基于"任督通调"理论中药冰刺激联合中医适宜技术干预治疗卒中后吞咽障碍的研究OA

Objective To evaluate the clinical efficacy of herbal ice stimulation guided by the theory of harmonizing the Ren and Du meridians combined with appropriate traditional Chinese medicine(TCM)techniques in patients with post-stroke dysphagia.Methods Ninety patients with post-stroke dysphagia treated between January 2022 and December 2023 were enrolled and randomly assigned by drawing lots to a study group or a control group,with 45 patients in each group.The control group received routine rehabilitation interventions.The study group received the same routine care plus adjunctive herbal ice stimulation based on the theory of harmonizing the Ren and Du meridians together with appropriate TCM techniques.After four treatment courses,the two groups were compared on swallowing function,measured by the water swallow test(WST),the Swallowing Function Assessment Scale(SSA),and the Functional Oral Intake Scale(FIOS);surface electromyography parameters,including swallowing time and maximum amplitude;nutritional status,represented by serum prealbumin(ALB),total protein(TP),and albumin(PA);and quality of life assessed by the General Quality of Life Inventory-74(GQOLI-74)across psychological,physical,social function,and material life status domains.Results Relative to baseline,both groups showed significant improvement in swallowing function after treatment:WST and SSA scores decreased(P＜0.05)and FIOS scores increased(P＜0.05).Post-treatment,the study group had significantly lower WST and SSA scores and higher FIOS scores than the control group(P＜0.05).Surface electromyography showed increased maximum amplitude and shortened swallowing time in both groups compared with baseline(P＜0.05).The study group demonstrated greater increases in maximum amplitude and shorter swallowing time than the control group after treatment(P＜0.05).Nutritional markers ALB,PA,and TP rose significantly in both groups after treatment(P＜0.05),with higher post-treatment ALB,PA,and TP levels in the study group compared with the control group(P＜0.05).Quality of life scores on the GQOLI-74 in psychological,physical,material life status,and social function domains improved in both groups after treatment(P＜0.05),and improvements were greater in the study group than in the control group(P＜0.05).Conclusion The combined intervention of herbal ice stimulation based on the theory of harmonizing the Ren and Du meridians and appropriate TCM techniques provided satisfactory benefits for patients post-stroke dysphagia.The intervention improved swallowing function and oral intake capacity,enhanced electromyographic indicators,elevated nutritional markers,and improved overall quality of life.