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目的:观察吞咽康复训练联合中药冷热刺激法治疗痰瘀互结型脑卒中后吞咽障碍患者的临床效果。方法:纳入72例脑卒中吞咽障碍患者,随机分为对照组和观察组各36例,对照组给予吞咽康复训练,观察组以吞咽康复训练联合中药冷热刺激法治疗。2组均以1周为1疗程,治疗4周。观察2组的临床疗效和治疗2周、4周的美国国立卫生研究院脑卒中量表(NIHSS)评分、Burke吞咽障碍筛查量表评分。结果:观察组总有效率94.44%,对照组总有效率75.00%,2组比较,差异有统计学意义(P<0.05)。治疗2周、4周,2组NIHSS评分、Burke评分均较治疗前降低(P<0.05,P<0.01),观察组2项评分均低于对照组(P<0.05)。结论:吞咽康复训练联合中药冷热刺激法能提高脑卒中吞咽障碍患者的吞咽功能,且能防止舌肌、咽肌群废用性萎缩,增强局部肌肉的协调性,恢复、重建吞咽功能。
Objective: To observe the clinical effect of swallowing rehabilitation training combined with cold and heat stimulation of traditional Chinese medicine on patients with dysphagia after stroke and phlegm-blood stasis syndrome. Methods: Totally 72 stroke patients with dysphagia were randomly divided into control group and observation group with 36 cases each. The control group was given swallowing rehabilitation training. The observation group was treated with swallowing rehabilitation training combined with cold and heat stimulation of traditional Chinese medicine. 2 groups were 1 week for a course of treatment for 4 weeks. The clinical efficacy of the two groups were observed and the NIH Stroke Scale (NIHSS) score and the Burke Swallowing Disorder Scale for 2 weeks and 4 weeks of treatment were scored. Results: The total effective rate was 94.44% in the observation group and 75.00% in the control group. There was significant difference between the two groups (P <0.05). The scores of NIHSS and Burke in two groups were lower than those before treatment (P <0.05, P <0.01). The two scores in the observation group were lower than those in the control group (P <0.05). Conclusion: Swallowing rehabilitation combined with traditional Chinese medicine cold and heat stimulation can improve the swallowing function of stroke patients with swallowing, and prevent the atrophy of tongue and pharynx muscles, enhance the coordination of local muscles, restore and reconstruct the swallowing function.