舌三针联合球囊扩张术对缺血性中风后假性球麻痹吞咽功能障碍临床效果观察

目的观察舌三针联合球囊扩张术治疗缺血性中风后假性球麻痹所致吞咽障碍的疗效。方法择取广州市荔湾区中医医院针灸康复科于2018年9月~2019年8月期间收治的缺血性中风假性球麻痹吞咽障碍患者69例,采用随机数字表法分为两组,所有患者均给予常规对症治疗,将采用舌三针联合导尿管球囊扩张术治疗的35例患者作为治疗组,将使用吞咽治疗仪治疗的34例患者作为对照组,10次治疗为1个疗程,治疗2个疗程后将两组的疗效进行比较。结果2个疗程后,治疗组吞咽障碍功能计分低于对照组,组间治疗后得分比较,差异具有统计学意义(P<0.05)。治疗组总有效率优于对照组,两组总有效率比较,差异具有统计学意义(P<0.05)。结论舌三针联合球囊扩张术治疗缺血性中风后假性球麻痹吞咽障碍效果优于单纯使用吞咽治疗仪,值得临床应用。

Observation of clinical effect of pseudo-globules and swallowing dysfunction after ischemic stroke by tongue three-pin combined balloon dilatation

Objective To explore the efficacy of tongue three-pin combined balloon dilation to treat pseudo-globulity dysphagia after an ischemic stroke.Methods Collect 69 cases of ischemic stroke pseudo-globulity dysphagia swallowing disorder admitted from September 2018 to August 2019 in the Acupuncture Rehabilitation Department of Guangzhou Liwan District Chinese Medicine Hospital,and all patients were given routine treatment in neurology.The patients were divided two group as random number table method.The 35 patients treated with three-pin joint catheter balloon expansion were treated as a treatment group,34 patients treated with swallowing instrument sitptolic as a control group,10 times for 1 course of treatment,and the efficacy of the two groups was compared after treatment of 2 courses.Results After 2 courses of treatment,the two groups of swallowing disorder function score was compared,the treatment group scored the treatment group swallowing disorder function score was lower than that in the control group,the difference between the group after treatment was compared with Statistically significant(P<0.05).The total efficiency of the treatment group was better than that in the control group,and the total efficiency of the two groups was statistically significant(P<0.05).Conclusion It is better that the patient with pseudo-globulity swallowing disorder after ischemic stroke be given with tongue tree-pin combined balloon dilation than which be treated by swallowing instrument sitptolic,which is worthy of clinical adoption.