涤痰利咽汤辅治脑梗死吞咽功能障碍临床观察OA
目的:观察涤痰利咽汤辅治脑梗死吞咽功能障碍风痰瘀阻型的临床疗效.方法:120例随机分为两组各60例.两组均用涤痰开窍针法和常规吞咽功能训练,观察组加用涤痰利咽汤治疗.结果:治疗后观察组VFSS评分高于对照组(P<0.05).治疗后观察组WST评分低于对照组(P<0.05),sEMG最大波幅值大于对照组(P<0.05),血清学指标IGF-1、PAO及H-FABP水平低于对照组(P<0.05),总有效率高于对照组(P<0.05).结论:涤痰利咽汤辅治脑梗死吞咽功能障碍风痰瘀阻型可提高疗效.
Objective:To observe the clinical efficacy of Ditan Liyan Decoction as an adjuvant treatment for dysphagia in patients with cerebral infarction of the wind-phlegm and blood-stasis type.Methods:A total of 120 patients were randomly divided into two groups,with 60 cases in each group.Both groups received the phlegm-resolving and orifice-opening acupuncture method and routine swallowing function training,and the observation group was additionally treated with Ditan Liyan Decoction.Results:After treatment,the VFSS score in the observation group was higher than that in the control group(P<0.05).The WST score was lower(P<0.05);the maximum amplitude of sEMG was greater(P<0.05);the serum levels of IGF-1,PAO,and H-FABP were lower than those of the control group(P<0.05).The total effective rate was higher than that of the control group(P<0.05).Conclusion:Ditan Liyan Decoction as an adjuvant therapy could improve the therapeutic effect on dysphagia in cerebral infarction with the wind-phlegm and blood-stasis type.
翟甫;孔艳芳;刘建东;秦合伟
河南省中医院(河南中医药大学第二附属医院),河南 郑州 450002河南省中医院(河南中医药大学第二附属医院),河南 郑州 450002河南省驻马店市中医院康复科,河南 驻马店 463000河南省中医院(河南中医药大学第二附属医院),河南 郑州 450002
医药卫生
脑梗死吞咽障碍涤痰利咽方
Cerebral infarctionDysphagiaDitan Liyan Decoction
《实用中医药杂志》 2026 (8)
1455-1457,3
河南省中医药科学研究专项课题(2023ZY2068)河南省中医学"双一流"创建科学研究专项课题(HSRP-DFCTCM-2023-3-27)
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