中国医药科学
中國醫藥科學
중국의약과학
CHINA MEDICINE AND PHARMACY
2015年
5期
64-65,74
,共3页
针刺%预防%脑梗死%吞咽困难%肺炎
針刺%預防%腦梗死%吞嚥睏難%肺炎
침자%예방%뇌경사%탄인곤난%폐염
Acupuncture%Preventive%Cerebral infarction%Dysphagia%Pneumonia
目的：分析针刺康复疗法对脑梗死伴有吞咽障碍相关性肺炎的预防作用。方法将92例脑梗死伴吞咽困难患者，随机分为接受脑梗死常规治疗的A组和接受联合常规及针刺康复疗法治疗的B组，每组46例。对针刺康复疗法对脑梗死伴吞咽困难相关性肺炎的预防效果进行分析。结果 B组有相关性肺炎发生率为52.17%（24例），而A组为71.74%（34例），B组明显低于A组（P＜0.05）；同时B组脑梗死相关性肺炎的症状消失、体征消失及抗生素应用时间分别为（4.16±1.66）d、（7.17±2.33）d及（6.51±1.83）d明显短于A组的（5.37±2.33）d、（8.62±2.17）d及（8.02±2.27）d，两组比较差异具有统计学意义（P＜0.05）；且B组相关性肺炎治疗总有效率为71.74%均明显优于A组的50.00%（P＜0.05）。结论脑梗死伴吞咽困难患者接受针刺康复治疗可有效降低相关性肺炎发生率，且可有助于相关性肺炎的临床治疗。
目的：分析針刺康複療法對腦梗死伴有吞嚥障礙相關性肺炎的預防作用。方法將92例腦梗死伴吞嚥睏難患者，隨機分為接受腦梗死常規治療的A組和接受聯閤常規及針刺康複療法治療的B組，每組46例。對針刺康複療法對腦梗死伴吞嚥睏難相關性肺炎的預防效果進行分析。結果 B組有相關性肺炎髮生率為52.17%（24例），而A組為71.74%（34例），B組明顯低于A組（P＜0.05）；同時B組腦梗死相關性肺炎的癥狀消失、體徵消失及抗生素應用時間分彆為（4.16±1.66）d、（7.17±2.33）d及（6.51±1.83）d明顯短于A組的（5.37±2.33）d、（8.62±2.17）d及（8.02±2.27）d，兩組比較差異具有統計學意義（P＜0.05）；且B組相關性肺炎治療總有效率為71.74%均明顯優于A組的50.00%（P＜0.05）。結論腦梗死伴吞嚥睏難患者接受針刺康複治療可有效降低相關性肺炎髮生率，且可有助于相關性肺炎的臨床治療。
목적：분석침자강복요법대뇌경사반유탄인장애상관성폐염적예방작용。방법장92례뇌경사반탄인곤난환자，수궤분위접수뇌경사상규치료적A조화접수연합상규급침자강복요법치료적B조，매조46례。대침자강복요법대뇌경사반탄인곤난상관성폐염적예방효과진행분석。결과 B조유상관성폐염발생솔위52.17%（24례），이A조위71.74%（34례），B조명현저우A조（P＜0.05）；동시B조뇌경사상관성폐염적증상소실、체정소실급항생소응용시간분별위（4.16±1.66）d、（7.17±2.33）d급（6.51±1.83）d명현단우A조적（5.37±2.33）d、（8.62±2.17）d급（8.02±2.27）d，량조비교차이구유통계학의의（P＜0.05）；차B조상관성폐염치료총유효솔위71.74%균명현우우A조적50.00%（P＜0.05）。결론뇌경사반탄인곤난환자접수침자강복치료가유효강저상관성폐염발생솔，차가유조우상관성폐염적림상치료。
Objective To analyze the preventive effect of acupuncture with rehabilitation in associated pneumonia of cerebral infarction with dysphagia.Methods 92 patients with cerebral infarction with dysphagia were randomly divided into A group who was treated with routine treatment and B group who was treated with acupuncture with rehabilitation,with 46 cases in each group.To analyze the preventive effect of acupuncture with rehabilitation in associated pneumonia of cerebral infarction with dysphagia.Results The incidence of associated pneumonia in B group of 52.17%(24 cases) was significant lower than which in A group of 71.74%(34 cases),the time of symptoms disappeared,signs disappeared and antibiotic application were significant shorter in B group of (4.16±1.66)d, (7.17±2.33)d,(6.51±1.83)d than which in A group of (5.37±2.33)d,(8.62±2.17)d,(8.02±2.27)d,the total effective rate of associated pneumonia in B group of 71.74% was significant better than which in A group of 50.00%,the differences were statically significant(P<0.05).ConclusionAcupuncture with rehabilitation in patients with cerebral infarction with dysphagia could effectively reduce the reduce of associated pneumonia,is conducive to clinical treatment of associated pneumonia.
