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目的:观察针刺、吞咽治疗仪结合康复训练治疗脑卒中后吞咽障碍的临床疗效。方法:按就诊先后顺序随机将患者分为2组各43例,2组患者均采用常规药物治疗,对照组配合鼻饲治疗,治疗组采用针刺、吞咽治疗仪配合吞咽康复训练治疗。2组均治疗30天评价疗效。结果:按洼田饮水试验,治疗前2组吞咽障碍程度比较,差异无显著性意义(P>0.05);治疗后治疗组吞咽功能明显优于对照组,差异有显著性意义(P<0.05)。总有效率治疗组为88.4%,对照组为69.8%,2组总有效率比较,差异有显著性意义(P<0.05)。结论:针刺、吞咽治疗仪结合康复训练治疗脑卒中后吞咽障碍可以明显改善吞咽功能,减轻吞咽障碍,显示了中西医结合的优势。
Objective: To observe the clinical efficacy of acupuncture and swallowing therapeutic apparatus combined with rehabilitation training in the treatment of post-stroke dysphagia. Methods: The patients were randomly divided into two groups (43 cases). The patients in both groups were treated with conventional drugs. The control group was treated with nasal feeding. The treatment group was treated with acupuncture and swallowing apparatus with swallowing rehabilitation training. The two groups were treated for 30 days to evaluate the curative effect. Results: According to the Kubota drinking water test, there was no significant difference in the extent of dysphagia between the two groups before treatment (P> 0.05). After treatment, the swallowing function of the treatment group was significantly better than that of the control group (P <0.05) . The total effective rate was 88.4% in the treatment group and 69.8% in the control group. The total effective rate in the two groups was significantly different (P <0.05). Conclusion: Acupuncture, swallowing therapeutic apparatus combined with rehabilitation training in the treatment of post-stroke dysphagia can significantly improve swallowing function and relieve dysphagia, showing the advantages of combining traditional Chinese and Western medicine.