分期针刺治疗中风后吞咽功能障碍临床观察  

Clinical Observation of Acupuncture by Stages for Post-stroke Swallowing Dysfunction

作　　者：陆彦青[1] 刘悦[1] 黄凡[1] 杨海涛[1] 邝伟川[1] 

机构地区：[1]广东省第二中医院,广州510095

出　　处：《上海针灸杂志》2014年第8期702-705,共4页Shanghai Journal of Acupuncture and Moxibustion

基　　金：广东省中医药管理局课题(20131109)

摘　　要：目的观察吞咽分期针刺法治疗中风后吞咽功能障碍临床疗效。方法将符合纳入标准的60例患者随机分为分期针刺组和常规针刺组,在基础治疗上分别施加吞咽分期针刺治疗、常规针刺治疗,两组患者治疗前、治疗后分别进行功能评定和量表评估,并比较其疗效差异。结果经洼田饮水试验疗效比较,分期针刺组总有效率为83.3%,常规针刺组总有效率为53.3%,两组经秩和检验吞咽分期针刺法疗效较显著(P<0.05),尤其在咽期吞咽分期针刺组明显优于常规针刺组(P<0.05);而在口腔期及食管期两组组间比较无显著性差异(P>0.05);在VFSS量表评分方面,分期针刺组在改善患者吞咽功能方面优于常规针刺组,经统计学处理有显著性差异(P<0.05)。结论吞咽分期针刺法在改善中风后吞咽功能障碍患者吞咽功能临床疗效肯定,尤其在改善咽期患者吞咽功能方面疗效显著。Objective To observe the clinical efficacy of acupuncture by stages in treating post-stroke swallowing dysfunction. Method Sixty eligible patients were randomized into a staging-acupuncture group and an ordinary-acupuncture group, to respectively receive acupuncture by the stage of swallowing and ordinary acupuncture in addition to the basic treatments. Function estimation was conducted before and after intervention in both groups to compare the therapeutic efficacies.Result According to the water drinking test, the total effective rate was 83.3% in the staging-acupuncture group versus 53.3% in the ordinary-acupuncture group, and the difference was statistically significant by rank sum test （P〈0.05）, and the staging-acupuncture group was superior to the ordinary-acupuncture group especially in the pharyngeal stage （P〈0.05）; the differences were statistically insignificant in the oral stage and esophageal stage （P〉0.05）; regarding the video fluoroscopic swallowing study （VFSS）, the staging-acupuncture group was significantly better than ordinary-acupuncture group in improving swallowing function （P〈0.05）.Conclusion Acupuncture by swallowing stages is effective in treating post-stroke swallowing dysfunction, especially in improving the swallowing function in pharyngeal stage.

关 键 词：针刺 中风 吞咽障碍 分期针刺法 

分 类 号：R246.6[医药卫生—针灸推拿学]