| 引用本文:宋莉娟，付菊花，孙亚中.针刺联合半夏厚朴汤治疗卒中后吞咽障碍的疗效及其对吞咽障碍功能和吸入性肺炎发生的影响[J].世界中医药,2019,(06):. |
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| 针刺联合半夏厚朴汤治疗卒中后吞咽障碍的疗效及其对吞咽障碍功能和吸入性肺炎发生的影响 |
| Clinical Effects of Banxia Houpu Decoction Combined with Acupuncture in the Treatment of Dysphagic Stroke Patients and the Influence on Swallowing Disorder Function and the Incidence of Aspiration Pneumonia |
| 投稿时间：2018-09-29 |
| DOI：10.3969/j.issn.1673-7202.2019.06.048 |
| 中文关键词: 半夏厚朴汤 针刺 卒中 吞咽障碍 临床疗效 汉密尔顿焦虑量表 抑郁量表 吸入性肺炎 洼田饮水试验 |
| English Keywords:Banxia Houpo Decoration Acupuncture treatment Dysphagic stroke patients Clinical therapeutic effect HAMA HAMD Aspiration pneumonia Kubota drinking water test score |
| 基金项目:2016年度漯河市青年拔尖人才科研课题（LBJZ201604） |
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| 中文摘要: |
| 目的：观察半夏厚朴汤联合针刺治疗脑卒中后吞咽障碍的疗效及其对HAMA、HAMD评分、吞咽障碍功能和吸入性肺炎发生的影响。方法：选取2015年8月至2018年2月漯河市中医院收治的脑卒中患者112例作为研究对象，按照随机数字表法分为对照组和观察组，每组56例，对照组给予常规药物治疗和针刺治疗，观察组在对照组治疗的基础上加用半夏厚朴汤，观察2组患者的临床疗效、汉密尔顿焦虑量表（HAMA）、抑郁量表（HAMD）评分、吞咽障碍功能、超氧化物歧化酶（SOD）、丙二醛（MDA）、去甲肾上腺素（NE）、5-羟色胺（5-HT）及吸入性肺炎发生率变化情况。结果：与治疗前比较，2组患者治疗后MDA、HAMA、HAMD评分明显降低，差异有统计学意义（P<005），SOD、5-HT、NE明显升高，差异有统计学意义（P<005），观察组上述指标变化更明显，差异有统计学意义（P<005）；治疗后，2组患者洼田饮水试验评分明显降低（P<005），才藤分级评分、DOSS评分及舌骨喉动度明显增加，差异有统计学意义（P<005），观察组上述指标变化更明显，差异有统计学意义（P<005）；对照组有10例患者出现吸入性肺炎，观察组有3例患者出现吸入性肺炎，差异有统计学意义（P<005）；观察组治疗有效率（9286%）明显高于对照组（7857%），差异有统计学意义（P<005）。结论：半夏厚朴汤联合针刺治疗脑卒中后吞咽障碍可明显降低患者焦虑、抑郁情绪，改善吞咽功能，降低吸入性肺炎的发生率，从而提高临床治疗效果。 |
| English Summary: |
| To observe the clinical effects of Banxia Houpo Decoction combined with acupuncture in the treatment of dysphagic stroke patients and the influence on HAMA，HAMD scores，swallowing disorder function and the incidence of aspiration pneumonia.Methods:A total of 112 cases with dysphagic stroke patients in Luohe City Hospital of Traditional Chinese Medicine from August 2015 to February 2018 were divided into an observational group and a control group，with 56 cases in each group.The control group was given the routine drug therapy and acupuncture treatment，while the observational group was given Banxia Houpo Decoration based on the treatment of the control group.The clinical effect，HAMA and HAMD scores，swallowing disorder function，SOD，MDA，NE，5-HT and the incidence of aspiration pneumonia were observed in the 2 groups.Results:Compared with before treatment，the MDA，HAMA and HAMD scores decreased obviously in the 2 groups after treatment(P<005).SOD，5-HT，NE increased significantly(P<005)，and the above indexes of the observational group changed more obvious(P<005).The Kubota drinking water test score decreased in the 2 groups after treatment significantly(P<005)，and the cane classification score，DOSS scale determination and hyoid larynx dynamic degree increased significantly(P<005).The above indexes of the observational group changed more obviously(P<005).There were 10 patients with aspiration pneumonia of the control group，and there were 3 patients with aspiration pneumonia of the observational group.The difference was statistically significant(P<005); the total effective rate of the observational group after treatment(9286%)was significantly higher than that of the control group(7857%)(P<005).Conclusion:Banxia Houpo Decoration combined acupuncture treatment of swallowing disorders after stroke can obviously reduce the patients' anxiety，depression，improve swallowing function，and reduce the incidence of aspiration pneumonia，so as to improve clinical therapeutic effect. |
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