四川中医2024，Vol.42Issue(3)：148-151,4.
醒脑启咽汤联合揿针埋针治疗脑卒中后吞咽障碍临床效果及安全性观察
Clinical efficacy and safety observation of Xingnao Qiyan decoction combined with pressing needle embedding for the treatment of swallowing disorders after stroke
摘要
Abstract
Objective To observe the effect and safety of Xingnao Qiyan decoction combined with pressing needle embedding in the treatment of dysphagia after stroke.Methods 93 patients with dysphagia after stroke in our hospital(January 2021 to Decem-ber 2021)were included in this experimental study,and were randomly divided into the observation group(46 cases)and the control group(47 cases).The control group was given conventional symptomatic treatment and rehabilitation training for dyspha-gia.The observation group was treated with Xingnao Qiyan Decoction and needle embedding therapy on the basis of the control group Before and after treatment,the changes of surface electromyography indexes and TCM syndrome scores(dysphagia,hoarse-ness,cough due to drinking water,phlegm and stickiness,etc.),the changes of Watian drinking water test score and swallowing angiography(VFSS)score,the changes of standard swallowing function assessment(SSA),the changes of swallowing disorder specific quality of life scale(swal-qol)score,the incidence of malnutrition and adverse reactions.Results the total effective rate of observation group(95.65％)was higher than control group(82.98％),P＜0.05;Before treatment,the sEMG index and TCM syndrome score(dysphagia,hoarseness,cough due to drinking water,phlegm and sticky,etc.),Watian drinking water test score,VFSS score,SSA and swal-qol score of the two groups were compared,P＞0.05.After treatment,the sEMG index and TCM syndrome score(dysphagia,hoarseness,cough due to drinking water,phlegm and sticky,etc.),Watian drinking water test score,VFSS score After treatment,the surface electromyography index and TCM syndrome score(dysphagia,hoarseness,cough due to drinking water,phlegm and stickiness),Watian drinking water test score,VFSS score,SSA and swal-qol score in the ob-servation group were better than those in the control group,P＜0.05;The incidence of malnutrition in the observation group was lower than that in the control group(0.00％vs 8.51％),P＜0.05;No serious adverse reactions were observed in both groups.Conclusion Xingnao Qiyan decoction combined with pressing needle embedding can better promote the rehabilitation of patients with dysphagia after stroke,improve the treatment effect,better swallowing function recovery,improve symptoms,improve the quality of life,and have no malnutrition and adverse reactions,which is safe and reliable.关键词
脑卒中后吞咽障碍/醒脑启咽汤/揿针埋针/疗效/表面肌电图Key words
dysphagia after stroke/Xingnao Qiyan Decoction/Press needle burying needle/Curative effect/Surface elec-tromyography/Malnutrition/Adverse reactions分类
医药卫生引用本文复制引用
许晨,魏继鸿,李峰..醒脑启咽汤联合揿针埋针治疗脑卒中后吞咽障碍临床效果及安全性观察[J].四川中医,2024,42(3):148-151,4.基金项目
2018年四川和卫生计划生育委员会科研课题(普及应用项目)(编号:18PJ290). （普及应用项目）
