中国康复
中國康複
중국강복
CHINESE JOURNAL OF REHABILITATION
2014年
6期
409-411
,共3页
脑卒中%吞咽障碍%咽部刺激
腦卒中%吞嚥障礙%嚥部刺激
뇌졸중%탄인장애%인부자격
stroke%dysphagia%pharyngeal stimulation
目的：观察中药冰棒咽部冷刺激对改善脑卒中后吞咽功能障碍的临床疗效。方法：59例脑卒中后吞咽障碍患者随机分为观察组30例和对照组29例。2组均给予常规药物治疗及吞咽功能训练。观察组在此基础上加用中药冰棒咽部冷刺激。治疗前后采用饮水试验评定、标准吞咽功能评估（SSA ）和吞咽障碍特异性生活质量量表（SWAL‐QOL）评定两组患者的吞咽功能及临床疗效。结果：治疗1个月后，2组饮水试验分级及SSA评分均较治疗前明显下降（P＜0．05，0．01），且观察组更低于对照组（P＜0．05）；2组SWAL‐QOL评分均较治疗前明显提高（P＜0．05，0．01），且观察组更高于对照组（P＜0．05）；治疗后，观察组总有效率更优于对照组（P＜0．05）。结论：中药冰棒咽部冷刺激可以明显改善脑卒中患者的吞咽功能，提高患者的生存质量。
目的：觀察中藥冰棒嚥部冷刺激對改善腦卒中後吞嚥功能障礙的臨床療效。方法：59例腦卒中後吞嚥障礙患者隨機分為觀察組30例和對照組29例。2組均給予常規藥物治療及吞嚥功能訓練。觀察組在此基礎上加用中藥冰棒嚥部冷刺激。治療前後採用飲水試驗評定、標準吞嚥功能評估（SSA ）和吞嚥障礙特異性生活質量量錶（SWAL‐QOL）評定兩組患者的吞嚥功能及臨床療效。結果：治療1箇月後，2組飲水試驗分級及SSA評分均較治療前明顯下降（P＜0．05，0．01），且觀察組更低于對照組（P＜0．05）；2組SWAL‐QOL評分均較治療前明顯提高（P＜0．05，0．01），且觀察組更高于對照組（P＜0．05）；治療後，觀察組總有效率更優于對照組（P＜0．05）。結論：中藥冰棒嚥部冷刺激可以明顯改善腦卒中患者的吞嚥功能，提高患者的生存質量。
목적：관찰중약빙봉인부랭자격대개선뇌졸중후탄인공능장애적림상료효。방법：59례뇌졸중후탄인장애환자수궤분위관찰조30례화대조조29례。2조균급여상규약물치료급탄인공능훈련。관찰조재차기출상가용중약빙봉인부랭자격。치료전후채용음수시험평정、표준탄인공능평고（SSA ）화탄인장애특이성생활질량량표（SWAL‐QOL）평정량조환자적탄인공능급림상료효。결과：치료1개월후，2조음수시험분급급SSA평분균교치료전명현하강（P＜0．05，0．01），차관찰조경저우대조조（P＜0．05）；2조SWAL‐QOL평분균교치료전명현제고（P＜0．05，0．01），차관찰조경고우대조조（P＜0．05）；치료후，관찰조총유효솔경우우대조조（P＜0．05）。결론：중약빙봉인부랭자격가이명현개선뇌졸중환자적탄인공능，제고환자적생존질량。
Objective:To explore the effect of pharyngeal ice stimulation with traditional Chinese medicine on swal‐lowing disorders following stroke .Methods:Fifty‐nine patients with swallowing disorders following stroke were randomly divided into observation group (n=30) and control group (n=29) .Both groups were given ordinary drug treatment and swallowing functional training .The patients in observation group were given pharyngeal ice stimula‐tion with traditional Chinese Medicine additionally .Both groups were evaluated with water drinking test ,Standard Swallowing Assessment (SSA) and Swallow Quality‐of‐life (SWAL‐QOL) before and after treatment .Results:Af‐ter treatment for one month ,the two groups had significant decreases in the rank of water drinking test and SSA (P<0 .05 ,or 0 .01) ,and the scores in observation group were lower than in the control group (P<0 .05) .The scores of SWAL‐QOL were significantly increased in the two groups (P<0 .05 ,or 0 .01) ,and those in the observa‐tion group were significantly higher than in the control group (P<0 .05) .After treatment ,the total effective rate in the observation group was obviously higher than in the control group .Conclusion:Pharyngeal ice stimulation with traditional Chinese medicine is effective in improving swallowing function and quality of life .
