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目的:观察针刺治疗重症手足口病合并吞咽障碍临床疗效。方法:采用针刺治疗重症手足口病合并吞咽障碍患儿12例,选用风府、风池、哑门、颈夹肌穴、廉泉、夹廉泉、合谷、百会、足三里等穴,观察治疗前后Sheppard吞咽障碍调查问卷(DDS)、Kaup指数及临床疗效。结果:DDS评分治疗前平均(11.7±3.12)分,治疗后平均(3.07±2.87)分,差异有统计学意义(P<0.05),提示针刺能够明显改善患儿的吞咽功能。营养状况Kaup指数情况,治疗前营养正常率16.67%,治疗后正常率58.33%,营养状况治疗前后比较,差异有统计学意义(P<0.05),提示针刺能改善患儿吞咽功能,从而营养状况较前好转。临床疗效显效7例,显效率58.33%,有效4例,有效率33.33%,无效1例,无效率8.33%。总有效率91.67%。结论:针灸能改善患儿的吞咽功能,降低DDS评分,改善患儿的生活质量,提高临床治愈率。
Objective: To observe the clinical effect of acupuncture on severe hand-foot-mouth disease with swallowing disorder. Methods: Acupuncture treatment of severe HFMD complicated with dysphagia in 12 cases, the selection of wind house, wind pool, dumb door, neck Jiajian points, Lianquan, folder Lianquan, Hegu, Baihui, Zusanli and other points, Sheppard dysphagia questionnaire (DDS), Kaup index and clinical effect were observed before and after treatment. Results: The average score of DDS was 11.7 ± 3.12 before treatment and 3.07 ± 2.87 after treatment. The difference was statistically significant (P <0.05), indicating that acupuncture can significantly improve the swallowing function in children. Nutrition status Kaup index, before treatment, the normal nutrition rate of 16.67%, after treatment, the normal rate of 58.33%, nutritional status before and after treatment, the difference was statistically significant (P <0.05), suggesting that acupuncture can improve swallowing function in children to nutrition The situation is better than before. Clinical effect in 7 cases markedly effective rate of 58.33%, effective in 4 cases, the effective rate was 33.33%, 1 case of ineffectiveness, inefficiency 8.33%. The total effective rate of 91.67%. Conclusion: Acupuncture can improve children’s swallowing function, reduce DDS score, improve children’s quality of life, and improve the clinical cure rate.