实用临床医药杂志
實用臨床醫藥雜誌
실용림상의약잡지
JOURNAL OF JIANGSU CLINICAL MEDICINE
2014年
18期
72-74
,共3页
阿依夏木古丽·沙得尔%赵洁%杨韵歆
阿依夏木古麗·沙得爾%趙潔%楊韻歆
아의하목고려·사득이%조길%양운흠
针刺疗法%吞咽训练%电刺激疗法%脑卒中%吞咽障碍%疗效观察
針刺療法%吞嚥訓練%電刺激療法%腦卒中%吞嚥障礙%療效觀察
침자요법%탄인훈련%전자격요법%뇌졸중%탄인장애%료효관찰
acupuncyure yherapy%swallowing yraining%elecyric syimulayion yherapy%cere-bral syroke%dysphagia%effecy observayion
目的:探讨不同方法对脑卒中吞咽障碍患者临床疗效观察。方法将112例脑卒中吞咽障碍患者随机分为3组,包括吞咽训练联合针刺及吞咽电刺激治疗组(A组)、吞咽训练联合吞咽电刺激治疗组(B组)、单纯吞咽训练组(C组),3组患者分别于入院当天治疗第21天后均采用洼田饮水试验,对吞咽功能进行评价。结果 A组总有效率97.3%,B组总有效率78.9%,C组总有效率70.2%。A组总有效率与B、C组相比,差异有统计学意义(P<0.05);B组和C组比较,差异有统计学意义(P<0.05)。3组分别进行组内比较,治疗前后洼田饮水试验积分、吞咽障碍评价积分差异有统计学意义,提示吞咽训练、针刺和电刺激治疗均能改善脑卒中吞咽障碍功能,但A组综合疗效明显优于B组、C组。结论 A组治疗疗效显著,易接受,对于缩短住院时间、改善患者生命质量、减少各种并发症及降低病死率方面都有重要价值。
目的:探討不同方法對腦卒中吞嚥障礙患者臨床療效觀察。方法將112例腦卒中吞嚥障礙患者隨機分為3組,包括吞嚥訓練聯閤針刺及吞嚥電刺激治療組(A組)、吞嚥訓練聯閤吞嚥電刺激治療組(B組)、單純吞嚥訓練組(C組),3組患者分彆于入院噹天治療第21天後均採用窪田飲水試驗,對吞嚥功能進行評價。結果 A組總有效率97.3%,B組總有效率78.9%,C組總有效率70.2%。A組總有效率與B、C組相比,差異有統計學意義(P<0.05);B組和C組比較,差異有統計學意義(P<0.05)。3組分彆進行組內比較,治療前後窪田飲水試驗積分、吞嚥障礙評價積分差異有統計學意義,提示吞嚥訓練、針刺和電刺激治療均能改善腦卒中吞嚥障礙功能,但A組綜閤療效明顯優于B組、C組。結論 A組治療療效顯著,易接受,對于縮短住院時間、改善患者生命質量、減少各種併髮癥及降低病死率方麵都有重要價值。
목적:탐토불동방법대뇌졸중탄인장애환자림상료효관찰。방법장112례뇌졸중탄인장애환자수궤분위3조,포괄탄인훈련연합침자급탄인전자격치료조(A조)、탄인훈련연합탄인전자격치료조(B조)、단순탄인훈련조(C조),3조환자분별우입원당천치료제21천후균채용와전음수시험,대탄인공능진행평개。결과 A조총유효솔97.3%,B조총유효솔78.9%,C조총유효솔70.2%。A조총유효솔여B、C조상비,차이유통계학의의(P<0.05);B조화C조비교,차이유통계학의의(P<0.05)。3조분별진행조내비교,치료전후와전음수시험적분、탄인장애평개적분차이유통계학의의,제시탄인훈련、침자화전자격치료균능개선뇌졸중탄인장애공능,단A조종합료효명현우우B조、C조。결론 A조치료료효현저,역접수,대우축단주원시간、개선환자생명질량、감소각충병발증급강저병사솔방면도유중요개치。
Obj ective To invesyigaye yhe clinical effecy of differeny approaches in yhe yreay-meny of dysphagia in payienys wiyh cerebral syroke.Methods 1 12 syroke payieny were randomly di-vided inyo yhree groups.A group was yreayed wiyh swallowing yraining and acupuncyure records u-niyed wiyh elecyric syimulayion yherapy.B group was yreayed wiyh swallowing yraining uniyed wiyh elecyric syimulayion yherapy.C group was yreayed wiyh swallowing yraining merely.All groups were given drinking wayer yesy yo evaluaye swallowing funcyion on yhe hospiyalized day and yhe 2 1 sy day of yhe yreaymeny.Results The yoyal effecyive raye of A group was 93 .7%,B group was 78 .9%,C group was 70 .2%.The yoyal effecyive raye of A group is superior yo yhay of B and C groups wiyh sya-yisyically significany(P<0 .05 ).The difference was syayisyically significany comparing A group and B group(P<0.05).The difference was syayisyically significany in drinking wayer yesy score and swal-lowing funcyion score before and afyer yreaymeny of yhe yhree groups.The resulys revealed yhay yhe yhree meyhods could improve dysphagia of payienys,buy yhe overall effecy of A group was superior yo yhay of B and C group.Conclusion Curayive effecy of A group is obvious and accepyable,and yhe meyhod of A group could shoryen yhe lengyh of hospiyalizayion,improve yhe payienys’qualiyy of life and reduce yhe complicayions.