穴位贴敷联合吞咽障碍治疗仪治疗脑梗死恢复期吞咽障碍临床研究

目的：观察穴位贴敷联合吞咽障碍治疗仪治疗脑梗死恢复期的临床疗效。方法：将150 例脑梗死恢复期患者以随机数字表法分为观察组和对照组各75 例。观察组给予穴位贴敷联合吞咽障碍治疗仪治疗，对照组仅给予吞咽障碍治疗仪治疗。评估2 组临床疗效、吞咽功能及生活质量。结果：观察组总有效率90.67%，高于对照组78.67%（P＜0.05）。治疗后，2 组洼田饮水试验（WST） 分级均改善（P＜0.05），且观察组改善效果优于对照组（P＜0.05）。治疗后，2 组电视X 线透视吞咽功能检查（VFSS） 评分、功能性经口摄食量表（FOIS） 评分、吞咽障碍特异性生活质量量表（SWAL-QOL） 评分均升高（P＜0.05），且观察组高于对照组（P＜0.05）；2 组标准吞咽功能评价量表（SSA） 评分均降低（P＜0.05），且观察组低于对照组（P＜0.05）。结论：采用穴位贴敷联合吞咽障碍治疗仪治疗脑梗死恢复期吞咽障碍可有效改善患者吞咽功能及摄食能力，提高患者生活质量及临床疗效。

Clinical Study on Point Application Combined with Deglutition Instrument forDysphagia Caused by Cerebral Infarction at Convalescence

Abstract： Objective： To observe the clinical effect of the therapy of point application combined withdeglutition instrument on dysphagia caused by cerebral infarction at convalescence. Methods： A total of150 patients with cerebral infarction at convalescence were divided into the observation group and thecontrol group according to the random number table method，with 75 cases in each group. The observationgroup was given point application combined with deglutition instrument， and the control group was onlytreated with deglutition instrument. The clinical effect， swallowing function and quality of life in the twogroups were evaluated. Results：The total effective rate was 90.67% in the observation group，higher thanthat of 78.67% in the control group (P＜0.05). After treatment，the grading of water swallowing test (WST)in the two groups was improved (P＜0.05)，and the improvement in the observation group was better thanthat in the control group (P＜0.05). After treatment， the scores of TV Fluorescence Swallowing Study(VFSS)，Functional Oral Intake Scale (FOIS) and Swallowing-Quality of Life (SWAL-QOL) in the two groupswere increased (P＜0.05)，and the above scores were higher than those in the control group (P＜0.05)；thescores of Standardized Swallowing Assessment (SSA) in the two groups were decreased (P＜0.05)， andthe SSA score in the observation group was lower than that in the control group (P＜0.05). Conclusion：The therapy of point application combined with deglutition instrument can effectively improve the swallowingfunction and food ability of patients with dysphagia caused by cerebral infarction at convalescence， andenhance the quality of life and clinical effect.