目的:观察醒脑开窍针法配合康复训练对中风后遗症患者言语及吞咽障碍的影响.方法:选取2021 年1 月至2022 年6月在赣州市人民医院就诊的中风后遗症言语及吞咽障碍患者92 例,随机分为对照组与观察组,每组各 46 例.对照组采用常规治疗联合康复训练,观察组在对照组治疗的基础上联合醒脑开窍针法,连续治疗 1 个月,比较两组患者的中医证候积分、语言能力、洼田饮水试验评分、吞咽情况、生活质量,不良反应等.结果:对照组有效率为 80.43%,观察组有效率为 96.65%,两组有效率比较,差异有统计学意义(P<0.05).两组患者治疗后中医证候积分、洼田饮水试验评分低于本组治疗前,语言能力、吞咽障碍特异性生活质量量表(swallowing quality of life,SWAL-QOL)、简易精神状态量表(mini-mental state examination,MMSE)、蒙特利尔认知评估量表(Montreal cognitive assessment,MoCA)、日常生活能力量表(activity of daily living scale,ADL)评分高于本组治疗前,且治疗后组间比较,差异有统计学意义(P<0.05).结论:醒脑开窍针法联合康复训练治疗中风后遗症,可改善患者语言能力及吞咽障碍,提高认知功能及日常生活能力.
Objective:To observe the clinical efficacy of acupuncture for activating brain for resuscitation combined with rehabilitation training on speech and swallowing disorders in patients with stroke sequelae.Methods:A total of 92 patients with speech and swallowing disorders with stroke sequelae who were treated in Ganzhou People's Hospital from January 2021 to June 2022 were randomly divided into the control group and the observation group,with 46 cases in each group.The control group was treated with conventional treatment combined with rehabilitation training,while the observation group was treated with acupuncture for activating brain for resuscitation on the basis of the control group for one month.The TCM syndrome scores,language ability,Watian drinking water test score,swallowing,quality of life,adverse reactions and so on were compared between the two groups.Results:The effective rate of the control group was 80.43%,while that of the observation group was 96.65%,with a statistically significant difference between the two groups(P<0.05).After treatment,the TCM syndrome scores and Watian drinking water test scores of the two groups were significantly decreased(P<0.05),and the language ability,SWAL-QOL,MMSE,MoCA,ADL scores were significantly increased(P<0.05),and there were statistically significant differences between the two groups(P<0.05).Conclusion:Acupuncture for activating brain for resuscitation combined with rehabilitation training can improve speech and swallowing disorders in patients with stroke sequelae.
杨晓鸿;邹敏刚
赣州市人民医院,江西 赣州 341000
中医学
中风后遗症;言语障碍;吞咽障碍;醒脑开窍针法;康复训练
stroke sequelae;speech disorder;swallowing disorder;acupuncture for activating brain for resuscitation;rehabilitation train-ing
《河南中医》 2024 (004)
595-599 / 5
江西省中医药管理局科技计划项目(20218165)
10.16367/j.issn.1003-5028.2024.04.0112
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