光明中医
光明中醫
광명중의
GUANG MING JOURNAL TRADITIONAL CHINESE MEDICINE
2014年
7期
1463-1465
,共3页
崔秀萍%李淑景%罗霞%周娃妮
崔秀萍%李淑景%囉霞%週娃妮
최수평%리숙경%라하%주왜니
吞咽障碍%心理干预%焦虑%抑郁
吞嚥障礙%心理榦預%焦慮%抑鬱
탄인장애%심리간예%초필%억욱
Dysphasia%Psychological intervention%Anxiety%Depression
目的：探讨电针结合心理干预对真性延髓麻痹患者吞咽功能的治疗作用。方法将50例吞咽障碍者随机分为电针组（n＝25），电针结合心理干预组（n＝25）；电针组采用电针及普通针刺治疗，针灸及心理干预治疗组采用电针结合心理干预。每周治疗5天，连续治疗4周。两组患者在治疗前后用洼田饮水实验，汉密尔顿焦虑量表（HAMA），汉密尔顿抑郁量表（HAMD）进行量化评估。结果治疗后两组患者吞咽功能均有改善（P＜0.05），但电针结合心理干预组疗效好于针灸组（P＜0.05）。治疗后电针组抑郁与焦虑分值下降，但较治疗前无差异（ P＞0.05），电针结合心理干预组治疗后的抑郁与焦虑分值明显下降，且与治疗前比较有显著性差异（ P＜0.05）。结论电针结合心理干预能更好促进吞咽功能的恢复。
目的：探討電針結閤心理榦預對真性延髓痳痺患者吞嚥功能的治療作用。方法將50例吞嚥障礙者隨機分為電針組（n＝25），電針結閤心理榦預組（n＝25）；電針組採用電針及普通針刺治療，針灸及心理榦預治療組採用電針結閤心理榦預。每週治療5天，連續治療4週。兩組患者在治療前後用窪田飲水實驗，漢密爾頓焦慮量錶（HAMA），漢密爾頓抑鬱量錶（HAMD）進行量化評估。結果治療後兩組患者吞嚥功能均有改善（P＜0.05），但電針結閤心理榦預組療效好于針灸組（P＜0.05）。治療後電針組抑鬱與焦慮分值下降，但較治療前無差異（ P＞0.05），電針結閤心理榦預組治療後的抑鬱與焦慮分值明顯下降，且與治療前比較有顯著性差異（ P＜0.05）。結論電針結閤心理榦預能更好促進吞嚥功能的恢複。
목적：탐토전침결합심리간예대진성연수마비환자탄인공능적치료작용。방법장50례탄인장애자수궤분위전침조（n＝25），전침결합심리간예조（n＝25）；전침조채용전침급보통침자치료，침구급심리간예치료조채용전침결합심리간예。매주치료5천，련속치료4주。량조환자재치료전후용와전음수실험，한밀이돈초필량표（HAMA），한밀이돈억욱량표（HAMD）진행양화평고。결과치료후량조환자탄인공능균유개선（P＜0.05），단전침결합심리간예조료효호우침구조（P＜0.05）。치료후전침조억욱여초필분치하강，단교치료전무차이（ P＞0.05），전침결합심리간예조치료후적억욱여초필분치명현하강，차여치료전비교유현저성차이（ P＜0.05）。결론전침결합심리간예능경호촉진탄인공능적회복。
Objective To explore the therapy effect on dysphasia of true medulla oblongata paralysis treated with electric acupuncture treatment and psychological intervention .Methods 50 cases of patients suffering from dysphagia were randomly divided into two groups , electric acupuncture group ( n=25) received electric acupuncture treatment , while electric acupuncture and psychological intervention group ( n=25) was given electric acupuncture treatment combined with psychological intervention .5 days a week , continuous therapy for 4 weeks. Both of them were quantitatively assessed by Watian drinking water test , Hamilton Depression scale ( HAMD ) and Hamilton anxiety scale (HAMA) before and after treatment.Results The swallowing function improved in both two groups (P <0.05), and psychological intervention group was better than electric acupuncture group (P <0.05).HAMD and HAMA scores droped after treatment in electric acupuncture group, but there were no statistical difference of these scores before and after treatment (P>0.05).HAMD and HAMA scores significantly decreased in the electric acupuncture and psychological intervention group , and there was statistical difference of these scores before and after treatment (P<0.05).Conclusion The combination therapy of electric acupuncture and psychological intervention could promote better swallowing function recovery .
