首页|补阳还五汤联合耳针治疗脑卒中后吞咽困难的疗效及对饮水功能的影响探讨

补阳还五汤联合耳针治疗脑卒中后吞咽困难的疗效及对饮水功能的影响探讨

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目的 探究补阳还五汤联合耳针治疗脑卒中后吞咽困难的疗效及对饮水功能的影响。方法 选择 100 例脑卒中后吞咽困难患者,依据不同治疗方式分为观察组(补阳还五汤与耳针联合治疗)和对照组(单用耳针治疗),各 50 例。比较两组患者中医证候积分、生活质量评分、饮水功能评分、吞咽障碍筛查量表(Burke)评分、不良事件发生率。结果 治疗后观察组中医证候积分(12。01±0。26)分低于对照组的(16。68±0。78)分,差异有统计学意义(P<0。05)。观察组治疗后活力、社交功能、情感职能、心理健康、生理功能、生理职能、躯体疼痛及总体健康评分分别为(80。53±8。59)、(72。77±6。98)、(74。45±6。09)、(73。12±6。49)、(73。77±9。12)、(80。77±6。76)、(80。45±6。16)、(82。12±6。44)分,均高于对照组的(63。30±5。77)、(65。93±5。44)、(64。88±5。98)、(66。36±6。09)、(66。40±5。23)、(67。66±5。28)、(68。78±5。38)、(65。26±6。16)分,差异有统计学意义(P<0。05)。治疗后观察组饮水功能评分(4。15±0。87)分高于对照组的(3。08±0。13)分,差异有统计学意义(P<0。05)。治疗后观察组Burke评分(2。55±0。12)分低于对照组的(3。01±0。51)分,差异有统计学意义(P<0。05)。观察组不良事件发生率 14。00%低于对照组的32。00%,差异有统计学意义(P<0。05)。结论 针对脑卒中后吞咽困难患者,通过采用补阳还五汤与耳针联合治疗,可明显改善患者中医证候积分及饮水、吞咽功能,提升生活质量,降低不良事件发生率,适合应用于临床推广。
Effect of Buyang Huanwu Decoction combined with ear acupuncture on dysphagia after stroke and its influence on drinking function
Objective To explore the efficacy of Buyang Huanwu Decoction combined with ear acupuncture in the treatment of dysphagia after stroke and its influence on drinking function.Methods 100 patients with dysphagia after stroke were divided into an observation group(Buyang Huanwu decoction combined with ear acupuncture)and a control group(ear acupuncture alone)according to different treatment methods,with 50 cases in each group.The traditional Chinese medicine syndrome score,quality of life score,drinking function score,Burke score and incidence of adverse event were compared between the two groups.Results After treatment,the traditional Chinese medicine syndrome score of(12.01±0.26)points in the observation group was lower than that of(16.68±0.78)points in the control group,and the difference was statistically significant(P<0.05).After treatment,the scores of vitality,social functioning,emotional functioning,mental health,physical function,role-physical,bodily pain and general health score in the observation group were(80.53±8.59),(72.77±6.98),(74.45±6.09),(73.12±6.49),(73.77±9.12),(80.77±6.76),(80.45±6.16)and(82.12±6.44)points,which were higher than those of(63.30±5.77),(65.93±5.44),(64.88±5.98),(66.36±6.09),(66.40±5.23),(67.66±5.28),(68.78±5.38)and(65.26±6.16)points in the control group.The difference was statistically significant(P<0.05).After treatment,the score of drinking water test in the observation group was(4.15±0.87)points,which was higher than that of(3.08±0.13)points in the control group,and the difference was statistically significant(P<0.05).After treatment,the Burke score of(2.55±0.12)points in the observation group was lower than that of(3.01±0.51)points in the control group,and the difference was statistically significant(P<0.05).The incidence of adverse events of 14.00%in the observation group was lower than that of 32.00%in the control group,and the difference was statistically significant(P<0.05).Conclusion For patients with dysphagia after stroke,the combination treatment of Buyang Huanwu Decoction and ear acupuncture can significantly improve the traditional Chinese medicine syndrome score,drink function and swallow function of patients,enhance the quality of life,and reduce the occurrence of adverse events,which is suitable for clinical promotion.

StrokeDysphagiaBuyang Huanwu DecoctionEar acupunctureDrinking function

任宪雷

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274700 郓城县中医医院脑病科

脑卒中 吞咽困难 补阳还五汤 耳针 饮水功能

2024

中国现代药物应用
中国水利电力医学科学技术学会

中国现代药物应用

影响因子:0.862
ISSN:1673-9523
年,卷(期):2024.18(2)
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