不同针法针刺天突穴治疗延髓麻痹吞咽障碍疗效比较  

Efficacy on dysphagia induced by bulbar palsy treated with acupuncture at Tiantu(CV 22)with different needling techniques

作　　者：朱原[1] 傅立新[2] 石学敏[2] 

机构地区：[1]天津中医药大学,天津300193 [2]天津中医药大学第一附属医院,天津300193

出　　处：《中国针灸》2014年第11期1089-1092,共4页Chinese Acupuncture & Moxibustion

摘　　要：目的:通过在醒脑开窍针法基础上,天突穴芒针刺法与常规刺法的疗效比较研究,探讨延髓麻痹致吞咽障碍的有效治疗方法。方法:将71例延髓麻痹吞咽障碍患者随机分为芒针组(36例)和常规组(35例),两组均以醒脑开窍针法针刺水沟、内关、三阴交等穴。芒针组在醒脑开窍针法基础上采用芒针针刺天突穴;常规组则采用常规手法针刺天突穴,两组均每天治疗1次,周日休息,共治疗4周。观察治疗前后患者吞咽情况及标准吞咽功能评价量表(SSA)评分变化,并比较两组疗效。结果:芒针组总有效率为97.2%(35/36),优于常规组的77.1%(27/35,P<0.05);治疗后两组SSA评分较治疗前均显著降低(均P<0.05),芒针组治疗后SSA评分相比常规组降低更明显(P<0.05)。结论:在醒脑开窍针法基础上采用芒针针刺天突穴治疗延髓麻痹吞咽障碍疗效优于常规针刺天突穴。Objective To compare the efficacy between elongated needle therapy and regular needle therapy at Tiantu（CV 22）on the basis of xingnao kaiqiao（activiting brain and regaining consciousness）acupuncture therapy so as to explore the effective therapeutic method in treatment of dysphagia induced by bulbar palsy.Methods Seventy one cases of dysphagia induced by bulbar palsy were randomized into two groups.The xingnao kaiqiao acupuncture therapy was applied at Shuigou（GV 26）,Neiguan（PC 6）,Sanyinjiao（SP 6）and the others in the two groups.In the elongated needle therapy group,on the basis of xingnao kaiqiao acupuncture therapy,the elongated needle was used to puncture Tiantu（CV 22）.In the regular needle therapy,the regular acupuncture technique was used at Tiantu（CV 22）.In both groups,the treatment was given once a day in a week except Sunday and lasted for 4weeks totally.Before and after treatment,the swallowing condition and the standardized swallowing assessment（SSA）were observed in the patients and the efficacy was compared between the two groups.Results The total effective rate was 97.2%（35/36）in the elongated needle therapy group,which was better than 77.1%（27/35）in the regular needle therapy group（P〈0.05）.After treatment,SSA score was reduced significantly as compared with that before treatment in the two groups（both P〈0.05）.SSA score in the elongated needle therapy group was reduced much more apparently as compared with that in the regular needle therapy group after treatment（P〈0.05）.Conclusion On the basis of the xingnao kaiqiao acupuncture therapy,the elongated needle therapy at Tiantu（CV 22）achieves the superior effect on bulbar palsy-induced dysphagia as compared with the regular acupuncture at Tiantu（CV 22）.

关 键 词：延髓麻痹 吞咽障碍 穴 天突 芒针 

分 类 号：R246.6[医药卫生—针灸推拿学]