中国康复理论与实践Issue(2)：231-236,6.DOI:10.3969/j.issn.1006-9771.2016.02.023
针刺结合医护合作模式对卒中相关性肺炎的影响
Effect of Acupuncture Combined with Doctor-nurse Cooperation Mode on Stroke-associated Pneumonia
摘要
Abstract
Objective To investigate the efficacy of acupuncture combined with doctor-nurse cooperation mode on stroke-associated pneumonia in patients with acute stroke. Methods 67 patients of acute stroke within 1 week in our hospital from March, 2013 to January, 2015 were randomly divided into control group (n=35) and treatment group (n=32). Both groups received neurological routine treatment and systematic rehabilitation training by professional physiotherapists under general nursing mode. The treatment group received acupuncture treatment under doctor-nurse cooperation mode additionally. Incidence of stroke-associated pneumonia, swallow function and aspiration rate were recorded. Results Compared with the control group, the incidence of stroke-associated pneumonia significantly decreased in the treat-ment group after treatment (χ2=4.615, P=0.032). The retention volume of epiglottic vallecula and pyriform sinus (tdilute barium=21.01, tthick barium=19.85), the duration of pharynx period (tdilute barium=17.03, tthick barium=13.68), and the start time of pharynx period (tdilute barium=19.63, tthick barium=17.86) were less in the treatment group than in the control group (P<0.05). In the test of dilute barium, the aspiration rate was lower in the treatment group than in the control group (χ2=4.03, P=0.044), however, there was no significant difference between 2 groups in the test of thick bari-um and solid food (P>0.05). Conclusion Acupuncture combined doctor-nurse cooperation mode may decrease the rates of aspiration and stroke-associated pneumonia in acute stroke patients through improving their swallow function.关键词
卒中相关性肺炎/医护合作模式/针刺/吞咽Key words
stroke-associated pneumonia/doctor-nurse cooperation mode/acupuncture/swallow分类
医药卫生引用本文复制引用
牛瑛琳,白艳杰,王晓丹,刘雁,王莉娜..针刺结合医护合作模式对卒中相关性肺炎的影响[J].中国康复理论与实践,2016,(2):231-236,6.基金项目
1.河南省重点中医学科(专科)学术带头人培养项目专项课题(No.2013ZY03021)；2.河南省中医临床学科领军人才培育计划资助项目(No.2100202)。 （专科）
