头部针灸联合吞咽功能治疗仪治疗缺血性脑卒中吞咽障碍的效果

Abstract
Figure/Table
References (24)
Related Citation (15)

Download: PDF (632 KB) HTML (1 KB)
Export: BibTeX | EndNote (RIS)

Abstract Objective To investigate the effect of head acupuncture combined with swallowing function therapy instrument on patients with ischemic stroke. Methods Ninety patients with ischemic stroke from January 2017 to February 2019 in Sanya Hospital of Traditional Chinese Medicine were divided into control group (45 cases) and observation group (45 cases) according to the random number table method. Both groups were given ischemic conventional treatment of stroke, the control group was given acupuncture treatment, and the observation group was given acupuncture combined with swallowing function treatment instrument. The water swallowing test (WST) grading, standard swallowing assessment (SSA) score, swallowing quality of life questionnaire (SWAL-QOL) score, ultrasound index , treatment effects and adverse reactions and complications of the two groups were compared. Results After 4 weeks of treatment, the overall WST grading level of the two groups was better than that before treatment, and the observation group was better than the control group (P ＜ 0.05). After 4 weeks of treatment, SSA score in both groups decreased, SWAL-QOL score increased, SSA score in the observation group was lower than that in the control group, and SWAL-QOL score was higher than that in the control group, the differences were statistically significant (P ＜ 0.05). After 4 weeks of treatment, the motion amplitude and duration of the two groups were increased, and the motion amplitude of the observation group was significantly higher than that of the control group, while the duration was shorter than that of the control group (P ＜ 0.05). The effective rate of the observation group was significantly higher than that of the control group (P ＜ 0.05). The complication rate of the observation group was significantly lower than that of the control group (P ＜ 0.05). Conclusion The head acupuncture combined with swallowing function treatment is effective in the treatment of swallowing dysfunction in ischemic stroke, and there is no obvious adverse reaction, which can reduce the incidence of complications.

Key words： Ischemic stroke Head acupuncture Swallowing function treatment instrument Therapeutic effect

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors
	HUANG Jianfu LIU Jianhao▲ TAN Chunfeng WANG Tianlei XU Qiong

Cite this article:

HUANG Jianfu LIU Jianhao▲ TAN Chunfeng WANG Tianlei XU Qiong. Effect of head acupuncture combined with swallowing function therapy instrument on patients with ischemic stroke[J]. 中国医药导报, 2020, 17(20): 80-84.

URL:

http://www.yiyaodaobao.com.cn/EN/ OR http://www.yiyaodaobao.com.cn/EN/Y2020/V17/I20/80

[1] Ahn SM，Yu RK，Shin YI，et al. Therapeutic Potential of a Combination of Electroacupuncture and TrκB-Expressing Mesenchymal Stem Cells for Ischemic Stroke [J]. Mol Neurobiol，2019，56（1）：157-173.
[2] 张轶，李晶.针刺联合Vitalstim电刺激疗法治疗缺血性脑卒中后吞咽功能障碍的疗效观察[J].中国中西医结合急救杂志，2017，24（4）：346-350.
[3] 邓行行，吴灿.醒脑开窍针刺法联合Vitalstim吞咽治疗仪治疗脑卒中吞咽障碍临床研究[J].中医学报，2017，32（3）：466-469.
[4] 董卫卫，裴建，张见平.针灸联合康复锻炼改善缺血性脑卒中患者足下垂症状的临床疗效与安全性[J].四川中医，2017，17（6）：211-214.
[5] Xian Y，Federspiel JJ，Hernandez AF，et al. Use of Intravenous Recombinant Tissue Plasminogen Activator in Patients With Acute Ischemic Stroke Who Take Non-Vitamin K Antagonist Oral Anticoagulants Before StrokeClinical Perspective [J]. Circulation，2017，135（11）：1024-1035.
[6] 张艳明.高压氧联合针灸治疗急性脑卒中后吞咽障碍效果观察[J].现代中西医结合杂志，2017，26（2）：167-169.
[7] 马军廷，袁燕.标准吞咽功能评估下吞咽康复训练对脑卒中吞咽功能障碍患者康复效果的影响[J].中国医药导报，2018，15（17）：56-60，64.
[8] 徐淑芬，柴文娟，徐勤容.想象训练对脑卒中神经性吞咽障碍患者近期生活质量及吞咽功能的影响[J].中华全科医学，2019，17（6）：1018-1020，1028.
[9] 徐淑芬，柴文娟，徐勤容，等.基于运动想象疗法引导的康复训练措施对脑卒中后吞咽障碍患者功能恢复及生活质量的影响[J].中国现代医生，2018，56（23）：106-109.
[10] 马军廷，袁燕.标准吞咽功能评估下吞咽康复训练对脑卒中吞咽功能障碍患者康复效果的影响[J].中国医药导报，2018，15（17）：56-60，64.
[11] 林霞，刘月玲.标准吞咽功能评估及预见性护理对老年脑卒中吞咽障碍患者康复的影响[J].中国医药科学，2018，8（2）：97-100，148.
[12] Easton JD，Aunes M，Albers GW，et al. Risk for Major Bleeding in Patients Receiving Ticagrelor Compared With Aspirin After Transient Ischemic Attack or Acute Ischemic Stroke in the SOCRATES Study（Acute Stroke or Transient Ischemic Attack Treated With Aspirin or Ticagrelor and Patient Outcomes [J]. Circulation，2017， 136（10）：907-916.
[13] ?譒iarnik P，■arnická Z，Krivo?觢íková Z，et al. Association of lipoprotein subfractions with endothelial function and arterial stiffness in acute ischemic stroke [J]. Scand J Clin Lab Invest，2017，77（1）：36-39.
[14] Hilkens NA，Algra A，Diener HC，et al. Predicting major bleeding in patients with noncardioembolic stroke on antiplatelets：S2TOP-BLEED [J]. Neurology，2017，89（9）：936-943.
[15] Lin Y，Wang A，Li J，et al. Impact of Glycemic Control on Efficacy of Clopidogrel in Transient Ischemic Attack or Minor Stroke Patients With CYP2C19 Genetic Variants [J]. Stroke，2017，48（4）：998-1004.
[16] 曹丹，熊艳梅，邓丽丹，等.低频脉冲穴位电刺激联合针灸治疗脑卒中后吞咽困难的疗效[J].江苏医药，2017， 43（12）：895-897.
[17] 刘喜悦.针灸与吞咽训练治疗脑卒中后吞咽障碍的临床观察[J].中国中医急症，2017，26（1）：170-172.
[18] 李素丹，何韵婷.针灸结合康复训练治疗脑卒中患者吞咽困难的效果及对患者ADL评分的影响[J].中国现代医生，2019，57（11）：111-113.
[19] 袁祖琴.吞咽治疗仪治疗卒中后吞咽功能障碍的疗效观察[J].解放军预防医学杂志，2018，36（10）：108-111.
[20] Masashi Kanai，Kazuhiro P Izawa，Miki Kobayashi，et al. Effect of accelerometer-based feedback on physical activity in hospitalized patients with ischemic stroke：a randomized controlled trial [J]. Clinical Rehabilitation，2018， 32（8）：1047-1065.
[21] 张琰，朱海霞，李一贤，等.Vitalstim治疗仪联合针灸治疗脑卒中后吞咽障碍的疗效观察[J].现代生物医学进展，2016，16（33）：6499-6501.
[22] Hendrikus JA van Os，Inge A Mulder，Alexander Broersen，et al. Migraine and Cerebrovascular Atherosclerosis in Patients With Ischemic Stroke [J]. Stroke，2017，48（7）：1973-1975.
[23] 王珊珊，顾莹，刘敏，等.口肌生物反馈训练结合常规吞咽康复训练治疗脑卒中后吞咽障碍的疗效观察[J]. 中华物理医学与康复杂志，2017，39（1）：27-29.
[24] Erin A Bohula，Stephen D Wiviott，Robert P Giugliano，et al. Prevention of Stroke with the Addition of Ezetimibe to Statin Therapy in Patients with Acute Coronary Syndrome in IMPROVE-IT[J]. Circulation，2017，136（25）：2440-2450.