补中益气汤加减配合康复治疗中风后吞咽障碍

目的:研究补中益气汤加减配合康复治疗对中风后吞咽障碍的临床疗效。方法:采用随机对照研究方法,将符合纳入标准的患者随机分为治疗组与对照组,每组各42例,共84例。对照组采用吞咽功能训练及咽喉肌经皮电刺激治疗,治疗组病人在对照组治疗基础上给予口服中药汤剂(补中益气汤加减),同时给予吞咽功能训练及咽喉肌经皮电刺激治疗,治疗3周前后进行视频吞咽造影检查(VFSS)及标准吞咽功能评估(SSA),判断其疗效。结果:2组治疗后VFSS和SSA,均较治疗前改善,差异有统计学意义(P<0.01);其中治疗组对于吞咽功能的改善更明显(P<0.01)。结论:2种方法均有效,但补中益气汤加减配合康复治疗对中风后吞咽障碍的疗效更好。

Clinical Observation of Buzhong Yiqi Decoction Combined with Rehabilitation on Patients with Dysphagia after Stroke

Objective: To study the clinical effect of Buzhong Yiqi Decoction combined with rehabilitation on patients with dysphagia after stroke. Method: Randomized controlled study was used in the study. These patients who met the inclusion criteria were randomly divided into treatment group and control group,42 patients in each group, a total of 84 cases. The treatment group was treated with oral decoction of Chinese medicine combined with rehabilitation training and transcutaneous electrical stimulation of the throat muscles. The control group was treated with rehabilitation training and transcutaneous electrical stimulation of the throat muscles only. Using videofluoroscopic swallowing study(VFSS) and standard swallowing assessment(SSA) we evaluated the effectiveness after 3 weeks treatment. Result: After 3 weeks treatment, the assessment score of VFSS and SSA were improved than those of before treatment.There was significant difference before and after treatment,especially for the treatment group(P<0.01). Between the treatment and control group,there was also significant difference before and after treatment(P<0.01). Conclusion: Buzhong Yiqi Decoction combined with rehabilitation has a good effect on patients with dysphagia after stroke