| 引用本文: |
陈欢,谭洁,袁光辉,易宇龙,袁缘,罗胜男.穴位按摩结合肌内效贴治疗脑卒中后吞咽障碍患者的临床观察[J].湖南中医药大学学报,2020,40(11):1361-1365[点击复制] |
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| 穴位按摩结合肌内效贴治疗脑卒中后吞咽障碍患者的临床观察 |
| 陈欢,谭洁,袁光辉,易宇龙,袁缘,罗胜男 |
| (株洲市中心医院康复治疗科, 湖南 株洲 412007;湖南中医药大学, 湖南 长沙 410208) |
| 摘要: |
| 目的 观察穴位按摩结合肌内效贴对脑卒中后吞咽障碍患者吞咽功能和营养状况的影响。方法 将62例脑卒中后吞咽障碍患者随机分成观察组32例和对照组30例。对照组接受常规吞咽治疗、头颈面部穴位按摩和安慰贴布，观察组接受常规吞咽治疗、头颈面部穴位按摩和肌内效贴，两组均治疗28 d。治疗前后，两组患者分别采用藤岛一郎吞咽困难分级量表和洼田饮水试验比较吞咽功能，同时测量体质量指数（body mass index，BMI）、健侧肱三头肌皮褶厚度（triceps skinfold thickness，TSF）、健侧上臂中部肌围（arm muscle circumference，AMC）和检测生化指标血清白蛋白（ALB）、血红蛋白（Hb）指标来评估其营养状况。结果 治疗后，观察组总有效率为90.63%，高于对照组的76.67%（P<0.05）；治疗后，两组患者藤岛一郎吞咽困难评分、洼田饮水试验评级与治疗前比较均明显改善（P<0.01），且观察组均较对照组改善明显（P<0.05）；治疗后，两组患者BMI、ALB和Hb数值均较治疗前显著提高（P<0.05），且观察组均高于对照组（P<0.05）；治疗后，两组患者健侧肱TSF和AMC测量值较治疗前差异无统计学意义（P>0.05），两组间比较差异亦无统计学意义（P>0.05）。结论 穴位按摩结合肌内效贴对脑卒中后吞咽障碍患者的康复有明显疗效，能明显改善患者的吞咽功能和营养状况。 |
| 关键词: 脑卒中 吞咽障碍 穴位按摩 肌内效贴 |
| DOI：10.3969/j.issn.1674-070X.2020.11.013 |
| 投稿时间：2020-04-02 |
| 基金项目:湖南省中医药管理局青年资助项目（2020104）；湖南省残疾人联合会康复科研项目（2019XK008）。 |
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| Clinical Observation on Acupoint Massage Combined with Kinesio Tape in the Treatment of Patients with Dysphagia after Stroke |
| CHEN Huan,TAN Jie,YUAN Guanghui,YI Yulong,YUAN Yuan,LUO Shengnan |
| (Department of Rehabilitation Treatment, Zhuzhou Central Hospital, Zhuzhou, Hunan 412007, China;Hunan University of Chinese Medicine, Changsha, Hunan 410208, China) |
| Abstract: |
| Objective To observe the effects of acupoint massage combined with Kinesio tape on swallowing function and nutritional status of patients with dysphagia after stroke. Methods A total of 62 patients with dysphagia after stroke were randomly assigned into an observation group (32 cases) and a control group (30 cases). The control group received conventional swallowing treatment, acupoint massage on head and neck and placebo patch, while the observation group received conventional swallowing treatment, acupoint massage on head and neck and Kinesio tape. Both treatments in the 2 groups last for 28 days. Before and after treatment, the swallowing function was compared by Fujishima Ichiro dysphagia rating scale and Wada drinking water test, and the nutritional status was evaluated by body mass index (BMI), triceps skinfold thickness (TSF), arm muscle circumference (AMC) of healthy upper arm and biochemical indexes such as serum albumin (ALB) and hemoglobin (Hb). Results After 28 days of treatment, the total effective rate of the observation group was 90.63%, which was higher than 76.67% of the control group (P<0.05). After treatment, the Fujishima Ichiro dysphagia rating scale and Wada drinking water test rating of the 2 groups were significantly improved compared with before treatment (P<0.01), and the observation group was more significantly improved than the control group (P<0.05). After treatment, BMI, ALB and Hb of the 2 groups were significantly increased than before treatment (P<0.05), and the observation group was higher than the control group (P<0.05). After treatment, there was no significant difference in the measurement of TSF and AMC of the 2 groups compared with before treatment (P>0.05), and there was also no significant difference between the 2 groups (P>0.05). Conclusion Acupoint massage combined with Kinesio tape has obvious curative effect on the rehabilitation of dysphagia after stroke, and can obviously improve its swallowing function and nutritional status. |
| Key words: stroke dysphagia acupoint massage Kinesio tape |
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