研究"醒脑开窍"针法结合吞咽治疗仪对脑梗死患者吞咽功能障碍的临床疗效。

选择2018年8月至2019年8月雄安新区安新县中医医院内1科收治的脑梗死吞咽困难患者72例，采用随机数字表法按照就诊顺序纳入患者，单盲法评价，将患者分为治疗组和对照组各36例，对照组进行常规内科基础治疗和吞咽功能训练，治疗组在对照组治疗基础上配合"醒脑开窍"针法治疗，每日1次，每周6次，以及Vocastim吞咽治疗仪治疗，每日1次，2周为1个疗程。疗效评价指标为间藤岛一郎吞咽疗效评价标准以及标准吞咽功能评定量表(SSA)。2组间比较采用两独立样本t检验，治疗前后比较采用自身配对t检验。2组总有效率比较采用χ²检验。

(1)总有效率：治疗2周后，对照组痊愈5例，有效22例，无效9例，总有效率75.0%(27/36)，治疗组痊愈10例，有效22例，无效4例，治疗总有效率88.9%(32/36)；治疗组治疗总有效率高于对照组，且差异有统计学意义(χ²＝0.048，P<0.05)。(2)藤岛一郎吞咽疗效评价标准评分：对照组和治疗组治疗后该评分较各自治疗前均明显提高(t＝2.02、2.42，P均<0.05)；治疗2周后治疗组评分较对照组增高(t＝0.735，P<0.05)。(3)SSA评分比较：对照组和治疗组治疗后SSA评分评分较各自治疗前均明显降低(t＝2.04、2.46，P均<0.05)；治疗2周后治疗组评分较对照组降低(t＝0.732，P<0.05)。

"醒脑开窍"针法和吞咽治疗仪合用可明显提高脑梗死患者的吞咽能力。

To investigate the effect of consciousness-restoring resuscitation (Xingnao Kaiqiao) acupuncture method combined with swallowing therapy device on deglutition disorders in patients with cerebral infarction.

72 patients with deglutition disorders caused by cerebral infarction, admitted from August 2018 to August 2019 in the First Department of Medicine in the Hospital of Anxin County Traditional Chinese Medicine of Xiong′an New Area, were selected. The patients were randomly divided into a treatment group and a control group with 36 cases in each group. The control group received basic medical treatment and swallowing function training, while the treatment group applied the same methods combined with the consciousness-restoring resuscitation acupuncture therapy (once a day, 6 times a week), and with Vocastim swallowing therapy instrument (once a day, lasting for 2 weeks). The therapeutic effect was evaluated by swallowing efficacy evaluation standard and standard swallowing function assessment scale (SSA). Two independent samples t-test was used for comparison between the two groups, and self-paired t-test was used for comparison before and after treatment. The total effective rates of the two groups were compared by χ² test.

(1) Total effective rate: after 2 weeks of treatment, in the control group, 5 cases were cured, 22 were effective, 9 were ineffective, and the total effective rate was 75.0% (27/36); in the treatment group, 10 cases were cured, 22 cases were effective, 4 cases were ineffective, and the total effective rate was 88.9% (32/36); the total effective rate of the treatment group was higher than that of the control group, and the difference was statistically significant (χ²= 0.048, P<0.05). (2) Comparison of swallowing effect evaluation standard scores: after treatment, scores of the control group and the treatment group were significantly higher than those before treatment (t=2.02, 2.42, all P<0.05); after 2 weeks of treatment, scores of the treatment group were higher than those of the control group (t=0.735, P<0.05). (3) Comparison of SSA scores: the SSA scores of the control group and the treatment group after treatment were significantly lower than those before treatment (t=2.04, 2.46, all P<0.05); the scores of the treatment group were lower than those of the control group after 2 weeks of treatment (t=0.732, P<0.05).

The consciousness-restoring resuscitation acupuncture method combined with swallowing therapy device can improve patients′ deglutition function.