吞咽十针快针疗法联合吞咽治疗仪治疗假性球麻痹吞咽障碍临床观察OA
Clinical Observation on the Treatment of Pseudobulbar Paralysis Dysphagia with Swallowing Ten-Needle Rapid Acupuncture Therapy Combined with Swallowing Therapy Apparatus
目的:观察吞咽十针快针疗法联合吞咽治疗仪治疗假性球麻痹吞咽障碍的临床疗效.方法:选取2023年8月—2024年8月安阳市中医院收治的假性球麻痹吞咽障碍患者60例作为研究对象,按随机数字表法分为对照组和观察组各30例,对照组给予吞咽治疗仪治疗,观察组在此基础上给予吞咽十针快针治疗.经治3周后,比较两组患者吞咽功能[洼田饮水试验量表(WST)、吞咽功能评定量表(SSA)、吞咽质量生活量表(SWAL-QOL)]评分,临床疗效、神经功能(NIHSS)评分和摄食能力(FOIS)评分,及安全性指标(局部感染、血肿、气胸等).结果:治疗后,观察组WST、SSA评分均优于对照组(P<0.05),SWAL-QOL评分高于对照组(P<0.05);观察组临床总有效率为100.00%(30/30),高于对照组的93.33%(28/30)(P<0.05);观察组NIHSS、FOIS评分均低于对照组(P<0.05);治疗期间,两组患者均未出现局部感染、血肿、创伤性气胸等不良反应.结论:吞咽十针快针疗法联合吞咽治疗仪治疗假性球麻痹吞咽障碍,可有效改善患者吞咽功能,促进神经功能恢复,提高生活质量.
Objective:To observe the clinical efficacy of Swallowing ten-needle rapid acupuncture therapy com-bined with swallowing therapy device in the treatment of pseudobulbar paralysis dysphagia.Methods:Sixty pa-tients with pseudobulbar paralysis dysphagia admitted to Anyang Traditional Chinese Medicine Hospital from Au-gust 2023 to August 2024 were selected as study subjects and divided into control group and observation group,with 30 patients in each group,according to random number table method.The control group was treated with a swallowing therapy device,while the observation group received additional swallowing ten-needle rapid acu-puncture therapy based on the control group.After 3 weeks of treatment,the two groups were compared in terms of swallowing function scores[Watashita Water Swallowing Test(WST),Swallowing Scale Assessment(SSA),Swallowing Quality of Life Assessment(SWAL-QOL)],the clinical efficacy,neurological function(NIHSS)scores,and feeding ability(FOIS)scores,and safety indicators(local infection,hematoma,pneumothorax,etc).Results:After treatment,the WST and SSA scores in the observation group were superior to those in the control group(P<0.05),while the SWAL-QOL score was higher than the control group(P<0.05).The to-tal effective rate in the observation group was 100.00%(30/30),which was higher than that in the control group[93.33%(28/30)](P<0.05).The NIHSS and FOIS scores in the observation group were lower than those in the control group(P<0.05).Neither group experienced adverse reactions such as local infection,he-matoma,or traumatic pneumothorax during treatment.Conclusion:The combination of swallowing therapy device and swallowing ten-needle rapid acupuncture therapy can effectively improve swallowing function,promote neu-rological recovery,and enhance quality of life in patients with pseudobulbar paralysis dysphagia.
朱华;任韶凯
安阳市中医院,河南安阳 455000安阳市中医院,河南安阳 455000
医药卫生
吞咽十针吞咽治疗仪快针疗法假性球麻痹吞咽障碍临床报道
Swallowing ten needlesSwallowing therapy deviceRapid acupuncture therapyPseudobulbar palsyDysphagiaClinical report
《国医论坛》 2026 (1)
32-36,5
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