针灸康复疗法治疗中风后吞咽障碍的临床疗效.pdf

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1、-118-ClinicalJournalofChineseMedicine2014Vol.(6)No.30DOI:10.3969/j.issn.1674-7860.2014.30.053针灸康复疗法治疗中风后吞咽障碍的临床疗效Efficacyobservationontreatmentofdysphagiaafterstrokebyacupunctureandrehabilitationtherapy崔战军（西安市北方医院，陕西西安，710043）中图分类号：R255.2文献标识码：A文章编号：1674-7860（2014）30-0

2、118-03证型：BGDA【摘要】目的：研究针灸康复疗法治疗中风后吞咽障碍的临床疗效。方法：选择2012年2月～2014年3月我院接诊的100例中风后吞咽障碍的患者进行研究。随机分为实验组和对照组。实验组50例，对照组50例。实验组采用针灸康复疗法，对照组采用常规的康复疗法。比较两组患者的治疗效果和VFSS评分。结果：实验组患者与对照组患者的痊愈率为18.00%和6.00%；实验组的显效率、有效率都明显高于对照组；实验组的总有效率为92.00%，对照组的总有效率为44.00%，两组比较具有统计学意义（u=4.5874，P﹤0.000

3、1）；第一周时，实验组患者的VFSS评分明显高于对照组两组比较有统计学意义（t=7.9275，P﹤0.0001）；第二周时，实验组患者的VFSS评分明显高于对照组两组比较有统计学意义（t=9.3113，P﹤0.0001）；第三周时，实验组患者的VFSS评分明显高于对照组两组比较有统计学意义（t=6.3571，P﹤0.0001）。结论：针灸康复疗法治疗中风后吞咽障碍的临床疗效良好，值得临床上加以应用。【关键词】中风；吞咽障碍；针灸康复疗法【Abstract】Objective:Tostudytheclinicalefficacyofa

4、cupunctureandrehabilitationtherapyondysphagiaafterstroke.Methods:100caseswithdysphagiaafterstrokeinourhospitalfromFebruary,2012toMarch,2014wereselectedandrandomlydividedintotheexperimentgroupandthecontrolgroup,50casesineachgroup.Patientsintheexperimentgroupweretreatedw

5、ithacupunctureandrehabilitationtherapy,whilepatientsinthecontrolgroupweretreatedwithconventionaltherapy.ThecurativeeffectsandVFSSscoresofthetwogroupswerecompared.Results:Thecurativeratesoftheexperimentgroupandthecontrolgroupwererespectively18.00%and6.00%.Themarkedlyeff

6、ectiverateandtheeffectiverateoftheexperimentgroupwereobviouslyhigherthanthoseofthecontrolgroup;thetotaleffectiverateofthecontrolgroupwas92.00%,thatofthecontrolgroupwas44.00%,thecomparisonofthetwogroupshadststatisticalsignificance（u=4.5874，P<0.0001）;inthe1week,VFSSscore

7、softheexperimentgroupwassignificantlyhigherthanthatofndthecontrolgroupwithstatisticalsignificance（t=7.9275，P<0.0001）;inthe2week,VFSSscoresoftheexperimentgroupwasrdsignificantlyhigherthanthatofthecontrolgroupwithstatisticalsignificance（t=9.3113，P<0.0001）;inthe3week,VFSS

8、scoresoftheexperimentgroupwassignificantlyhigherthanthatofthecontrolgroupwithstatisticalsignificance（t=6.3571，P<0.000