通关利窍针刺法对脑卒中后吞咽障碍患者吞咽功能及生活质量的影响

摘要/Abstract

摘要： 目的评估通关利窍针刺法应用在脑卒中后吞咽障碍（DAS）患者中的效果及对吞咽功能、生活质量的影响。方法选取2021年4月—2022年8月平原县第一人民医院接收的90例DAS患者作为研究对象,依据随机数表法将其分为对照组（给予常规康复训练）与观察组（加用通关利窍针刺法）,各45例。比较两组临床有效率、洼田饮水试验（WST）、标准吞咽功能评估量表（SSA）、中文版吞咽障碍特异性生活质量量表（SWAL-QOL）、血氧饱和度（SaO₂）、血清白蛋白（ALB）、血红蛋白（Hb）。结果观察组临床有效率高于对照组,差异有统计学意义（P<0.05）;治疗2周后,观察组WST、SSA更低,SWAL-QOL、SaO₂、ALB、Hb更高,差异有统计学意义（P<0.05）。结论对DAS患者采用通关利窍针刺法,可以尽快改善吞咽功能、营养状况、SaO₂,提高生活质量,值得临床应用。

关键词: 通关利窍针刺法, 脑卒中后吞咽障碍, 吞咽功能, 生活质量

Abstract: Objective To evaluate the effect of Tongguan Liqiao acupuncture in patients with dysphagia after stroke (DAS) and its influence on swallowing function and quality of life. Methods A total of 90 DAS patients admitted to the First People's Hospital of Pingyuan County from April 2021 to August 2022 were selected as the study objects, and were divided into control group (45 cases included and given routine rehabilitation training) and observation group (45 cases included, plus Tongguan Liqiao acupuncture) according to random number table method. Intergroup clinical response rate, WST, SSA, SWAL-QOL, blood oxygen saturation (SaO₂), ALB and Hb were evaluated. Results The clinical effective rate of the observation group was higher than that of the control group(P<0.05); (2) After 2 weeks of treatment, WST and SSA were lower and SWAL-QOL, SaO₂, ALB and Hb were higher in the observation group(P<0.05). Conclusion Tongguan Liqiaoacupuncture can improve the swallowing function, nutritional status, SaO₂ and quality of life in patients with DAS as soon as possible, which is worth promoting.

Key words: Tongguan Liqiao acupuncture, Dysphagia after stroke, Swallowing function, Quality of life

中图分类号:

R493

贾丽君, 王丽娜, 付金焕, 宫娟娟. 通关利窍针刺法对脑卒中后吞咽障碍患者吞咽功能及生活质量的影响[J]. 中华养生保健, 2024, 42(14): 5-8.

JIA Li-jun, WANG Li-na, FU Jin-huan, GONG Juan-juan. The Effect of Tongguan Liqiao Acupuncture Therapy on Swallowing Function and Quality of Life in Patients with Dysphagia after Stroke[J]. ZHONGHUA YANGSHENG BAOJIAN, 2024, 42(14): 5-8.

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