀察組總有效率為91.7%(44/48),優(yōu)于對(duì)照組的75.5%(37/49,P0.01);觀察組發(fā)病次數(shù)1次者11例,≥2次者37例,發(fā)病1次者療效優(yōu)于發(fā)病≥2次者[100.0%(11/11)vs 89.2%(33/37),P0.01];觀察組病變部位為皮質(zhì)、皮質(zhì)下者21例,內(nèi)囊、基底節(jié)者27例,兩者療效比較差異無(wú)統(tǒng)計(jì)學(xué)意義(P0.05)。結(jié)論:"高氏項(xiàng)針"配合吞咽康復(fù)訓(xùn)練可有效改善腦卒中后假性延髓麻痹吞咽困難,提高患者的生活質(zhì)量;發(fā)病部位對(duì)"高氏項(xiàng)針"的療效無(wú)影響,而發(fā)病次數(shù)可能與其療效成反比。
[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 鹵48), which was better than that of the control group (75.5%). In the observation group, 11 cases occurred once and 37 cases 鈮，

本文編號(hào)：2528104