廉泉穴针刺深度对中风后吞咽障碍的疗效影响:随机对照研究  

Effects of different acupuncture depths of Lianquan(CV 23)for dysphagia after stroke:a randomized controlled trial

作　　者：孟迎春[1] 王超[1] 尚士强[1] 宁丽萍[1] 周亮[1] 韩科[1] 

机构地区：[1]山东大学附属省立医院针灸理疗康复科,济南250021

出　　处：《中国针灸》2015年第10期990-994,共5页Chinese Acupuncture & Moxibustion

摘　　要：目的：探讨针刺廉泉穴不同深度对中风后吞咽障碍的临床疗效差异。方法：采用随机对照原则,将251例中风后吞咽障碍患者随机分为廉泉深刺组（85例）、廉泉浅刺组（83例）和舌咽针刺组（83例）。在常规治疗的基础上,3组均行舌咽针刺法,穴取舌面、患侧咽后壁、金津、玉液,快速点刺不留针,廉泉深刺组、廉泉浅刺组均先行舌咽针刺法后取廉泉穴,廉泉深刺组针刺60~70mm,廉泉浅刺组针刺30~40mm,均留针30min。每天治疗1次,3组均治疗30天。观察3组治疗前后洼田饮水试验评价量表评分,并评定3组疗效。结果：廉泉深刺组总有效率为95.3%（81/85）,优于廉泉浅刺组的85.5%（71/83）及舌咽针刺组的83.1%（69/83,均P〈0.05）。各组治疗后洼田饮水试验评分分值均下降明显（均P〈0.01）,廉泉深刺组较其他两组中下降更明显（P〈0.01）,且廉泉深刺组在治疗2周后分值下降均明显高于廉泉浅刺组和舌咽针刺组（P〈0.05）。结论：针刺廉泉穴能有效改善中风后吞咽功能障碍,针刺深度对疗效有影响,深刺效果更佳。Objective To explore the effects of different acupuncture depths of Lianquan（CV 23）for dysphagia after stroke.Methods Two hundred and fifty-one patients with dysphagia after stroke were randomly divided into a deep acupuncture group（group A,85cases）,a shallow acupuncture group（group B,83cases）and a glossopharyngeum acupuncture group（group C,83cases）.Based on the conventional treatment,the glossopharyngeum acupuncture which was pricking without needles retained at lingual surface,posterior pharyngeal wall of the affected side,Jinjin（EX-HN 12）and Yuye（EX-HN 13）was used in the three groups.After the glossopharyngeum acupuncture,Lianquan（CV 23）was acupunctured 60-70 mm in the group A and 30-40 mm in the group B.The needles were all retained for 30 min.The treatment was applied once a day for 30 days in the three groups.Water swallowing test evaluation scale was observed before and after treatment,and the efficacy was assessed in the three groups.Results The total effective rate was 95.3%（81/85）in the group A,which was better than 85.5%（71/83）in the group B and 83.1%（69/83）in the group C（both P〈0.05）.The water swallowing test scores were decreased apparently in the three groups（all P〈0.01）,and scores in the group A were the most obvious decline（P〈0.01）.The decrease of scores in the group A was more remarkable than those in the group B and the group C after two weeks of treatment（both P〈0.05）.Conclusion Acupuncture at Lianquan（CV 23）can effectively improve the dysphagia after stroke.The acupuncture depth can affect efficacy and the effect of deep acupuncture is better.

关 键 词：吞咽障碍 中风 针刺疗法 穴 廉泉 针刺深度 随机对照试验 

分 类 号：R246.6[医药卫生—针灸推拿学]