头颈面部穴位按摩治疗脑卒中后吞咽障碍的疗效  

Effect of Massage at Head-neck Acupoints on Dysphagia post Stroke

作　　者：王开龙[1] 黄永[1] 周宾宾[1] 吴东宇[2] 

机构地区：[1]广西中医药大学第一附属医院,广西南宁市530023 [2]首都医科大学宣武医院,北京市100053

出　　处：《中国康复理论与实践》2014年第3期269-271,共3页Chinese Journal of Rehabilitation Theory and Practice

基　　金：广西教育厅科研项目(No.201106LX281);广西高等教育教学改革工程项目(No.2012JGA159);广西中医药大学教改项目(No.2011B11)

摘　　要：目的观察头颈面部穴位按摩对脑卒中后吞咽障碍的疗效。方法 60例脑卒中后吞咽障碍患者随机分为治疗组和对照组,各30例。对照组采用针刺和吞咽康复训练,治疗组在此基础上增加头颈面部穴位按摩。采用标准吞咽功能评估量表(SSA)进行评定。结果两组治疗后吞咽功能均有显著改善(P<0.001),治疗组SSA评分显著优于对照组(P<0.001)。结论配合头颈面部穴位按摩可以更好地改善脑卒中恢复期吞咽障碍。Objective To observe the effect of massage at acupoints on head, neck and face on dysphagia after stroke. Methods 60 stroke patients with dysphagia were randomly divided into treatment group （n=30） and control group （n=30）. The control group received conventional rehabilitation, including acupuncture and swallowing training, and the treatment group received acupoint massage on head, neck and face in addition. They were assessed with Standardized Swallowing Assessment （SSA） before and 4 weeks after treatment. Results The score of SSA improved in both groups （P〈0.001）, and improved more in the treatment group than in the control group （P〈0.001） after treatment. Conclusion Conventional rehabilitation with acupoint massage is more effective on dysphagia after stroke.

关 键 词：脑卒中 吞咽障碍 按摩 康复 

分 类 号：R743.3[医药卫生—神经病学与精神病学]