文章摘要
周红,栗先增,周金洁,霍红梅,陈岑,高晓丽.早期中医康复对脑卒中患者吞咽障碍及生活质量的影响[J].中国临床保健杂志,2018,21(1):96-99.
早期中医康复对脑卒中患者吞咽障碍及生活质量的影响
Early rehabilitation nursing of traditional Chinese medicine on quality of life in stroke patients with dysphagia and effects
投稿时间:2017-12-15  
DOI:10.3969/J.issn.1672-6790.2018.01.027
中文关键词: 卒中  吞咽障碍  生活质量  中医康复
英文关键词: Stroke  Deglutition disorders  Quality of life  Rehabilitation
基金项目:江苏省苏州市科技发展计划(SYSD2015153)
作者单位E-mail
周红 苏州大学附属第二医院中医康复科,苏州 215004 lxhlyb@sina.com 
栗先增 苏州大学附属第二医院中医康复科,苏州 215004  
周金洁 苏州大学附属第二医院中医康复科,苏州 215004  
霍红梅 苏州大学附属第二医院中医康复科,苏州 215004  
陈岑 苏州大学附属第二医院中医康复科,苏州 215004  
高晓丽 苏州大学附属第二医院中医康复科,苏州 215004  
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中文摘要:
      目的 探讨早期中医康复对于脑卒中吞咽障碍及生活质量的应用价值。方法 选取脑卒中吞咽功能障碍的患者150例,按照随机数字表法分为观察组和对照组,各75例。对照组患者进行常规脑卒中后康复,观察组在对照组的基础上进行穴位按摩、艾灸疗法、中药冷刺激和情志疏导等中医康复干预。两组患者均进行1个月的康复干预,观察并比较两组日常生活活动能力(Barthel评分法)、治疗效果、吞咽能力:洼田饮水试验功能评级和反复唾液吞咽试验次数、以及并发症的发生情况。结果 在进行康复干预前,两组脑卒中患者的Barthel评分、吞咽能力评定相比较均无统计学意义(P>0.05)。经1个月的康复后,观察组患者的Barthel评分明显高于对照组;观察组脑卒中患者治疗总有效率为89.3%,对照组为74.6%;观察组患者饮水试验功能评级为(1.62±0.39)级,对照组为(2.38±0.61)级;观察组反复唾液吞咽试验次数为(4.58±1.64)次,对照组为(4.09±1.23)次。以上两组患者的对比结果,差异均有统计学意义(P<0.05)。观察组患者并发症发生率为13.3%,对照组为24.1%。结论 早期对脑卒中患者进行中医康复干预,可以改善患者的吞咽障碍、提高吞咽能力,还能降低患者在治疗过程中并发症的发生率,提高患者生活质量与日常生活能力。
英文摘要:
      Objective To explore the application value of early rehabilitation of traditional Chinese medicine on dysphagia and quality of life in stroke patients.Methods 150 patients with stroke swallowing dysfunction were treated in The Second Hospital Affiliated to Suzhou University.They were divided into observation group and control group according to random number table,75 cases in each group.The control group received routine rehabilitation after stroke,while the observation group received acupoint massage,moxibustion therapy,cold stimulation and emotional counseling on the basis of the control group.2 groups of patients were 1 months of rehabilitation intervention,observed and compared 2 groups of activities of daily living (Barthel score),treatment effect,swallowing ability:wa drinking water test function rating and repeated saliva swallowing test frequency,and the occurrence of complications.Results Before rehabilitation intervention,there was no significant difference in Barthel score and swallowing ability between the 2 groups(P>0.05).After 1 months of rehabilitation,the Barthel score of the observation group was significantly higher than that of the control group;the observation group therapy for stroke patients the total effective rate was 89.3%,74.6% in the control group;the patients in the observation group were drinking water test function rating (1.62±0.39),control group (2.38±0.61);the observation group repeated saliva swallowing the number of tests for (4.58±1.64) and control group (4.09±1.23).The comparison of the above 2 groups of patients,the differences were statistically significant (P<0.05) the complication rate of observation group was 13.3%,24.1% in the control group.Conclusion Early rehabilitation treatment can improve the patient′s swallowing disorders,improve swallowing ability of stroke patients,and can reduce the incidence of complications in patients with treatment,improve the quality of life and daily life ability of patients.
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