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| “开窍利咽”针法联合吞咽功能训练对中风后吞咽障碍患者的疗效及并发症的影响 |
| Efficacy and Complications of Kaiqiao Liyan Acupuncture Combined with swallowing Function Training for Post-Stroke Dysphagia |
| 投稿时间：2024-03-14 录用日期：2024-04-15 |
| DOI： |
| 中文关键词: 开窍利咽针法 吞咽功能训练 卒中 吞咽障碍 |
| 英文关键词: Kaiqiao Liyan acupuncture Swallowing function training Stroke Dysphagia |
| 基金项目:安徽省卫生健康委科研重点项目 项目批号：AHWJ2021a020 |
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| 中文摘要: |
| 目的：探讨“开窍利咽”针法联合吞咽功能训练在中风后吞咽障碍患者中的临床疗效及其并发症发生率的影响。方法：选取2022年6月-2023年6月本院收治的中风后吞咽障碍患者92例。采用随机数表法分为研究组和对照组各46例。对照组采用常规治疗联合吞咽功能训练，研究组在此基础上联合“开窍利咽”针法。治疗后比较两组洼田饮水试验评级、吞咽功能评估（SSA）评分、Rosenbek误吸量表（PAS）评级，统计两组治疗后脑血流最大峰流速（Vs）、平均流速（Vm）血管阻力指数（RI）、并发症发生情况及临床疗效。结果：治疗后研究组比对照组SSA评分更低，洼田饮水试验、PAS低级人数更多（P<0.05）；治疗后两组Vs、Vm增高，RI降低，且研究组Vs、Vm更高RI更低（P<0.05）；研究组并发症发生率为15.22%，对照组为32.61%，无统计学差异（P>0.05）；研究组治疗有效率84.78%高于对照组65.22%，差异具有统计学意义（P<0.05）。结论：“开窍利咽针”针法联合吞咽功能训练对中风后吞咽障碍患者疗效较高，其能保证安全性的前提下改善患者吞咽功能、脑血流动力学水平。 |
| 英文摘要: |
| Objective: To investigate clinical efficacy and complications of Kaiqiao Liyan acupuncture combined with swallowing function training for post-stroke dysphagia. Methods: Ninety-two patients with post-stroke dysphagia admitted to our hospital from June 2022 to June 2023 were selected and grouped using random number table method, each with 46 cases. Control group received swallowing function training combined with conventional treatment, based on this, study group added Kaiqiao Liyan acupuncture. Patients were subjected to complete Kubota Water Swallowing Test, Standardized Swallowing Assessment (SSA) and Penetration-Aspiration Scale (PAS). The systolic peak velocity (Vs), mean flow velocity (Vm), resistance index (RI), incidence of complications, and clinical efficacy were recorded in both groups. Results: After treatment, study group scored lower on SSA, and Kubota Water Swallowing Test and PAS compared to control group (P<0.05). An increase in Vs and Vm, and a reduction in RI were observed in all patients after treatment, and both improvements were more notable in study group than in control group (P<0.05). No statistical difference was found in complication rate between two groups (15.22% vs 32.61%, P>0.05), while study group demonstrated a higher clinical efficacy rate than control group (84.78% vs 65.22%, P<0.05). Conclusion: Application of Kaiqiao Liyan acupuncture combined with swallowing function training for post-stroke dysphagia can effectively improve the swallowing function and cerebral hemodynamics, which has a good safety profile. |
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