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目的观察康复护理联合中药熏蒸在脑卒中并发吞咽障碍患者吞咽功能恢复的临床疗效。方法选取66例脑卒中并发吞咽障碍患者,随机分为两组,即实验组和对照组,每组各33例。对照组是对脑卒中并发吞咽障碍患者患者进行康复护理基础治疗,每天治疗2次,共治疗4周;实验组是对脑卒中并发吞咽障碍患者康复护理基础治疗的同时给予中药独活寄生汤(独活、桑寄生、秦艽、防风、细辛、当归、芍药、川芎、干地黄、杜仲、牛膝、人参、茯苓、甘草、桂心15味药组成)熏蒸,每天熏蒸2次,共治疗4周。采用洼田氏咽水试验评价两组治疗前后吞咽障碍程度,采用藤岛一郎吞咽疗效评价标准评定两组治疗效果。结果经4周治疗后,实验组患者吞咽功能恢复总体有效率为90.91%,对照组为81.82%,且实验组患者吞咽功能恢复情况明显优于对照组(P<0.05)。结论积极恰当的康复护理措施联合中药熏蒸可以明显促进脑卒中并发吞咽障碍患者吞咽功能的恢复。
Objective To observe the clinical efficacy of rehabilitation nursing combined with traditional Chinese medicine fumigation in swallowing recovery in patients with stroke and swallowing disorders. Methods Sixty-six stroke patients with dysphagia were randomly divided into two groups: experimental group and control group, with 33 cases in each group. The control group was given basic rehabilitation and nursing care to patients with stroke complicated with dysphagia twice a day for 4 weeks. The experimental group was given basic treatment of rehabilitation nursing for patients with stroke complicated with swallowing dysfunction, Paeonia lactiflora, Chuanxiong, dry Rehmanniae, Eucommia, Achyranthes, ginseng, Poria, licorice, Guixin 15 herbs composition) fumigation, fumigation 2 times a day for a total of 4 weeks. Wuda’s pharyngeal water test was used to evaluate the degree of dysphagia before and after treatment in both groups. The therapeutic effect of the two groups was evaluated by the evaluation criteria of Ichiro Fujishima’s swallowing efficacy. Results After 4 weeks of treatment, the total effective rate of swallowing recovery was 90.91% in the experimental group and 81.82% in the control group, and the swallowing recovery in the experimental group was significantly better than that of the control group (P <0.05). Conclusion Positive and appropriate rehabilitation nursing measures combined with traditional Chinese medicine fumigation can obviously promote the recovery of swallowing function in patients with stroke and swallowing disorders.