柴苓汤结合传统吞咽及神经肌肉电刺激疗法治疗缺血性脑卒中后吞咽障碍的临床效果

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Abstract Objective To observe the clinical effect of Chailing Decoction combined with traditional swallowing and neuromuscular electrical stimulation (NMES) in the treatment of dysphagia after ischemic stroke. Methods One hundred patients with dysphagia after ischemic stroke treated in Huzhou First People’s Hospital from July 2019 to June 2020 were selected and divided into control group and treatment group according to random number table method, with 50 cases in each group. Control group was given routine drugs for stroke, and the swallowing function was repaired by traditional swallowing therapy and NMES. In addition to the above treatment, treatment group was treated with Chailing Decoction orally or nasal feeding. Both groups were treated for four weeks. Before and after treatment, the clinical effects were compared by water swallow test, National Institutes of Health stroke scale (NIHSS) and videofluoroscopic swallowing study (VFSS). Results The total clinical effective rate in treatment group was higher than that in control group (P < 0.05). After treatment, the scores of water swallow test and NIHSS in two groups were lower than those before treatment, and VFSS scores in two groups were higher than those before treatment, the scores of water swallow test and NIHSS in treatment group were lower than those in control group, and the score of VFSS in treatment group was higher than that in control group, the differences were statistically significant (P < 0.05). Conclusion Chailing Decoction combined with traditional swallowing and neuromuscular electrical stimulation has good effect in relieving dysphagia after ischemic stroke and it is worthy of clinical promotion.

Key words： Ischemic stroke Dysphagia Chailing Decoction Rehabilitation

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	ZHANG Xu1 ZHANG Shasha2 LYU Wenliang3

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ZHANG Xu1 ZHANG Shasha2 LYU Wenliang3. Clinical effect of Chailing Decoction combined with traditional swallowing and neuromuscular electrical stimulation in the treatment of dysphagia after ischemic stroke#br#[J]. 中国医药导报, 2022, 19(4): 124-127.

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https://www.yiyaodaobao.com.cn/EN/ OR https://www.yiyaodaobao.com.cn/EN/Y2022/V19/I4/124

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