摘要
目的 观察通窍利咽中药复方雾化剂联合VitalStim电刺激对卒中所致吞咽障碍患者的疗效.方法 将2016年7月至2017年12月收治的60例老年卒中所致吞咽障碍患者按随机数字表法分为电刺激组、雾化组和联合组,每组20例.三组患者均针对不同病因进行相应的原发病治疗,然后电刺激组采用VitalStim电刺激治疗,雾化组采用通窍利咽中药复方雾化剂治疗,联合组采用通窍利咽中药复方雾化剂联合VitalStim电刺激治疗.采用洼田饮水试验比较三组治疗前后吞咽障碍情况,并评估疗效.结果 三组治疗后吞咽障碍均有明显改善,而且联合组吞咽障碍改善情况明显优于电刺激组和雾化组,差异有统计学意义（P〈0.05）.联合组总有效率明显高于电刺激组和雾化组[95.0％（19/20）比70.0％（14/20）和75.0％（15/20）],差异有统计学意义（P〈0.05）;电刺激组和雾化组总有效率比较差异无统计学意义（P〉0.05）.治疗期间三组患者均未发生明显不良.结论 通窍利咽中药复方雾化剂联合VitalStim电刺激能改善卒中所致的吞咽障碍,且疗效明显优于单一疗法,且无明显不良反应,操作方便,患者易于接受.
Objective To observe the clinical effect of tongqiaoliyan traditional Chinese medicine compound atomize combined with VitalStim electric stimulation in patients with dysphagia caused by stroke. Methods Sixty patients with dysphagia caused by stroke from July 2016 to December 2017 were divided into electric stimulation group, atomize group and combine group by random digits table method with 20 cases each. The patients of 3 groups were treated according to different etiologies, then the patients in electric stimulation were given the VitalStim electric stimulation, the patients in atomize group were given tongqiaoliyan traditional Chinese medicine compound atomize, and the patients in combine group were given tongqiaoliyan traditional Chinese medicine compound atomize combined with VitalStim electric stimulation. The dysphagia was evaluated by drinking water test, and the curative effect was evaluated. Results The dysphagia after treatment in 3 groups was significantly improved. The improvement of dysphagia in combine group was significantly better than that in electric stimulation group and atomize group, and there was statistical difference （P〈0.05）. The total effective rate in combine group was significantly higher than that in electric stimulation group and atomize group： 95.0%（19/20） vs. 70.0% （14/20） and 75.0% （15/20）, and there was statistical difference （P〈0.05）; and there was no statistical difference between electric stimulation group and atomize group （P〉0.05）. During the treatment period, none of the patients in 3 groups had obvious adverse effects. Conclusions Tongqiaoliyan traditional Chinese medicine compound atomize combined with VitalStim electric stimulation can improve the dysphagia caused by stroke, and the curative effect is better than that of monotherapy. There is no obvious adverse reaction, and the operation is convenient and the patient is easy to accept.
作者
杨兰
冯爽
Yang Lan;Feng Shuang(Department of Cardiology,PLA 210th Hospital,Dalian 116021,China)
出处
《中国医师进修杂志》
2018年第9期793-796,共4页
Chinese Journal of Postgraduates of Medicine
关键词
卒中
吞咽障碍
VitalStim电刺激
通窍利咽中药复方雾化剂
Stroke
Deglutition disorders
VitalStim stimulation
Tongqiaoliyan traditional Chinese medicine comp^und atomizer
