The influence of copper bian gua sha assisted rehabilitation nursing on the swallowing function of patients with dysphagia after wind-phlegm obstructing the meridians after stroke
铜砭刮痧辅助康复护理对风痰阻络型脑卒中后吞咽障碍患者吞咽功能的影响

摘要

目的 通过观察铜砭刮痧辅助康复护理对风痰阻络型脑卒中后吞咽障碍患者吞咽功能的影响。方法选取在中山市古镇人民医院治疗、符合标准的脑卒中后吞咽障碍患者，共计80例（2023年7月至2025年2月）。将符合纳入标准的患者随机分为（常规康复治疗对照组）和（常规康复治疗+铜砭刮痧治疗 观察组），各40例，均连续干预1-4周。对比干预效果。结果 干预1-4周时，观察组SSA评分低于对照组（P＜0.05）；干预1-4周时，观察组GQOLI-74评分高于对照组（P＜0.05）；干预1-4周时观察组营养水平高于对照组（P＜0.05）。结论 铜砭刮痧辅助康复护理对风痰阻络型脑卒中后吞咽障碍患者，具有明显吞咽功能康复促进效果，可改善患者生活质量及营养状态，值得进一步研究应用。

Abstract

Objective To observe the effect of copper bian gua sha assisted rehabilitation nursing on the swallowing function of patients with dysphagia after wind-phlegm blocking the meridians due to stroke.
Methods A total of 80 patients with dysphagia after stroke who met the criteria and were treated at Zhongshan Guzhen People's Hospital were selected (from July 2023 to February 2025). Patients who met the inclusion criteria were randomly divided into the (conventional rehabilitation treatment control group) and the (conventional rehabilitation treatment + copper bian gua sha treatment observation group), with 40 cases in each group. All groups were continuously intervened for 1 to 4 weeks. Compare the intervention effects.
Results At 1-4 weeks of intervention, the SSA score of the observation group was lower than that of the control group (P < 0.05). At 1-4 weeks of intervention, the GQOLI-74 score of the observation group was higher than that of the control group (P < 0.05). The nutritional level of the observation group was higher than that of the control group at 1 to 4 weeks of intervention (P < 0.05).
Conclusion   Copper bian gua sha assisted rehabilitation nursing has a significant promoting effect on the rehabilitation of swallowing function for patients with dysphagia after wind-phlegm blocking the meridians due to stroke. It can improve the quality of life and nutritional status of patients and is worthy of further research and application.