舌针结合利咽组方穴位贴敷治疗中风后吞咽困难临床研究

Jianmei ZHI,Xiuhuan BU,Geng LIU,Tian WANG,Shuping LIU,Haiyu WANG,Wenjing LI,Shurong LI

Journal of Clinical Acupuncture and Moxibustion（2018）

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Abstract

目的:探讨舌针结合利咽组方穴位贴敷治疗中风后吞咽困难的疗效及安全性.方法:选取90例中风后吞咽困难患者,随机分为舌针组、穴位贴敷组和联合组3组,均持续治疗4周.比较3组吞咽、饮水等症状评分,临床SWAL-QOL量表、VFSS评分及NIHSS量表,比较脑血流图及疗效与并发症.结果:舌针组改善率71.43％、穴位贴敷组改善率69.05％,均低于联合组90.48％ (P ＜0.05);与舌针组、穴位贴敷组相比,联合组治疗后SWAL-QOL、VFSS评分较高,NIHSS评分较低,BA、LVA、RVA水平较高(P＜0.05).结论:舌针结合利咽组方穴位贴敷治疗中风后吞咽困难的疗效显著,有助于改善吞咽功能,提高生活质量.

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