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中医综合疗法治疗中风后吞咽障碍临床观察(PDF)

《云南中医学院学报》[ISSN:1000-2723/CN:53-1048/R]

期数:
2016年02期
页码:
66-69
栏目:
临床研究
出版日期:
2016-04-10

文章信息/Info

Title:
Clinical Observation of Traditional Chinese Medicine ComprehensiveTreatment of Swallowing Disorders
作者:
王朝霞1庞敬涛2黎红1刘凯2杨冉2
1. 潍坊市中医院,山东 潍坊 261041;2. 潍坊医学院,山东 潍坊 261053
Author(s):
WANG Zhaoxia1 PANG Jingtao2 LI Hong1 LIU Kai2 YANG Ran2
1. Weifang Hospital of Traditional Chinese Medcine, Weifang 261041, China;2. Weifang Medical University, Weifang 261053, China
关键词:
中风 吞咽障碍 中医 针灸 中药 综合疗法 疗效观察
Keywords:
stroke dysphagia traditional Chinese medicine acupuncture Chinese material medica comprehensive therapy efficacy observation
分类号:
R255.2
DOI:
10.19288/j.cnki.issn.1000-2723.2016.02.018
文献标识码:
A
摘要:
目的观察中医综合疗法对中风后吞咽障碍的影响,以探讨一种有效的治疗方案。方法将70例中风后吞咽障碍患者随机分为治疗组和对照组各35例。治疗组采用中药颗粒、针灸及常规治疗;对照组给予康复训练及常规治疗。疗程4周。治疗前后分别比较洼田饮水试验、VFSS评分及吸入性肺炎的发生率。结果治疗后2组患者洼田饮水试验、VFSS评分较治疗前均有改善,治疗组更为明显,2组差异有统计学意义(P<0.05),且治疗组吸入性肺炎的发生率更低。结论中医综合治疗能有效改善吞咽功能,减少吸入性肺炎的发生,提高患者生活质量。
Abstract:
Objective To observe effect of integrated therapy of traditional Chinese medicine on swallowing disorder after stroke。Methods 70 patients with swallowing disorder after stroke was randomly divided into treatment group(n=35) and the control group(n=35). The treatment group was treated with Chinese medicine granules, acupuncture and conventional treatment and the control group with rehabilitation training and conventional treatment, both of them for 4 weeks. We compared the water swallow tests、Videofluoroscopic swallowing study(VFSS) and the incidence of aspiration pneumonia before and after treatment. Results The scores of water swallow tests and Videofluoroscopic swallowing study(VFSS) were significantly improved after treatment in both groups, And the treatment group improved more significantly(P<0.05). Patients in treatment group had higher score of water swallow tests and Videofluoroscopic swallowing study(VFSS) and lower incidence of aspiration pneumonia than control group(P<0.05). Conclusion The integrated traditional Chinese medicine therapy is effective in improving swallowing function, reducing the occurrence of aspiration pneumonia and improving the quality of life.

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备注/Memo

备注/Memo:
* 基金项目: 潍坊市卫生局中医药科研项目(2008005) 收稿日期: 2016 - 03 - 01 作者简介: 王朝霞(1970-),女,山东寿光人,主任中医师,研究方向:中西医结合治疗脑血管病。E-mail:wangzhaoxia2004@126.com
更新日期/Last Update: 2016-03-20