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择时穴位刺激对脑卒中后吞咽障碍患者的影响

Effect of timing acupoint stimulation for dysphagia patients after stroke

    摘要
  • 摘要:
      目的   探讨择时穴位刺激对脑卒中后吞咽障碍患者的影响。
      方法   选取90例脑卒中后吞咽障碍的住院患者，随机分为对照组、择时穴位刺激组和常规穴位刺激组，每组30例。对照组采用常规吞咽功能训练和口腔护理，择时穴位刺激组和常规穴位刺激组分别在对照组基础上加用择时的穴位刺激和常规时间的穴位刺激, 2次/d, 共2周。采用洼田饮水试验(WST)结果评价有效率，进食评估问卷调查工具-10(EAT-10)、吞咽障碍特异性生活质量量表(SWAL-QOL)评估3组患者的吞咽功能及生活质量。
      结果   干预后，择时穴位刺激组的总有效率高于常规穴位刺激组和对照组，且常规穴位刺激组的总有效率高于对照组，差异有统计学意义(P < 0.05)。干预后, 3组EAT-10评分均低于干预前，且择时穴位刺激组的EAT-10评分低于常规穴位刺激组和对照组，差异有统计学意义(P < 0.05)。干预后，对照组SWAL-QOL评分与干预前比较，差异无统计学意义(P > 0.05); 干预后，择时穴位刺激组、常规穴位刺激组的SWAL-QOL评分均高于干预前，且择时穴位刺激组评分高于常规穴位刺激组和对照组，常规穴位刺激组评分高于对照组，差异有统计学意义(P < 0.05)。
      结论   常规穴位刺激对脑卒中后吞咽障碍患者的疗效优于常规护理，而择时穴位刺激的临床效果则更优。

     

    Abstract:
      Objective   To explore the effect of timing acupoint stimulation for dysphagia patients after stroke.
      Methods   A total of 90 patients with dysphagia after stroke were selected, and were randomly divided into control group, timing acupoint stimulation group, and conventional acupoint stimulation group, with 30 cases in each group. Control group was given routine swallowing function training and oral care; on the basis of control group, timing acupoint stimulation group and conventional acupoint stimulation group were given timing acupoint stimulation and conventional time acupoint stimulation, respectively, twice a day for two weeks. Drinking Water Test (WST), the 10-item Eating-assessment Tool (EAT-10) and the Swallowing Quality-of-life Questionnaire (SWAL-QOL)were used to evaluate the swallowing function and quality of life of the three groups.
      Results   After intervention, the total effective rate of timing acupoint stimulation group was higher than that of the conventional acupoint stimulation group and the control group, and the total effective rate of the conventional acupoint stimulation group was higher than that of the control group (P < 0.05). After intervention, the EAT-10 scores of the three groups were lower than that before intervention, and the EAT-10 score of the timing acupoint stimulation group was lower than that of the conventional acupoint stimulation group and the control group (P < 0.05). After intervention, there was no significant difference in SWAL-QOL score in the control group compared with before intervention (P > 0.05). After intervention, the SWAL-QOL scores of the timing acupoint stimulation group and the conventional acupoint stimulation group were higher than before intervention, and the SWAL-QOL score of the timing acupoint stimulation group was higher than that of the conventional acupoint stimulation group and the control group, and was higher in the conventional acupoint stimulation group than that of the control group (P < 0.05).
      Conclusion   The curative effect of conventional acupoint stimulation for patients with dysphagia after stroke is better than that of conventional nursing, and the timing acupoint stimulation is better.

     

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