八窍开通针刺法治疗中风后假性球麻痹临床观察  

Clinical Observation on Eight-orifice Opening Acupuncture for Pseudobulbar Palsy after Stroke

作　　者：陈晓军[1] 刘婧[1] 李邦伟[1] 方针[1] 李霞[1] 蒋旭 CHEN Xiaojun;LIU Jing;LI Bangwei;FANG Zhen;LI Xia;JIANG Xu

机构地区：[1]浙江中医药大学附属第三医院,浙江杭州310005 [2]浙江中医药大学,浙江杭州310053

出　　处：《新中医》2018年第12期194-197,共4页New Chinese Medicine

基　　金：浙江省中医药科学研究项目(2016ZB060)

摘　　要：目的:观察八窍开通针刺法治疗中风后假性球麻痹的临床疗效。方法:将70例中风后假性球麻痹患者随机分为观察组和对照组,每组35例。对照组采用西医基础治疗及康复训练,观察组在对照组基础上结合八窍开通针刺法治疗,选穴分2组,隔日交替使用,2组均治疗8周。于治疗前、治疗4周及治疗8周时比较2组吞咽X线荧光透视检查(VFSS)及症状体征量表评分,记录治疗过程中出现的不良反应。结果:治疗4周,2组VFSS评分均较治疗前提高(P <0.01);组间比较,差异无统计学意义(P> 0.05)。治疗8周,2组VFSS评分均较治疗前提高(P <0.01),观察组VFSS评分较对照组提高更为明显(P <0.05)。治疗4周、8周后,2组症状体征量表评分均较治疗前下降(P <0.01);观察组症状体征量表评分较对照组下降更为明显(P <0.05)。治疗过程中,观察组出现3人次晕针及4人次血肿,经简单处理后症状均消失。结论:八窍开通针刺法能显著改善中风后假性球麻痹患者的吞咽功能,且对于患者的言语、发声等功能也有一定的改善效果。Objective: To observe the clinical effect of eight-orifice opening acupuncture for pseudobulbar palsy after stroke. Methods:Divided 70 cases of patients with pseudobulbar palsy after stroke into the observation group and the control group randomly, 35 cases in each group. The control group received the routine western medicine treatment and rehabilitation training, while the observation group additionally received eight-orifice opening acupuncture, in which two groups of acupoints were selected and used alternatively every other day. Before treatment and in the 4th and 8th week of treatment, compared scores of video fluoroscopic swallowing study(VFSS) and the symptom and sign scale,and recorded the occurrence of adverse reactions during treatment. Results: In the 4th week of treatment,scores of VFSS in both groups were higher than those before treatment(P<0.01);comparing the scores of VFSS in-between the two groups,there was no significant difference being found(P>0.05). In the 8th week of treatment,scores of VFSS in both groups were higher than those before treatment (P<0.01); the scores in the observation group were increased more significantly than those in the control group (P<0.05). After 4 and 8 weeks of treatment,scores of the symptom and sign scale in both groups were lower than those before treatment(P<0.01);the scores in the observation group were decreased more significantly than those in the control group(P<0.05). During treatment in the observation group,fainting during acupuncture occurred in 3 person-times and hematoma in 4 person-times, which disappeared after simple treatment. Conclusion: Eight-orifice opening acupuncture can significantly improve the swallowing function of patients with pseudobulbar palsy after stroke,also with certain effect in ameliorating such functions as speech and phonation.

关 键 词：中风 假性球麻痹 八窍开通针刺法 吞咽功能 症状 体征 

分 类 号：R743.3[医药卫生—神经病学与精神病学] R246.6[医药卫生—临床医学]