针刺对缺血性卒中后吞咽障碍患者生活质量的影响

目的 观察针刺对缺血性卒中后吞咽障碍患者生活质量的影响。方法 将66例吞咽障碍患者随机分为3组，针刺组（23例）接受电针治疗，对照组（18例）接受康复训练配合穴位经皮电刺激疗法，安慰针刺组（25例）接受康复训练配合穴位安慰针刺治疗。3组患者均每天治疗1次，疗程20次。观察3组患者治疗前后吞咽障碍特异性生活质量量表积分变化。 结果 治疗后针刺组总有效率为69.6％，对照组总有效率为50.0％，安慰针刺组总有效率为64.0％， 3组总有效率比较差异无统计学意义（P>0.05）；针刺组在患者总体情况、进食持续时间、身体不适发生的频率、情绪变化、进食的愿望、社交功能、疲劳及睡眠、精神健康等方面改善优于其他两组（P<0.05）。 结论 针刺能够提高缺血卒中后吞咽障碍患者的生活质量。

Effect of Acupuncture on Quality of Life in Post-ischemic Stroke Patients with Dysphagia

OBJECTIVE: To observe the effect of acupuncture on quality of life (QOL) in post-ischemic stroke patients with dysphagia. METHODS: Sixty-six patients with dysphagia were randomly assigned to 3 groups, the 23 patients in the electro-acupuncture (EA) group treated by EA, 18 in the control group received rehabilitation training combined with acupoint percutaneous electric stimulation, and 25 in the acupoint token puncturing (TP) group received rehabilitation training combined with acupoint TP, once every day for 20 days in total. Changes in QOL scale specified for dysphagia of patients before and after treatment were compared. RESULTS: The total effective rate was 69.6% in the EA group, 50.0% in the control group and 64.0% in the TP group with insignificant difference among them (P > 0.05), but the improvements dealing with patients' general condition, time for taking food, frequency of uneasiness, emotion, appetite, social intercourse ability, fatigue, sleep and mental health, etc. in the EA group were superior to those in the other two groups (P < 0.05). CONCLUSION: Acupuncture could improve the QOL of patients with dysphagia after ischemic stroke.