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目的:观察采用中西医结合治疗脑卒中后吞咽困难患者的临床疗效。方法:纳入84例脑卒中后吞咽困难患者作为研究对象,并按照随机平行对照法将患者分为研究组与对照组各42例,研究组给予中西医结合治疗,对照组仅给予常规西药治疗,比较2组的临床治疗效果、吞咽功能、生活质量等。结果:研究组与对照组的总有效率分别为90.48%、69.05%,2组间比较,差异有统计学意义(P<0.05)。治疗后,2组标准吞咽功能评估量表(SSA)评分均较治疗前降低,吞咽障碍特异性生活质量量表(SWAL-QOL)评分均较治疗前升高,研究组2项评分的改善情况均优于对照组,差异均有统计学意义(P<0.05)。研究组洼田饮水试验吞咽困难程度轻于对照组(P<0.05)。结论:采用中西医结合治疗脑卒中后吞咽困难患者临床疗效显著,可有效恢复患者的吞咽功能,提高生活质量。
Objective: To observe the clinical efficacy of traditional Chinese and western medicine in the treatment of patients with dysphagia after stroke. Methods: Eighty-four patients with dysphagia after stroke were enrolled in this study. Patients were divided into study group and control group according to the randomized parallel control method, 42 cases in each group. The study group received Integrative Medicine and the control group received conventional western medicine. Compare the clinical treatment effect of 2 groups, swallowing function, quality of life and so on. Results: The total effective rates of the study group and the control group were 90.48% and 69.05%, respectively. There was significant difference between the two groups (P <0.05). After treatment, the two groups of standard swallowing function assessment scale (SSA) scores were lower than before treatment, swallowing disorder-specific quality of life scale (SWAL-QOL) scores were higher than before treatment, the study group 2 scores improved All were better than the control group, the differences were statistically significant (P <0.05). Study group Kubota drinking water test dysphagia was lighter than the control group (P <0.05). Conclusion: The treatment of dysphagia patients with stroke after traditional Chinese and western medicine has significant clinical curative effect, which can effectively restore the swallowing function and improve the quality of life.