丹红解语汤治疗脑梗死吞咽障碍临床疗效观察-中西医结合临床专业论文.docx

I I 摘 要 摘 要 脑梗死属于中医学“中风”范畴，目前已成为多发病、常见病，常常造成患者神经 功能缺损，尤其并发吞咽障碍，造成其生活质量严重下降。目前对诊断有吞咽障碍的脑 梗死患者，恢复期多采用针刺及综合康复的方法治疗，虽取得一定疗效，但由于疗程长， 患者不能耐受，治疗不能贯彻始终。少有研究采用药物治疗脑梗死吞咽障碍的报道。本 研究采用导师自拟方“丹红解语汤”治疗脑梗死吞咽障碍，且通过电视荧光透视的方法， 观察丹红解语汤临床疗效。本研究选取 84 例有吞咽障碍的脑梗死患者，随机分为治疗 组及对照组，治疗组 50 例，对照组 34 例，观察 14d 后，治疗组电视荧光透视下吞咽功 能的改善优于对照组，具有统计学意义。通过临床研究，表明丹红解语汤在治疗有吞咽 障碍的脑梗死患者临床疗效显著。 关键词 脑梗死 中风 吞咽障碍 吞咽困难 电视荧光透视 丹红解语汤 II II Abstract Abstract Cerebral infarction belong to the category of “Stroke” of traditional Chinese medicine. Currently it become frequently-occurring and common disease，usually it cause airframe function defect，especially the patient with swallowing disorders，so the quality of their life seriously decline. Currently patients who diagnosed with swallowing function obstacle of cerebral infarction, on recovery they use more acupuncture and rehabilitation methods, though acquiring curative effect, the treatment is too long. Sometimes the patient cant tolerate, cannot carry out. The research using drug treatment for swallowing disorder of cerebral infarction is few. This study using my mentor’s work “Dan hong jie yu soup”, for the treatment of stroke patients with swallowing disorder of cerebral infarction. by the method of TV fluorescence perspective to observe the Clinical curative effect of Dan hong jie yu soup. This study selects 84 cases with swallowing function obstacle with cerebral infarction. Randomly divided them into the treatment group and control group. The treatment group has 50 cases and the control group has 34 cases. Observe 14 days later, by the method of TV fluoroscopy the Swallowing function improved in treatment group than in control group, results with statistical significance. Through clinical trials, confirm that the treatment of swallowing function obstacle in patients with cerebral infarction with Dan hong jie yu soup clinical curative effect is distinct. It is worth of spreading。 Key words Cerebral infarction Stroke Dysphgia Iconoqraphy TV fluoroscopy Dan hong jie