四川中医2024,Vol.42Issue(7) :195-198.

咽三针点按联合摄食-吞咽训练在脑卒中后吞咽障碍患者康复治疗中的应用

Application of point-pressing manipulation at pharyngeal three acupoints combined with ingestion-swallowing training in rehabilitation treatment of patients with post-stroke dysphagia

刘辉辉 吴祥俊 熊成 程卓 张晓武
四川中医2024,Vol.42Issue(7) :195-198.

咽三针点按联合摄食-吞咽训练在脑卒中后吞咽障碍患者康复治疗中的应用

Application of point-pressing manipulation at pharyngeal three acupoints combined with ingestion-swallowing training in rehabilitation treatment of patients with post-stroke dysphagia

刘辉辉 1吴祥俊 1熊成 1程卓 2张晓武1
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作者信息

  • 1. 宁国市人民医院康复医学科,安徽 宁国 242300
  • 2. 宁国市人民医院中医科,安徽 宁国 242300
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摘要

目的:探究咽三针点按联合摄食-吞咽训练在脑卒中后吞咽障碍(PSD)患者康复治疗中的应用.方法:选取2022 年1 月~2023 年9 月本院收治的126 例PSD患者,随机分为两组(63 例/组).对照组采用常规的摄食-吞咽训练进行治疗,实验组采用咽三针点按联合摄食-吞咽训练进行治疗.观察两组治疗前后临床疗效,证候积分,吞咽功能,舌骨喉复合体动度指标,营养指标[血清白蛋白(ALB),血红蛋白(Hb),血清前白蛋白(PA)水平],并观察治疗过程中的不良反应.结果:实验组治疗后临床疗效、洼田饮水试验分级分布情况、舌骨喉复合体动度指标均优于对照组(P<0.05),临床证候积分低于对照组(P<0.05),ALB,Hb,PA水平均高于对照组(P<0.05),两组治疗过程中无明显不良反应.结论:咽三针点按联合摄食-吞咽训练应用于PSD患者康复治疗中,可改善患者的吞咽功能,增加舌骨喉复合体的运动范围,提升其营养状态.

Abstract

Objective:To explore the application of point-pressing manipulation at pharyngeal three acupoints combined with ingestion-swallowing training in rehabilitation treatment of patients with post-stroke dysphagia(PSD).Methods:A total of 126patients with PSD admitted to the hospital were enrolled and randomly divided into control group(routine ingestion-swallowing training)and experimental group(point-pressing manipulation at pharyngeal three acupoints combined with ingestion-swallowing training)between January 2022 and September 2023,63 cases in each group.The clinical curative effect,scores of syndromes,swallowing function,movement indexes of hyolaryngeal complex and nutritional indexes[serum albumin(ALB),hemoglobin(Hb),serum prealbumin(PA)]before and after treatment,and adverse reactions during treatment in the two groups were ob-served.Results:After treatment,clinical curative effect,grading of water swallow test and movement indexes of hyolaryngeal complex in experimental group were all better than those in control group(P<0.05),scores of clinical syndromes were lower than those in control group(P<0.05),and levels of ALB,Hb and PA were higher than those in control group(P<0.05).There were no obvious adverse reactions in either group during treatment.Conclusion:Application of point-pressing manipulation at pharyn-geal three acupoints combined with ingestion-swallowing training in rehabilitation treatment of PSD patients can improve swallo-wing function,increase movement range of hyolaryngeal complex and improve nutritional status.

关键词

咽三针/点按/摄食-吞咽训练/脑卒中/吞咽障碍/康复治疗

Key words

Pharyngeal three acupoints/Point-pressing manipulation/Ingestion-swallowing training/Stroke/Dysphagia/Rehabilitation treatment

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出版年

2024
四川中医
四川省中医药学会,四川省中西医结合学会,四川省针灸学会,四川省中医药科学院

四川中医

CSTPCD
影响因子:0.522
ISSN:1000-3649
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