摘要
Abstract
Objective To explore the clinical efficacy of an integrated traditional Chinese and Western medicine oral intervention in restoring the oral health,swallowing function,and neurological function in the patients with ischemic stroke complicated by hemiplegia.Methods A randomized controlled trial design was adopted.A total of 154 patients with post-ischemic stroke hemiplegia treated in the People's Hospital of Wuqi County from February 2024 to June 2025 were included.They were randomized into a Western medicine group(basic oral care+neuromuscular electrical stimulation),a traditional Chinese medicine group(Chinese herbal mouthwash+tongue acupuncture therapy),and an integrated treatment group(combined Chinese and Western medicine treatment).The intervention lasted for 4 weeks.The main outcomes included the modified Beck oral score,standard swallowing function assessment(SSA),and the incidence of complications and adverse reactions such as stroke-related pneumonia(SAP).Results After 4 weeks of intervention,the Beck oral score of the integrated treatment group decreased to(2.55±1.55)points,which was lower than that of the Western medicine group[(5.92±2.89)points]and the traditional Chinese medicine group[(6.34±3.02)points](P<0.05).The response rate of oral hygiene(score≤5 points)reached 96.1%in the combined group,which was higher than that of the Western medicine group(50.0%)and the traditional Chinese medicine group(39.2%)(P<0.05).Swallowing function comparison:After 4 weeks of intervention,the proportion of patients with moderate risk of SSA in the integrated treatment group(9.8%)was lower than that of the Western medicine group(30.8%)and the traditional Chinese medicine group(39.2%)(P<0.05).There was no statistically significant difference in the complications and safety among the three groups(P>0.05).Conclusion The integrated traditional Chinese and Western medicine intervention(neuromuscular electrical stimulation+tongue acupuncture+Chinese herbal mouthwash)significantly improves the oral health status of patients with ischemic stroke complicated by hemiplegia through the synergistic mechanism of functional reconstruction,infection prevention and control,and nerve repair.关键词
缺血性脑卒中/偏瘫/口腔健康/中西医结合/随机对照试验/神经肌肉电刺激/舌针疗法Key words
ischemic stroke/hemiplegia/oral health/integrated traditional Chinese and Western medicine/randomized controlled trial/neuromuscular electrical stimulation/tongue acupuncture therapy
