CAJ | 학술논문

目的：探讨康复训练和吞咽治疗仪，配合针灸治疗带有气管插管吞咽障碍患者的疗效。方法随机将32例患者分成两组，中西医结合治疗组和电针灸治疗组。中西医结合治疗组进行康复训练，同时使用吞咽治疗仪，并配合针灸治疗，电针灸治疗组只进行针灸治疗。两组患者分别在治疗前与治疗后都使用吞咽障碍评定表（参照藤岛一郎吞咽障碍疗效评定标准）进行吞咽障碍的评价。治疗前，对比中西医结合治疗组和电针灸治疗组患者的吞咽障碍程度，无显著性差异（P＞0.05）。结果经过30d的中西医综合治疗以后进行评定，中西医结合治疗组的吞咽功能明显优于电针灸治疗组（P＜0.05）。结论中西医综合治疗置留气管插管吞咽障碍的患者，效果明显。
목적：탐토강복훈련화탄인치료의，배합침구치료대유기관삽관탄인장애환자적료효。방법수궤장32례환자분성량조，중서의결합치료조화전침구치료조。중서의결합치료조진행강복훈련，동시사용탄인치료의，병배합침구치료，전침구치료조지진행침구치료。량조환자분별재치료전여치료후도사용탄인장애평정표（삼조등도일랑탄인장애료효평정표준）진행탄인장애적평개。치료전，대비중서의결합치료조화전침구치료조환자적탄인장애정도，무현저성차이（P＞0.05）。결과경과30d적중서의종합치료이후진행평정，중서의결합치료조적탄인공능명현우우전침구치료조（P＜0.05）。결론중서의종합치료치류기관삽관탄인장애적환자，효과명현。
Objective To investigate the curative effect of rehabilitation training and PHYSIOMED swallowing therapeutic apparatus, with acupuncture treatments on the dysphagia patients with endotracheal intubation. Methods 32 patients were randomly divided into two groups, including traditional Chinese and western medicine treatment group and electric acupuncture treatment group. Rehabilitation training, PHYSIOMED swallowing therapeutic apparatus and electric acupuncture treatment were used in the traditional Chinese and western medicine treatment group. Meanwhile, electric acupuncture treatment group only under the treatment of electric acupuncture. Dysphagia evaluation form was used in both two groups of patients before and after the treatments for the evaluation of dysphagia. Before treatments, there is no significant difference between traditional Chinese and western medicine treatment group and electric acupuncture treatment group (P>0.05). Results After 30 days of treatments, integrated Chinese and western medicine treatment is superior to the electric acupuncture treatment group (P<0.05). Conclusion The curative effect of rehabilitation training and PHYSIOMED swallowing therapeutic apparatus, with acupuncture treatments on the dysphagia patients with endotracheal intubation is obvious.