点刺放血配合康复训练治疗脑梗死后饮水呛咳临床研究  

Clinical Study on Bloodletting at Heart Point(Extra) plus Rehabilitation Training for Drinking to Cough after Cerebral Infarction

作　　者：范小英 余智 顾苏兵[2] 

机构地区：[1]杭州市淳安县第一人民医院,杭州311700 [2]浙江省人民医院,杭州310014

出　　处：《上海针灸杂志》2014年第11期986-987,共2页Shanghai Journal of Acupuncture and Moxibustion

摘　　要：目的观察心穴点刺放血配合康复训练对脑梗死后饮水呛咳的康复效果,优化临床治疗方案。方法将60例脑梗死后饮水呛咳的患者随机分为A组、B组和C组,每组20例。A组采用心穴点刺放血配合康复训练治疗,B组采用单纯康复训练治疗,C组采用单纯心穴点刺放血治疗。以洼田饮水试验评定为观察指标,比较各组治疗前后疗效差异。结果 3组治疗后洼田饮水试验评定等级与同组治疗前比较,差异均具有统计学意义(P<0.05)。A组治疗后洼田饮水试验评定等级与B组和C组比较,差异均具有统计学意义(P<0.05)。B组治疗后洼田饮水试验评定等级与C组比较,差异无统计学意义(P>0.05)。结论心穴点刺放血配合康复训练是一种治疗脑梗死后饮水呛咳的有效方法。Objective To observe the efficacy of bloodletting at the Heart point（extra） plus rehabilitation training in treating after cerebral infarction, and to optimize the treatment protocol. Methods Sixty patients with drinking to cough after cerebral infarction were randomized into group A, group B, and group C, 20 in each group. Group A was intervened by bloodletting at the Heart point plus rehabilitation training, group B was by rehabilitation training alone, while group C was by bloodletting at the Heart point alone. The Watian water drinking test was adopted as the observation index, to compare the efficacies of the three groups. Results The water drinking test showed significant differences in all three groups after intervention（P〈0.05）. The water drinking test result of group A was significantly different from that of group B and group C（P〈0.05）; while there was no significant difference between group B and group C（P〉0.05）. Conclusion Bloodletting at the Heart point plus rehabilitation training is an effective approach in treating drinking to cough after cerebral infarction.

关 键 词：针刺疗法 饮水呛咳 中风后遗症 康复训练 刺血疗法 

分 类 号：R246.6[医药卫生—针灸推拿学]