The Effect of Targeted Drug Penetration of Dihuang Yinzi on the Efficacy and Quality of Life in Patients with Dysphagia after Stroke with Kidney Deficiency and Phlegm Stasis Type
ZHU Hua-zhen, WANG Ping, CHEN De-xing, et al
Department of Traditional Chinese Medicine,Shanghai Pudong New Area Pulmonary Hospital,Shanghai 201209
Abstract:【Objective】 To explore the effect of the Dihuang Yinzi (Rehmannia Decoction),a traditional Chinese medicine compound,on the efficacy and quality of life of patients with Dysphagia after stroke of kidney deficiency and phlegm stasis type. 【Methods】 A total of 64 patients with dysphagia after stroke were randomly divided into two groups,with 32 cases in each group. The control group received swallowing training,while the observation group received Dihuang Yinzi treatment on the basis of swallowing training. The efficacy of two groups of patients was compared,and the quality of life was evaluated using the WHOQOL-BREF scale as an evaluation tool. The differences in the total quality of life score and four domain scores between the two groups of patients were observed. 【Results】 The total effective rate of the observation group was 84.38% (27/32),which was higher than the control group's 62.5% (20/32). There was a statistically significant difference between the two groups (P<0.05),and no adverse events occurred in either group of patients. There was no statistically significant difference in the quality of life scores between the two groups of patients before treatment (all P>0.05); After treatment,the quality of life scores of both groups of patients were higher than that before treatment,and the difference was statistically significant (P<0.05). After treatment,the overall quality of life score and environmental and physiological scores of the observation group were higher than those of the control group (P<0.05); There was no statistically significant difference in the scores of social relations and psychology between the two groups (P>0.05). 【Conclusions】 Targeted drug penetration of Dihuang Yinzi combined with swallowing training can significantly improve the quality of life of patients with Dysphagia after stroke,with good safety.
朱化珍, 王萍, 陈德兴, 杨化兰. 地黄饮子定向透药治疗肾虚痰瘀型脑卒中后吞咽障碍患者的疗效及其对生存质量的影响[J]. 医学临床研究, 2023, 40(6): 838-840.
ZHU Hua-zhen, WANG Ping, CHEN De-xing, et al. The Effect of Targeted Drug Penetration of Dihuang Yinzi on the Efficacy and Quality of Life in Patients with Dysphagia after Stroke with Kidney Deficiency and Phlegm Stasis Type. JOURNAL OF CLINICAL RESEARCH, 2023, 40(6): 838-840.
[1] SMITH E E,KENT D M,BULSARA K R,et al. Effect of dysphagia screening strategies on clinical outcomes after stroke:A systematic review for the 2018 guidelines for the early management of patients with acute ischemic stroke[J].Stroke,2018,49(3):e140. [2] DUARTE S B R,CHAVEIRO N,DEFREITAD A R,et al.Valida-tion of the WHOQOL-Bref in strument in brazilian sign lan-guage(Libras)[J].Qual Life Res,2021,30(1):303-313. [3] 肖卫红,吴碧玉. 脑卒中后吞咽障碍的康复研究进展[J].中国康复理论与实践,2017,23(7):783-787. [4] 中华医学会第四届全国脑血管病学术会议.各项脑血管病诊断要点[J].中华神经内科杂志,1996,29(6):379. [5] 国家中医药管理局脑病急症协作组.中风病诊断与疗效评定标准(试行)[J].北京中医药大学学报,1996,19(1):55-56. [6] 王薇薇,王新德.第六届全国脑血管病学术会议纪要[J].中华神经科杂志,2004,37(4):346-348. [7] 国家中医药管理局.中医病证诊断疗效标准[M].南京:南京大学出版社,1994:73. [8] 朱化珍,汤晓龙,杨化兰,等.地黄饮子定向透药治疗肾虚痰瘀型脑卒中后吞咽障碍临床观察[J].医药论坛杂志,2022,43(23):86-89. [9] 中国吞咽障碍康复评估与治疗专家共识组.中国吞咽障碍评估与治疗专家共识(2017年版)[J].中华物理医学与康复杂志,2017,39(12):881-892. [10] WANG P,MA X,HUANG J,et al. Effect of acupuncture treatment on dysphagia caused by pseudobulbar paralysis after stroke:a systematic review and meta-analysis[J].Ann Palliat Med,2022,3(28):3548-3551. [11] 苏锦华.地黄饮子联合点刺金津、玉液治疗中风后吞咽困难临床观察[J].光明中医,2021,36(21):3617-3620. [12] 杨丹.“三才”穴位注射疗法治疗脑卒中后吞咽功能障碍的临床观察[J].中国民间疗法,2019,27(4):20-22. [13] KRUITHOF N,HAAGSMA J A,KARABATZAKIS M,et al.Valida-tionandre liability of the abbreviated world health organi-zation quality of life instrument (WHOQOL-BREF) in the hospitalized trauma population[J].Injury,2018,49(10):1796-1804. [14] PURBA F D,HUNFELD J A M,ISKANDARSYAH A,et al.Quality of life of the indonesian general population:test-retestrelia-bility and population norms of the EQ-5D-5L and WHO-QOL-BREF[J].PLoS One,2018,13(5):197-198.