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目的:观察综合性吞咽功能治疗对脑卒中吞咽功能障碍患者的长、短期疗效。方法:脑卒中恢复期吞咽障碍患者68例,随机分为治疗组33例及对照组35例,均给予常规药物治疗,治疗组同时进行针刺、按摩、解语丹和康复训练等治疗。结果:治疗组总有效率明显优于对照组(90.9%与48.6%,P<0.05)。治疗组长期疗效总有效率明显优于对照组(84.8%与34.3%,P<0.05),且治疗2个疗程后治疗组洼田饮水评级明显高于治疗前和对照组(P<0.05)。结论:中西医综合疗法治疗脑卒中吞咽障碍有显著的改善作用,而且具有长期疗效。
Objective: To observe the long-term and short-term effects of comprehensive swallowing functional therapy on stroke swallowing dysfunction. Methods: Sixty-eight patients with dysphagia during stroke recovery were randomly divided into treatment group (n = 33) and control group (n = 35). All patients were given conventional medical treatment. The treatment group also received acupuncture, massage, solution treatment and rehabilitation training. Results: The total effective rate in the treatment group was significantly better than that in the control group (90.9% vs 48.6%, P <0.05). The total effective rate of the long-term curative effect in the treatment group was significantly better than that in the control group (84.8% vs 34.3%, P <0.05). After 2 courses of treatment, the water rating of Wudian in the treatment group was significantly higher than that before treatment and the control group (P <0.05). Conclusion: Integrated Chinese and Western medicine treatment of stroke dysphagia have a significant improvement, and long-term efficacy.