CAJ | 학술논문

目的：研究针灸康复疗法治疗中风后吞咽障碍的临床疗效。方法：选择2012年2月～2014年3月我院接诊的100例中风后吞咽障碍的患者进行研究。随机分为实验组和对照组。实验组50例，对照组50例。实验组采用针灸康复疗法，对照组采用常规的康复疗法。比较两组患者的治疗效果和VFSS评分。结果：实验组患者与对照组患者的痊愈率为18.00%和6.00%；实验组的显效率、有效率都明显高于对照组；实验组的总有效率为92.00%，对照组的总有效率为44.00%，两组比较具有统计学意义（u=4.5874，P﹤0.0001）；第一周时，实验组患者的VFSS评分明显高于对照组两组比较有统计学意义（t=7.9275，P﹤0.0001）；第二周时，实验组患者的 VFSS 评分明显高于对照组两组比较有统计学意义（t=9.3113，P﹤0.0001）；第三周时，实验组患者的VFSS评分明显高于对照组两组比较有统计学意义（t=6.3571，P﹤0.0001）。结论：针灸康复疗法治疗中风后吞咽障碍的临床疗效良好，值得临床上加以应用。
목적：연구침구강복요법치료중풍후탄인장애적림상료효。방법：선택2012년2월～2014년3월아원접진적100례중풍후탄인장애적환자진행연구。수궤분위실험조화대조조。실험조50례，대조조50례。실험조채용침구강복요법，대조조채용상규적강복요법。비교량조환자적치료효과화VFSS평분。결과：실험조환자여대조조환자적전유솔위18.00%화6.00%；실험조적현효솔、유효솔도명현고우대조조；실험조적총유효솔위92.00%，대조조적총유효솔위44.00%，량조비교구유통계학의의（u=4.5874，P﹤0.0001）；제일주시，실험조환자적VFSS평분명현고우대조조량조비교유통계학의의（t=7.9275，P﹤0.0001）；제이주시，실험조환자적 VFSS 평분명현고우대조조량조비교유통계학의의（t=9.3113，P﹤0.0001）；제삼주시，실험조환자적VFSS평분명현고우대조조량조비교유통계학의의（t=6.3571，P﹤0.0001）。결론：침구강복요법치료중풍후탄인장애적림상료효량호，치득림상상가이응용。
Objective:To study the clinical efficacy of acupuncture and rehabilitation therapy on dysphagia after stroke. Methods:100 cases with dysphagia after stroke in our hospital from February, 2012 to March, 2014 were selected and randomly divided into the experiment group and the control group, 50 cases in each group. Patients in the experiment group were treated with acupuncture and rehabilitation therapy, while patients in the control group were treated with conventional therapy. The curative effects and VFSS scores of the two groups were compared. Results:The curative rates of the experiment group and the control group were respectively 18.00%and 6.00%. The markedly effective rate and the effective rate of the experiment group were obviously higher than those of the control group;the total effective rate of the control group was 92.00%, that of the control group was 44.00%, the comparison of the two groups had statistical significance(u=4.5874,P<0.0001);in the 1st week, VFSS scores of the experiment group was significantly higher than that of the control group with statistical significance(t=7.9275,P<0.0001); in the 2nd week, VFSS scores of the experiment group was significantly higher than that of the control group with statistical significance(t=9.3113,P<0.0001);in the 3rd week, VFSS scores of the experiment group was significantly higher than that of the control group with statistical significance(t=6.3571,P<0.0001). Conclusion:Acupuncture and rehabilitation therapy has good effect on dysphagia after stroke which is worthy of clinical application.