针刺治疗中风后假性延髓麻痹的规范化研究  

The research of many center on after stroke pseudobulbar paralysis with acupuncture

作　　者：李成永 张桂波[2] 许佳年[3] 薛文海 王伟 武雪宇[3] 陈佳红[3] 周艳丽[2] 李昌植[2] 张仁[4] 

机构地区：[1]上海市长宁区天山中医医院,上海200051 [2]上海中医药大学附属岳阳中西医结合医院,上海200437 [3]上海市第十人民医院,上海200072 [4]上海市中医文献馆,上海200020

出　　处：《中医药信息》2008年第4期67-69,共3页Information on Traditional Chinese Medicine

基　　金：上海市卫生局中医药科研项目(2006L018A)

摘　　要：目的:通过制定规范化的针刺治疗方法,进行针刺治疗中风后假性延髓麻痹的多中心随机对照试验,为针刺治疗该病提供科学、客观的临床依据及可推广方案。方法:120例患者随机分为两组:针刺组60例,对照组60例(康复训练组),进行针刺治疗中风后假性延髓麻痹的多中心、盲法的临床疗效评价研究,着重从饮水测试评定方法进行评定,观察针刺治疗中风后假性延髓麻痹的治疗作用,并从临床的安全性、适应症、禁忌症等内容进行多中心的研究。结果:治疗1个疗程后,针刺组、对照组饮水试验评分均明显低于治疗前(P<0.01,P<0.01),且针刺组明显低于对照组(P<0.01);治疗1个疗程后3个月,针刺组、对照组饮水试验评分均明显低于治疗前(P<0.01,P<0.01),针刺组明显低于对照组(P<0.01);针刺组治疗1个疗程后3个月与治疗1个疗程后相比较有显著差异(P<0.01),对照组治疗1个疗程后3个月与治疗1个疗程后相比较无差异(P>0.05)。结论:用本课题组制定的规范化的针刺方法治疗中风后假性延髓麻痹疗效确切,针刺治疗安全可靠,病人依从性好。To observe the clinical effects of many centers on after stroke pseudobulbar paralysis with acupuncture , 120 case were randomized two groups: control groups in which 60 cases were treated by rehabilitation training and treatment group in which 60 cases by standardization acupuncture , the result shows that the water test defects of acupuncture groups were obviously lower than that of control groups after twenty treatments and three months after twenty treatments (P<0.01), this paper offers the science reference for clinic to cure pseudobulbar paralysis with acupuncture.

关 键 词：中风 假性延髓麻痹 针刺 规范化 饮水试验评分 

分 类 号：R246.6[医药卫生—针灸推拿学]