通讯作者: 胡琳丽, shuoma2011@163.com

DOI：10.12201/bmr.202604.00162

The impact of feeding training under the evaluation of Jieyu Dan ice stimulation combined with CSSET on the swallowing function of stroke patients with wind-phlegm blocking collaterals

• 摘要：目的:探讨解语丹冰刺激联合中国人吞咽安全有效性测试(CSSET)评估下的摄食训练对风痰阻络型中风患者吞咽功能的影响。方法:选取2023年1月-2025年6月杭州市红十字会医院住院部收治的124例符合风痰阻络型中风后吞咽障碍诊断标准的患者,通过随机数字表法分配至观察组与对照组,每组各62例。最终完成全部试验流程对照组60例(剔除2例)、观察组61例(剔除1例)。对照组采用常规康复训练及CSSET 评估下的摄食训练,观察组采用解语丹冰刺激联合 CSSET 评估下的摄食训练。干预前和干预4周后评估2组吞咽功能采用患者功能性经口摄食量表(FOIS),并比较2组临床疗效、吸入性肺炎发生率、胃管拔除率。结果:干预4周后,2组FOIS评分较干预前显著降低,观察组FOIS评分低于对照组(P＜0.05)。观察组总有效率优于对照组(86.89% vs 68.33%,P＜0.05)。观察组吸入性肺炎发生率低于对照组(24.59% vs 43.33%,P＜0.05),观察组胃管拔除率高于对照组(65.57% vs 35.00%,P＜0.05)。结论:采用解语丹冰刺激联合 CSSET 评估下的摄食训练能有效改善风痰阻络型中风患者吞咽功能,减少吸入性肺炎发生率,提高胃管拔除率,临床疗效显著,值得临床推广应用。

  关键词： 中风; 风痰阻络型; 解语丹; 冰刺激; CSSET; 摄食训练; 吞咽功能

   

  Abstract: Objective:To explore the effects of dietary training under the combined stimulation of Jiuyu Dan ice and the Chinese Swallowing Safety and Efficacy Test (CSSET) on swallowing function in patients with stroke due to wind-phlegm obstruction.Methods:124 patients who met the diagnostic criteria for post-stroke dysphagia of wind phlegm obstruction type and were admitted to the inpatient department of Hangzhou Red Cross Hospital from January 2023 to June 2025 were randomly assigned to an observation group and a control group using a random number table, with 62 patients in each group. Finally, the entire experimental process was completed with 60 cases in the control group (excluding 2 cases) and 61 cases in the observation group (excluding 1 case). The control group received conventional rehabilitation training and feeding training under CSSET evaluation, while the observation group received feeding training under the stimulation of Jieyu Danbing combined with CSSET evaluation. Evaluate the swallowing function of two groups before and 4 weeks after intervention using the Functional Oral Intake Scale (FOIS), and compare the clinical efficacy, incidence of aspiration pneumonia, and gastric tube removal rate between the two groups. Result: After 4 weeks of intervention, the FOIS scores of both groups decreased significantly compared to before intervention, and the FOIS scores of the observation group were significantly lower than those of the control group (P<0.05). The total effective rate of the observation group was better than that of the control group (86.89% vs 68.33%, P<0.05). The incidence of aspiration pneumonia in the observation group was lower than that in the control group (24.59% vs 43.33%, P<0.05), and the removal rate of gastric tubes in the observation group was higher than that in the control group (65.57% vs 35.00%, P<0.05). Conclusion: The use of Jieyu Danbing stimulation combined with CSSET evaluation for feeding training can effectively improve swallowing function, reduce the incidence of aspiration pneumonia, and increase the removal rate of gastric tubes in patients with wind phlegm obstruction type stroke. The clinical efficacy is significant and worthy of clinical promotion and application.

  Key words: Stroke; Wind-phlegm blocking collaterals type; Jieyu Dan; Ice stimulation; CSSET; Feeding training; Swallowing function

  提交时间：2026-04-26

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• 序号	提交日期	编号	操作
  1	2026-03-03	10.12201/bmr.202604.00162V1	下载

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