吞咽功能训练联合平衡针疗法对三叉神经痛术后吞咽功能障碍患者吞咽功能的影响OA
The Influence of Swallowing Function Training Combined with Balance Needle Therapy on Swallowing Function in Patients with Postoperative Swallowing Dysfunction of Trigeminal Neuralgia
目的:观察吞咽功能训练联合平衡针疗法对三叉神经痛术后吞咽功能障碍患者吞咽功能的影响.方法:将2022年9月至2023年9月就诊于焦作煤业(集团)有限公司中央医院的三叉神经痛术后吞咽功能障碍患者80例,随机分为平衡针组和训练联合组,每组40例.平衡针组给予平衡针疗法治疗,训练联合组给予吞咽功能训练联合平衡针疗法治疗.观察两组患者治疗前后吞咽功能、生活质量、疼痛程度、依从性及配合度的变化情况.结果:训练联合组治疗后吞咽功能评分低于平衡针组,差异有统计学意义(P＜0.05);训练联合组治疗后VAS评分低于平衡针组,差异有统计学意义(P＜0.05);训练联合组治疗后日常活动能力评分(activity of daily living,ADL)评分、barthel指数高于平衡针组,差异有统计学意义(P＜0.05);训练联合组有效率为97.50％,平衡针组有效率为85.00％,训练联合组有效率高于平衡针组,差异有统计学意义(P＜0.05);训练联合组依从率为97.50％,平衡针组依从率为87.50％,训练联合组依从率高于平衡针组,差异有统计学意义(P＜0.05).结论:吞咽功能训练联合平衡针疗法能改善三叉神经痛术后吞咽功能障碍患者生活质量及吞咽功能,减轻疼痛.
Objective:To observe the influence of swallowing function training combined with balance needle therapy on swallowing func-tion in patients with postoperative swallowing dysfunction of trigeminal neuralgia.Methods:A total of 80 patients with postoperative swal-lowing dysfunction of trigeminal neuralgia who visited Jiaozuo Coal Industry(Group)Co.,Ltd.Central Hospital from September 2022 to September 2023 were randomly divided into the balance needle group and the training combination group,with 40 cases in each group.The balance needle group was treated with balance needle therapy,while the training combination group was treated with swallowing function training combined with balance needle therapy.Then the changes in swallowing function,quality of life,pain level,compliance,and cooperation between two groups of patients before and after treatment were observed.Results:After treatment,the swallowing func-tion score of the training combination group was lower than that of the balance needle group,and the difference was statistically signifi-cant(P＜0.05);the VAS score of the training combination group was lower than that of the balance needle group,and the difference was statistically significant(P＜0.05);ADL score and the Barthel index of the training combination group were higher than those of the balance needle group,and all the differences were statistically significant(P＜0.05).The effective rate of the training combination group was 97.50％,while that of the balance needle group was 85.00％.The effective rate of the training combination group was higher than that of the balance needle group,and the difference was statistically significant(P＜0.05).The compliance rate of the training combination group was 97.50％,while that of the balance needle group was 87.50％.The compliance rate of the training combination group was higher than that of the balance needle group,and the difference was statistically significant(P＜0.05).Conclusion:The combination of swallowing function training and balance needle therapy can improve the quality of life and swallowing function of pa-tients with swallowing dysfunction after trigeminal neuralgia surgery,and alleviate pain.
宰佳梅;邢小慧;金亚萍
焦作煤业(集团)有限公司中央医院,河南焦作 454000
中医学
吞咽功能障碍三叉神经痛吞咽功能训练平衡针疗法生活质量
swallowing dysfunctiontrigeminal neuralgiaswallowing function trainingbalance needle therapyquality of life
《河南中医》 2024 (006)
925-929 / 5
河南省科技攻关计划项目(LHGJ202009878)
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