祛风化痰针刺法对假性球麻痹患者构音障碍的影响  

Effect of Wind-Dispelling and Phlegm-Resolving Acupuncture on Anarthria in Patients with Pseudobulbar Palsy

作　　者：唐南淋[1] 史佳[2] 吴清明[3] 

机构地区：[1]海南省中医院,海口570000 [2]海南省人民医院,海口570102 [3]湖南中医药大学第二附属医院,长沙410005

出　　处：《上海针灸杂志》2013年第10期814-816,共3页Shanghai Journal of Acupuncture and Moxibustion

基　　金：国家中医药管理局"50项中医特色临床诊疗技术规范化的示范研究"项目(2009ZL33)

摘　　要：目的观察祛风化痰针刺法对假性球麻痹患者构音障碍改善和康复的促进作用。方法将240例确诊为风痰型假性球麻痹患者随机分入治疗组和对照组,每组120例,分别给予祛风化痰针刺法和模拟针刺法治疗,取穴一致,均取风池(双)、完骨(双)、廉泉、丰隆(双),每天上、下午各针刺1次,连续6 d为1个疗程,疗程间休息1 d,共治疗4个疗程。对两组患者治疗前、治疗2个疗程和治疗4个疗程后言语和发声进行评分,根据分值的变化情况评定和比较临床疗效。最后进行疗效评定及比较。结果第2疗程结束后两组患者言语及发声积分有较明显的下降(P<0.01),治疗组和对照组无明显差异;第4疗程结束后言语及发声积分进一步显著降低(P<0.01),治疗组较对照组降低更明显(P<0.01);治疗组治愈率、显效率和总有效率分别为34.2%、40.0%和93.3%,均显著高于对照组(P<0.05)。结论祛风化痰针刺法对假性球麻痹患者构音障碍改善和康复有肯定、持续且显著的促进作用。Objective To investigate the promoting effect of wind-dispelling and phlegm-resolving acupuncture on relief and rehabilitation from anarthria in patients with pseudobulbar palsy. Method Two hundred and forty patients diagnosed definitely with pseudobulbar palsy of wind-phlegm type were randomly allocated to treatment and control groups, 120 cases each. They were treated with wind-dispelling and phlegm-resolving acupuncture and simulative acupuncture, respectively. The same points Fengci （GV 16,bilateral）, Wangu （GB 12,bilateral）, Lianquan （CV23） and Fenglong （ST40,bilateral） were selected. Acupuncture was given once in the morning and once in the afternoon every day, six consecutive days as one course of treatment. Treatment was administered for a total of four courses with an interval of one day between. Speech and phonation were scored in the two groups of patients before treatment and after two and four courses of treatment. The clinical therapeutic effects were evaluated according to the changes in the scores and finally compared. Result After the completion of the second course of treatment, the speech score and the phonation score decreased significantly in the two groups of patients （P〈0.01）; there were no significant differences between the treatment and control groups. After the completion of the fourth course of treatment, the speech score and the phonation score decreased more significantly （P〈0.01） and declined more in the treatment group than in the control group （P〈0.01）. The cure rate, marked efficacy rate and efficacy rate were 34.2%, 40.0% and 93.3%, respectively, in the treatment group, which were significantly higher than those in the control group （P〈0.05）. Conclusion Wind-dispelling and phlegm-resolving acupuncture has a positive, persistent and marked promoting effect on relief and rehabilitation from anarthria in patients with pseudobulbar palsy.

关 键 词：针刺 刺法 假性延髓麻痹 构音障碍 

分 类 号：R246.6[医药卫生—针灸推拿学]