[1]陈巧风.艾灸联合护理程序干预对脑卒中患者吞咽困难症状康复的影响[J].新乡医学院学报,2020,37(3):291-295.[doi:10.7683/xxyxyxb.2020.03.022]
　CHEN Qiaofeng.Effect of moxibustion combined with nursing program intervention on dysphagia symptom rehabilitation in patients with stroke[J].Journal of Xinxiang Medical University,2020,37(3):291-295.[doi:10.7683/xxyxyxb.2020.03.022]
点击复制

艾灸联合护理程序干预对脑卒中患者吞咽困难症状康复的影响
分享到：

《新乡医学院学报》[ISSN:1004-7239/CN:41-1186/R]

卷:
37
期数:
2020年3
页码:
291-295
栏目:
护理研究
出版日期:
2020-03-12

文章信息/Info

Title:
Effect of moxibustion combined with nursing program intervention on dysphagia symptom rehabilitation in patients with stroke
作者:
陈巧风
（河南省康复教育研究中心康复部，河南　郑州　450002）
Author(s):
CHEN Qiaofeng
（Department of Rehabilitation,Henan Rehabilitation Education Center，Zhengzhou 450002，Henan Province，China）
关键词:
艾灸; 护理程序干预; 脑卒中; 吞咽困难; 康复
Keywords:
moxibustion;  nursing program intervention;  stroke;  difficulty swallowing;  recovery
分类号:
R473.5
DOI:
10.7683/xxyxyxb.2020.03.022
文献标志码:
A
摘要:
目的　探讨艾灸联合护理程序干预对脑卒中患者吞咽困难症状的影响。方法　将2015年9月至2017年5月河南省康复教育研究中心康复部收治的120例脑卒中吞咽困难患者分为观察组和对照组，每组60例。对照组患者给予艾灸治疗，每周连续治疗6 d，共8周；观察组患者在对照组治疗的基础上给予护理程序干预，观察2组患者中医证候积分、临床疗效、吞咽功能、血液流变学指标及不良反应。结果　2组患者治疗前中医证候积分、吞咽困难分级评分及吞咽功能评分比较差异无统计意义（P>0.05）；与治疗前比较，治疗后2组患者中医证候积分、吞咽困难分级评分，吞咽功能评分均降低（P<0.05）；治疗后，观察组患者中医证候积分、吞咽困难分级评分及吞咽功能评分低于对照组（P<0.05）。治疗前2组患者血液流变学指标比较差异无统计学意义（P>0.05）；治疗后2组患者全血黏度、血浆黏度、纤维蛋白原及红细胞比容均低于治疗前，且观察组患者全血黏度、血浆黏度、纤维蛋白原、红细胞比容低于对照组（P<0.05）。对照组和观察组患者治疗有效率分别为85.00%（51/60）、 96.67%（58/60），观察组患者治疗有效率高于对照组（χ2=4.763，P<0.05）。对照组和观察组患者不良反应发生率分别为6.67%（4/60）、3.33%（2/60），2组患者不良反应发生率比较差异无统计学意义（χ2=0.179，P>0.05）。结论　艾灸联合护理程序干预治疗脑卒中吞咽困难疗效显著，能显著改善患者的吞咽功能。
Abstract:
Objective　To explore the effect of moxibustion combined with nursing program intervention on dysphagia symptom rehabilitation in patients with stroke.Methods　A total of 120 stroke patients with dysphagia admitted to the Henan Rehabilitation Education Center from September 2015 to May 2017 were selected as the subjects,and they were divided into observation group and control group，with 60 patients in each group.The patients in the control group was treated with moxibustion treatment,6 days per week for eight weeks.The patients in the observation group was treated with nursing intervention program on the basis of the control group.The traditional Chinese medicine（TCM） syndrome scores,clinical efficacy,swallowing function,hemorheological indexes and adverse reactions of the two groups were observed.Results　There was no significant difference in TCM syndrome scores,dysphagia grading scores and swallowing function scores of patients between the two groups before treatment (P>0.05).Compared with before treatment,the TCM syndrome scores,dysphagia grading scores,and swallowing functional scores were all reduced after treatment (P<0.05).The TCM syndrome scores,dysphagia grading scores,and swallowing function scores in the observation group were lower than those in the control group after treatment (P<0.05).There was no significant difference in the hemorheology of patients between the two groups before treatment (P>0.05).The whole blood viscosity,plasma viscosity ,fibrinogen and hematocrit levels after treatment were lower than those before treatment in the two groups (P<0.05).The whole blood viscosity,plasma viscosity,fibrinogen and hematocrit levels in the observation group were lower than those in the control group (P<0.05).The effective rates in the control group and observation group were 85.00% (51/60) and 96.67% (58/60).The total effective rate in the observation group was higher than that in the control group (χ2=4.763,P<0.05).The incidence of adverse reactions in the control group and observation group was 6.67% (4/60) and 3.33% (2/60),respectively;there was no significant difference in the incidence of adverse reactions between the two groups (χ2=0.179,P>0.05).Conclusions　Nursing intervention combined with moxibustion is effective in the treatment of stroke patients with dysphagia,and it can significantly improve the swallowing function.

参考文献/References:

［1］　YANG W M,EUN Y J,JI H J,et al.Comparison between gastrostomy feeding and self-expandable metal stent insertion for patients with esophageal cancer and dysphagia［J］.PLoS One,2017,12(6):e0179522.
［2］　HSIANG C C ,HWU Y J .Effects of an oral care program on the swallowing function in post-operative patients with oral cancer［J］.J Nurs,2017,64(2):88-98.
［3］　朱文芳,王丽娟,张银萍.呼吸湿化治疗联合咳痰机对脑卒中合并吞咽困难患者咳痰的影响［J］.卒中与神经疾病,2018,25(5):61-64.
［4］　KIM J H,KIM Y,LEE H J,et al.Effect of the combination of mendelsohn maneuver and effortful swallowing onaspiration in patients with dysphagia after stroke［J］.J Phys Ther Sci,2017,29(11):1967-1969.
［5］　饶明俐.《中国脑血管病防治指南》摘要：六［J］.中风与神经疾病杂志,2006,23(4):4-8.
［6］　国家中医药管理局脑病急症协作组.中风病诊断与疗效评定标准（试行）［J］.北京中医药大学学报,1996，19(1):55-56.
［7］　郑筱萸.中药新药临床研究指导原则：试行［M］.北京：中国医药科技出版社,2002:157-159.
［8］　盛莉.脑卒中患者临床神经功能缺损程度评分标准［J］.中国乡村医药,1995，2(1):45.
［9］　大西幸子,孙启良,赵峻.摄食·吞咽障碍康复实用技术［M］.北京：中国医药科技出版社,2000:118-121.
［10］　CHO Y S,OH D H,PAIK Y R,et al.Effects of bedside self-exercise on oropharyngeal swallowing function in stroke patients with dysphagia:a pilot study［J］.J Phys Ther Sci,2017,29(10):1815-1816.
［11］　周红,栗先增,周金洁.脑卒中并发吞咽障碍患者经胃管营养护理、综合康复训练联合健康教育的预后效果评价［J］.中国健康教育,2018,34(6):85-88.
［12］　PALLI C,FANDLER S,DOPPELHOFER K,et al.Early dysphagia screening by trained nurses reduces pneumonia rate in stroke patients:a clinical intervention study［J］.Stroke,2017,48(9):18157.
［13］　张艳玲,刘晓英.需求导向理念用于老年脑卒中后吞咽困难患者康复护理的临床价值［J］.现代消化及介入诊疗,2018,23(1):95-97.
［14］　HONG D G,YO-O D H.A comparison of the swallowing function and quality of life by oral intake level in stroke patients with dysphagia［J］.J Phys Ther Sci,2017,29(9):1552-1554.
［15］　黄丽,张玉兰.早期护理干预对急性脑卒中吞咽困难患者的临床护理效果评价［J］.中国妇幼健康研究,2017,28(S1):216-217.
［16］　SULENA,GUPTA D,SHARMA A K,et al.Clinical profile of dysphagia in patients with Parkinson′s disease,progressive supranuclear palsy and multiple system atrophy［J］.J Assoc Inf Sci Tech,2017,65(8):32-37.
［17］　王彦华,杨国防,周红霞,等.针刺阿呛组穴治疗脑卒中后假性球麻痹吞咽困难的临床研究［J］.辽宁中医杂志,2017,486(11):2398-2400.
［18］　MOON J H,JUNG J H,WON Y S,et al.Effects of expiratory muscle strength training on swallowing function in acute stroke patients with dysphagia［J］.J Phys Ther Sci,2017,29(4):609-612.
［19］　张丽华,姚凯锋,夏陈云.优质营养护理干预对脑卒中吞咽障碍患者疗效观察及对其生活质量影响［J］.现代消化及介入诊疗,2017,22(1):119-121.
［20］　贾瑞芝,李文会.艾灸联合针刺治疗缺血性脑卒中后运动功能障碍临床研究［J］.中医学报,2017,32(5):891-894.

相似文献/References:

[1]刘鹏民,王文彪,杨来福,等.体外冲击波联合艾灸治疗腰椎小关节源性腰痛疗效观察[J].新乡医学院学报,2023,40(9):829.[doi:10.7683/xxyxyxb.2023.09.005]
　LIU Pengmin,WANG Wenbiao,YANG Laifu,et al.Curative effect of extracorporeal shock wave combined with moxibustion in the treatment of lumbar facet-derived low back pain[J].Journal of Xinxiang Medical University,2023,40(3):829.[doi:10.7683/xxyxyxb.2023.09.005]

更新日期/Last Update: 2020-03-05