电针联合耳穴贴压治疗脑卒中后吞咽障碍的效果

摘要
图/表
参考文献(16)
相关文章 (15)

全文: PDF (0 KB) HTML (37 KB)
输出: BibTeX | EndNote (RIS)

摘要目的探讨电针联合耳穴贴压治疗脑卒中后吞咽障碍的临床效果。方法选取2015年1月～2017年7月在佛山市中医院禅城高新区医院就诊的100脑卒中后吞咽障碍患者，随机分为治疗组和对照组，各50例。对照组进行常规吞咽功能训练，治疗组于对照组基础上予以电针联合耳穴贴压治疗。比较两组患者治疗前后的SAS评分、SDS评分、饮水试验（WST）评分、脑卒中专用生活质量量表（SS-QOL）评分和总有效率。结果治疗1个月后，两组的SAS、SDS、WST评分较治疗前明显降低（P<0.05），治疗组的下降幅度更明显，与对照组比较，差异有统计学意义（P<0.05）；治疗1个月后，两组的SS-QOL评分均较治疗前升高，差异有统计学意义（P<0.05），治疗组较对照组升高更明显（P<0.05）。治疗组的总有率为84.00%，明显高于对照组的66.00%（P<0.05)。结论电针联合耳穴贴压疗法可有效改善脑卒中患者的吞咽功能，减少其负性情绪，提高其生活质量，值得临床应用推广。

	服务

	把本文推荐给朋友
	加入我的书架
	加入引用管理器
	E-mail Alert
	RSS
	作者相关文章
	邓筠
	佘小静

关键词 ：吞咽障碍, 电针, 耳穴贴压, 脑卒中

Abstract：Objective To explore the clinical effect of electroacupuncture combined with auricular point sticking treating dysphagia after cerebral apoplexy.Methods One hundred patients with dysphagia after cerebral apoplexy from Foshan Hospital of TCM,Chancheng National Hi-Tech Industrial Development Zone Branch from January 2015 to July 2017 were selected and they were randomly divided into the treatment group (50 cases)and control group (50 cases).The control group received swallowing function training while the treatment group received swallowing function training and electroacupuncture combined with auricular point sticking.SAS score,SDS score,water swallowing test(WST)score,stroke specific quality of life scale (SS-QOL)score and the total effective rate were compared before and after treatment between the two groups.Results After 1 months treatment,the score of SAS,SDS and WST in the two groups were significantly lower than those before treatment(P<0.05),and the decrease of the treatment group was more obvious,and the differences were statistically significantcompared with the control group(P<0.05).After 1 months treatment,SS-QOL score of the two groups were higher than those before treatment(P<0.05),and the increase of the treatment group was obvious compared with the control group(P<0.05).The total rate in the treatment group was 84.00%,which was significantly higher than that in the control group(66.00%)(P<0.05).Conclousion Electroacupuncture combined with auricular point sticking can effectively improve swallowing function,reduce negative emotions and improve the quality of life of patients with stroke,which is worthy of clinical application and promotion.

Key words： Dysphagia Electroacupuncture Auricular point sticking Stroke

基金资助:广东省佛山市医学类科技攻关项目科研课题（2017AB002151）

引用本文:

邓筠;佘小静. 电针联合耳穴贴压治疗脑卒中后吞咽障碍的效果[J]. 中国当代医药, 2018, 25(15): 111-113转119.
DENG Yun;SHE Xiao-jing. Effect of electroacupuncture combined with auricular point sticking treating dysphagia after cerebral apoplexy. 中国当代医药, 2018, 25(15): 111-113转119.

链接本文:

http://dangdaiyiyao.com/CN/ 或 http://dangdaiyiyao.com/CN/Y2018/V25/I15/111

[1]	卒中患者吞咽障碍和营养管理中国专家组.卒中患者吞咽障碍和营养管理的中国专家共识（2013版）[J].中国卒中杂志，2013，8（12）：973-983.
[2]	Verdonschot RJCG，Baijens LWJ，Vanbelle S，et al.Affective symptoms in patients with oropharyngeal dysphagia：a systematic review[J].J Psychosom Res，2017，97：102-110.
[4]	王晓松，曾慧.脑卒中后吞咽障碍的治疗新进展[J].中国老年学杂志，2014，34（22）：6538-6540.
[5]	国家中医药管理局脑病急症协作组.中风病诊断与疗效评定标准[J].北京中医药大学学报，1996，19（1）：55.
[6]	中华医学会全国第四届脑血管病学术会议.各类脑血管疾病诊断要点[J].中华神经科杂志，1996，29（6）：379-381.
[3]	Morrell K，Hyers M，Stuchiner T，et al.telehealth stroke dysphagia evaluation is safe and effective[J].Cerebrovasc Dis，2017，44（3-4）：225-231.
[7]	GUO Y，ZHAO H，WANG F，et al.Recommendations for acupuncture in clinical practice guidelines of the national guideline clearinghouse[J].Chin J Integr Med，2017，23（11）：864-870.
[8]	Samakouri M，Bouhos G，Kadoglou M，et al.Standardization of the Greek version of Zung′s self-rating anxiety scale（SAS）[J].Psychiatriki， 2012，23（3）： 212-220.
[9]	Thurber S，Snow M，Honts CR.The Zung self-rating depression scale：convergent validity and diagnostic discrimination[J].Assessment，2002，9（4）： 401-405.
[10]	王拥军.神经病学临床评定量表[M].北京：中国友谊出版公司，2005：56-92，379-381.
[11]	Umemoto G.Tongue dysfunction in neurological and neuromuscular disorders：a narrative literature review[J].World J Otorhinolaryngol，2015，5（2）：58-64.
[12]	武文娟，毕霞，宋磊，等.洼田饮水试验在急性脑卒中后吞咽障碍患者中的应用价值[J].上海交通大学学报（医学版），2016，36（7）：1049-1053.
[13]	Cola MG，Daniels SK，Corey DM，et al.Relevance of subcortical stroke in dysphagia[J].Stroke，2010，41（3）：482-486.
[14]	Willoughby Ew，Anderson NE.Lower cranial nerve motor function in unilateral basxulat lesions of the cerebral hemisphere[J]BMJ，1984，289（5）：791-794.
[15]	李佩芳，潘银星，王颖，等.针刺配合吞咽康复训练治疗脑卒中后吞咽障碍的临床研究[J].针灸临床杂志，2011，27（9）：1-5.
[16]	陈倢，梁伟雄，刘琼，等.醒脑开窍针刺法治疗脑卒中后吞咽困难的有效性与安全性的系统评价[J].广州中医药大学学报，2015，148（4）：607-614.