耳穴埋豆联合针刺对脑梗死患者睡眠质量及吞咽功能的影响

摘要 目的：探讨耳穴埋豆联合针刺对脑梗死患者睡眠质量及吞咽功能的影响。方法：选取2016年3月2日至2021年3月2日于我院进行脑梗死治疗的80例患者，将其随机分为观察组（n=40）和对照组（n=40），观察组采用耳穴埋豆联合针刺治疗干预，对照组采用常规治疗，对比两组患者匹兹堡睡眠质量指数问卷（Pitsburgh sleep quality index，PSQI）评分和睡眠状况自评量表（Self-Rating Scale of Sleep，SRSS）评分、渗透-误吸量表（Penetration-aspiration scale，PAS）评分、吞咽功能治疗有效率、治疗满意度。结果：治疗干预后，观察组患者的PSQI评分及SRSS评分明显优于对照组，差异有统计学意义（P<0.05）；治疗前，比较两组患者3种食团PAS评分，差异均无统计学意义（P>0.05）。治疗后，比较两组患者3种食团PAS评分，均较治疗前明显下降，差异有统计学意义（P<0.05）。观察组5 mL水、10 mL水PAS评分明显低于对照组（P<0.05），而比较两组患者5 mL布丁样食物PSA评分，差异无统计学意义（P>0.05）；观察组患者吞咽障碍经治疗后总有效率为90 %；对照组患者吞咽障碍经治疗后总有效率为70 %。差异有统计学意义（P<0.05）；观察组满意度明显高于对照组（P<0.05）。结论：耳穴埋豆联合针刺治疗方法应用于脑梗死患者，可有效改善睡眠质量，提升患者吞咽功能，提高吞咽障碍治疗率，患者满意度提高，可应用于临床。

Effect of Auricular Point Embedding Beans Combined with Acupuncture on Sleep Quality and Swallowing Function of Patients with Cerebral Infarction

ABSTRACT Objective: To investigate the effect of ear acupoint embedding beans combined with acupuncture on sleep quality and swallowing function in patients with cerebral infarction. Methods: 80 patients with cerebral infarction treated in our hospital from March 2, 2016 to March 2, 2021 were selected and randomly divided into the observation group (n=40) and the control group (n=40). The observation group was treated with ear acupoint embedding beans combined with acupuncture, and the control group was treated with conventional treatment, PSQI score, self rating scale of sleep (SRSS) score, penetration aspiration scale (PAS) score, swallowing function treatment efficiency, treatment satisfaction. Results: After the intervention, the PSQI score and SRSS score of the observation group were significantly better than those of the control group(P<0.05); Before treatment, there was no significant difference in PAS scores of three kinds of food balls between the two groups (P>0.05). After treatment, the PAS scores of three kinds of food balls in the two groups were significantly lower than those before treatment (P<0.05). The PAS score of 5ml water and 10ml water in the observation group was significantly lower than that in the control group (P<0.05), but there was no significant difference in the PSA score of 5ml pudding like food between the two groups (P>0.05); The total effective rate of dysphagia in the observation group was 90%; The total effective rate of the control group was 70%. The difference was statistically significant (P<0.05); The satisfaction of the observation group was significantly higher than that of the control group (P<0.05). Conclusion: Auricular Point Embedding beans combined with acupuncture can effectively improve the sleep quality, swallowing function, treatment rate of dysphagia and patient satisfaction in patients with cerebral infarction, which can be applied in clinic.