| 付莹颖,陈 贤,武 丹,李 硕,卢晓霞.冰棉棒刺激联合透刺吞咽针法对脑卒中后假性延髓麻痹致吞咽障碍患者舌骨喉复合体动度和营养状况的影响[J].,2024,(10):1864-1868 |
| 冰棉棒刺激联合透刺吞咽针法对脑卒中后假性延髓麻痹致吞咽障碍患者舌骨喉复合体动度和营养状况的影响 |
| Effect of Ice Cotton Stick Stimulation Combined with Penetrating Swallowing Acupuncture on Hyoid Laryngeal Complex Mobility and Nutritional Status in Patients with Dysphagia Caused by Pseudobulbar Palsy after Stroke |
| 投稿时间：2023-08-03 修订日期：2023-08-27 |
| DOI：10.13241/j.cnki.pmb.2024.10.013 |
| 中文关键词: 冰棉棒 透刺吞咽针法 脑卒中 假性延髓麻痹 吞咽障碍 舌骨喉复合体动度 营养状况 |
| 英文关键词: Ice cotton stick Penetrating swallowing acupuncture Stroke Pseudobulbar palsy Dysphagia Hyoid laryngeal complex mobility Nutritional status |
| 基金项目:四川省医学会青年创新科研项目（Q17007） |
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| 中文摘要: |
| 摘要 目的：探讨冰棉棒刺激联合透刺吞咽针法对脑卒中后假性延髓麻痹（PBP）致吞咽障碍患者舌骨喉复合体动度和营养状况的影响。方法：选取2020年1月至2023年1月西部战区空军医院收治的脑卒中后PBP致吞咽障碍患者150例。采用随机数字表法分为对照组（n=75，冰棉棒刺激治疗）和实验组（n=75，对照组基础上接受透刺吞咽针法治疗）。比较两组疗效、洼田饮水试验评分和藤岛一郎吞咽障碍评分、舌骨喉复合体动度、营养状况和生活质量评分变化情况。结果：实验组的临床总有效率高于对照组（P<0.05）。实验组治疗4周后洼田饮水试验评分低于对照组，藤岛一郎吞咽障碍评分高于对照组（P<0.05）。实验组治疗4周后舌骨上移、舌骨前移、甲状软骨上移、甲状软骨前移距离大于对照组（P<0.05）。实验组治疗4周后总蛋白（TP）、血清白蛋白（ALB）、血清前蛋白（PA）高于对照组（P<0.05）。实验组治疗4周后生活质量评分高于对照组（P<0.05）。结论：冰棉棒刺激联合透刺吞咽针法治疗脑卒中后PBP致吞咽障碍患者，可有效改善患者的吞咽功能、舌骨喉复合体动度和营养状况，提高患者的生活质量。 |
| 英文摘要: |
| ABSTRACT Objective: To investigate the effect of ice cotton stick stimulation combined with penetrating swallowing acupuncture on hyoid laryngeal complex mobility and nutritional status in patients with dysphagia caused by pseudobulbar palsy (PBP) after stroke. Methods: 150 patients with dysphagia caused by PBP after stroke were selected from January 2020 to January 2023 in Air Force Hospital of Western Theater. Patients were divided into control group (n=75, ice cotton stick stimulation treatment) and experimental group (n=75, penetrating swallowing acupuncture treatment on the basis of control group) by random number table method. The efficacy, Kubota drinking water test score, Fujishima Ichiro swallowing disorder score, hyoid laryngeal complex mobility, nutritional status and quality of life scores were compared between two groups. Results: The total clinical effective rate in experimental group was higher than that in control group (P<0.05). The Kubota drinking water test score in experimental group was lower than that in control group 4 weeks after treatment, and the Fujishima Ichiro swallowing disorder score was higher than that in control group (P<0.05). The distance of hyoid bone upward movement, distance of hyoid bone forward movement, distance of thyroid cartilage upward movement and distance of thyroid cartilage forward movement in experimental group was greater than that in control group 4 weeks after treatment (P<0.05). The total protein (TP), serum albumin (ALB) and serum preprotein (PA) in experimental group were higher than those in control group 4 weeks after treatment(P<0.05). The quality of life scores in experimental group was higher than that in control group 4 weeks after treatment (P<0.05). Conclusion: Ice cotton stick stimulation combined with penetrating swallowing acupuncture can effectively improve the swallowing function, hyoid laryngeal complex mobility and nutritional status of patients with dysphagia caused by PBP after stroke, and improve the quality of life of patients. |
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