针刺太溪穴治疗脑卒中后吞咽障碍疗效观察  

Observations on the Efficacy of Acupuncture at Point Taixi in Treating Poststroke Dysphagia

作　　者：房晓宇[1] 唐勇[2] 王中铎[1] 袁玉民[1] 

机构地区：[1]中国人民解放军第261医院理疗科,北京100094 [2]成都中医药大学,四川610072

出　　处：《上海针灸杂志》2009年第2期75-76,共2页Shanghai Journal of Acupuncture and Moxibustion

摘　　要：目的比较针刺太溪穴和头针治疗脑卒中引起假性球麻痹造成吞咽困难的疗效。方法将100例患者随机分为治疗组和对照组,每组50例。治疗组采用针刺太溪穴为主配合偏瘫治疗的基础针刺;对照组采用针刺头部的顶颞前、后斜线透刺为主配合偏瘫治疗的基础针刺。观察两组针刺3次、5次、10次的疗效并进行比较。结果治疗组和对照组总体疗效差异具有统计学意义(P<0.05);治疗组第3次治疗结束后的疗效优于对照组(P<0.01);但在第5次治疗结束,两组疗效差异无统计学意义。结论针刺太溪穴治疗脑卒中引起假性球麻痹造成吞咽困难疗效显著,起效较快,头针治疗累积效应更为明显。Objective To compare the efficacy of acupuncture at point Taixi（KI3） with scalp acupuncture in treating dysphagia due to post-stroke pseudobulbar palsy. Methods One hundred patients were randomly allocated to treatment and control groups, 50 cases each. The treatment group received point Taixi acupuncture as the main plus basic acupuncture treatment for hemiplegia and the control group, point-through-point acupuncture from scalp anterior parietotemporal oblique line to posterior parietotemporal oblique line as the main plus basic acupuncture treatment for hemiplegia. The clinical therapeutic effects were compared betweenthe two groups after 3, 5 and 10 sessions of acupuncture. Results There was a statistically significant difference in the global therapeutic effect between the treatment and control groups. The therapeutic effect was better in the treatment group than in the control group at the end of 3 treatments, but there was no statistically significant difference in therapeutic effect between the two groups at the end of 5 treatments. Conclusion Acupuncture at point Taixi has a marked and quicker therapeutic effect on dysphagia due to poststroke pseudobulbar palsy. Scalp acupuncture treatment has a more marked accumulative effect.

关 键 词：吞咽障碍 中风 针灸疗法 穴 太溪 

分 类 号：R246.6[医药卫生—针灸推拿学]