吞咽训练联合穴位按摩对脑卒中患者吞咽障碍的效果观察
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吞咽训练。
[关键词] 脑卒中；吞咽障碍；吞咽训练；穴位按摩；洼田饮水试验 [中图分类号] R248 [文献标识码] A [D O I] 10.16460/j .issn1008-9969.2016.23.067
Efficacy of Swallowing Training Combined with Acupoint Massage on Stroke Patients with Dysphagia
脑 卒 中 （stroke)是指一种突然起病的脑血液循
环 障 碍 性 疾 病 ，又 称 为 脑 血 管 意 外 [1b。吞咽障碍是脑
b 卒中患者常见的并发症之一[2 ，可引起吸人性肺炎、
肺部感染、营养不良、脱 水 、心理障碍等并发症，甚至 导致患者死亡[3〇4b。 目前针对脑卒中吞咽障碍尚缺乏 有效的治疗手段，国外多采用吞咽康复训练但疗效 参 差 不 齐 ，国 内 使 用 中 医 针 灸 具 有 一 定 疗 效 ，但针灸 技 术 要 求 高 ，部分患者 因 畏 惧 针 刺 而 不 能 配 合 该 疗 法 。穴位按摩是以中医脏腑经络学为理论基础的保
WEI Yan-yan (Dept, of Traditional Chinese Medicine, People’s Hospital of Baise， Baise 533000, China) A b stra ct： O bjective To observe the efficacy of swallowing training combined with acupoint massage on stroke patients with dysphagia. M ethods Two hundred stroke patients with dysphagia were randomly divided into observation group(n=100) and control group (n=100), and both groups were given conventional medication therapy and systematic nursing. In addition, swallowing training for a month was adopted in control group while swallowing training combined with acupoint massage by massaging Lianquan (CV23), Tiantu (CV22), Chengjiang (CV24), Jiache (ST6) and Wangu (GB12) acupoints 15 minutes per time and 3 times per day for a month in observation group. The score of water swallow test 1 day before, 2 weeks and 1 month after the treatment and treatment efficacy 1 month later were compared. R e su lts The score of water swallow test in observation group was higher than that of control group (!= 20.216, P<0.001)and the scores at the end of 2 weeks and 1 month after the treatment were statistically significant (P=0.007, P<0.001). One month after the treatment, the total effective rate in observation group was apparently higher than that in control and there was statistical significance (!2=35.526, P<0.001). Conclusion Swallowing training combined with acupoint massage could obviously promote swallowing function to recover for stroke patients with dysphagia. The efficacy was superior to the simple swallowing training. Key w ords ：stroke; dysphagia; swallowing training; acupoint massage; water swallow test
2016年 12月 第 23卷 第 23期
护理学报
Journal of Nursing (China)
December,2016 Vol.23No.23 67
【中医护理】
呑咽训练联合穴位按摩对脑卒中患者呑咽障碍的效果观察
韦艳燕
( 百 色 市 人 民 医 院 中 医 科 ，广 西 百 色 533000)
[摘 要 ] 目 的 观察吞咽训练联合穴位按摩对脑卒中吞咽障碍的效果。方 法 将 2 0 0 例脑卒中吞咽障碍患者随机分为观
察组和对照组各1 0 0 例 ，均采用常规药物治疗和系统护理，对照组进行吞咽训练1 个月；观察在对照组的基础上进行按摩廉泉、
天突、承浆、颊车、完骨穴位，每 日 3 次 ，每 次 15 m m ,连 续 1 个月。观察2 组患者治疗前1 d 、治 疗 2 周末 和1 个月末洼田饮水试验
( 得分以及治疗1 个月之后的临床疗效。结 果 观察组洼田饮水试验得分优于对照组 ！=20.216，"<0.001)，其中治疗2 周末、1 个月
末 2 个时点差异有统计学意义（"=0.007，"<0.001);治 疗 1 个 月 之 后 ，观察组总有效率明显髙于对照组，差异有统计学意义
(! 2=35.526，"<0.001)。结 论 吞咽训练联合穴位按摩可明显改善脑卒中患者的吞咽障碍，促进吞咽功能恢复，疗效明显优于单纯
[关键词] 脑卒中；吞咽障碍；吞咽训练；穴位按摩；洼田饮水试验 [中图分类号] R248 [文献标识码] A [D O I] 10.16460/j .issn1008-9969.2016.23.067
Efficacy of Swallowing Training Combined with Acupoint Massage on Stroke Patients with Dysphagia
脑 卒 中 （stroke)是指一种突然起病的脑血液循
环 障 碍 性 疾 病 ，又 称 为 脑 血 管 意 外 [1b。吞咽障碍是脑
b 卒中患者常见的并发症之一[2 ，可引起吸人性肺炎、
肺部感染、营养不良、脱 水 、心理障碍等并发症，甚至 导致患者死亡[3〇4b。 目前针对脑卒中吞咽障碍尚缺乏 有效的治疗手段，国外多采用吞咽康复训练但疗效 参 差 不 齐 ，国 内 使 用 中 医 针 灸 具 有 一 定 疗 效 ，但针灸 技 术 要 求 高 ，部分患者 因 畏 惧 针 刺 而 不 能 配 合 该 疗 法 。穴位按摩是以中医脏腑经络学为理论基础的保
WEI Yan-yan (Dept, of Traditional Chinese Medicine, People’s Hospital of Baise， Baise 533000, China) A b stra ct： O bjective To observe the efficacy of swallowing training combined with acupoint massage on stroke patients with dysphagia. M ethods Two hundred stroke patients with dysphagia were randomly divided into observation group(n=100) and control group (n=100), and both groups were given conventional medication therapy and systematic nursing. In addition, swallowing training for a month was adopted in control group while swallowing training combined with acupoint massage by massaging Lianquan (CV23), Tiantu (CV22), Chengjiang (CV24), Jiache (ST6) and Wangu (GB12) acupoints 15 minutes per time and 3 times per day for a month in observation group. The score of water swallow test 1 day before, 2 weeks and 1 month after the treatment and treatment efficacy 1 month later were compared. R e su lts The score of water swallow test in observation group was higher than that of control group (!= 20.216, P<0.001)and the scores at the end of 2 weeks and 1 month after the treatment were statistically significant (P=0.007, P<0.001). One month after the treatment, the total effective rate in observation group was apparently higher than that in control and there was statistical significance (!2=35.526, P<0.001). Conclusion Swallowing training combined with acupoint massage could obviously promote swallowing function to recover for stroke patients with dysphagia. The efficacy was superior to the simple swallowing training. Key w ords ：stroke; dysphagia; swallowing training; acupoint massage; water swallow test
2016年 12月 第 23卷 第 23期
护理学报
Journal of Nursing (China)
December,2016 Vol.23No.23 67
【中医护理】
呑咽训练联合穴位按摩对脑卒中患者呑咽障碍的效果观察
韦艳燕
( 百 色 市 人 民 医 院 中 医 科 ，广 西 百 色 533000)
[摘 要 ] 目 的 观察吞咽训练联合穴位按摩对脑卒中吞咽障碍的效果。方 法 将 2 0 0 例脑卒中吞咽障碍患者随机分为观
察组和对照组各1 0 0 例 ，均采用常规药物治疗和系统护理，对照组进行吞咽训练1 个月；观察在对照组的基础上进行按摩廉泉、
天突、承浆、颊车、完骨穴位，每 日 3 次 ，每 次 15 m m ,连 续 1 个月。观察2 组患者治疗前1 d 、治 疗 2 周末 和1 个月末洼田饮水试验
( 得分以及治疗1 个月之后的临床疗效。结 果 观察组洼田饮水试验得分优于对照组 ！=20.216，"<0.001)，其中治疗2 周末、1 个月
末 2 个时点差异有统计学意义（"=0.007，"<0.001);治 疗 1 个 月 之 后 ，观察组总有效率明显髙于对照组，差异有统计学意义
(! 2=35.526，"<0.001)。结 论 吞咽训练联合穴位按摩可明显改善脑卒中患者的吞咽障碍，促进吞咽功能恢复，疗效明显优于单纯