“阿呛穴”速刺法治疗脑卒中后假性延髓麻痹疗效观察  

Efficacy observation of post-stroke pseudo-bulbar palsy treated with quick needle insertion therapy at Aqiangpoint

作　　者：马培锋[1] 徐树岭[1] 田雯艳[1] 段洪波[1] 王传尊[1] 单永琳[1] 刘国华[1] 刘丽[1] 崔友祥[1] 司卫军[1] 

机构地区：[1]河北省沧州中西医结合医院脑病科,沧州061001

出　　处：《中国针灸》2016年第10期1027-1030,共4页Chinese Acupuncture & Moxibustion

基　　金：沧州市科学技术研究与发展计划项目:131302088

摘　　要：目的：探讨局部取穴针刺治疗脑卒中后假性延髓麻痹的疗效及局部针刺治疗方法中的临床优势方案。方法：将80例脑卒中后有假性延髓麻痹症状的患者随机分为阿呛穴速刺组和常规针刺组,每组40例。两组均在溶栓、调脂、抗血小板聚集、降压、降糖等西医治疗基础上,阿呛穴速刺组直刺＂阿呛穴＂8~12mm,至针下有落空感后,再缓慢进针约2mm患者出现咳嗽,即刻出针,每天治疗1次,共治疗20次;常规针刺组取廉泉穴,针尖向舌根部,刺入约40mm,行捻转手法,使舌根部有酸胀感后留针30min,每天1次,共治疗20次。评价两组治疗前后洼田饮水试验评分变化及临床疗效。结果：阿呛穴速刺组的痊愈率为80.0%（32/40）,优于常规针刺组的55.0%（22/40,P〈0.05）;阿呛穴速刺组总有效率为97.5%（39/40）,常规针刺组为90.0%（36/40）,组间差异无统计学意义（P〉0.05）。两组治疗后洼田饮水试验评分均较治疗前降低（均P〈0.01）,治疗后两组洼田氏饮水试验评分比较差异无统计学意义（P〉0.05）。结论：针刺局部穴位治疗脑卒中后假性延髓麻痹有效,＂阿呛穴＂速刺法在痊愈率方面优于常规针刺廉泉穴。Objective To explore the efficacy of local acupuncture therapy on post-stroke pseudo-bulbar palsy and the clinical advantageous protocol of local acupuncture therapy.Methods Eighty patients of post-stroke pseudo-bulbar palsy were randomized into a quick needle insertion group and a routine acupuncture group,40 cases in each one.The western medicine,such as thrombolysis,lipid regulation,antiplatelet aggregation,antihypertension and hypoglycemic therapy method was all used in the two groups.On the basis of the treatment of western medicine,in the quick needle insertion group,the perpendicular needle insertion was used at Aqiangpoint,about 8to12 mm in depth.When the emptiness feeling presented under the needle,the needle went slowly for 2mm more depth till cough occurred,and removed afterward.The treatment was given once every day,and totally 20 treatments were required.In the routine acupuncture group,Lianquan（CV 23）was stimulated.The needle was inserted toward the tongue root,about 40 mm in depth.The needle was rotated till the patient felt soreness and distention at the tongue root,and then retained for 30 min.The treatment was given once a day,and totally 20 treatments were required.The water swallow test score and clinical efficacy were evaluated before and after treatment.Results The curative rate was 80.0%（32/40）in the quick needle insertion group,better than 55.0%（22/40）in the routine acupuncture group（P0.05）.The total effective rate was 97.5%（39/40）in the quick needle insertion group and was 90.0%（36/40）in the routine acupuncture group,indicating no significant difference in comparison（P0.05）.The water swallow test scores decreased after treatment as compared with those before treatment in the two groups（both P0.01）,and the water swallow test scores after treatment of the two groups had no significant difference（P0.05）.Conclusion Acupuncture at local point is effective for post-stroke pseudo-bulbar palsy.The curative rate of quick needle insertion at Aqiangpoint is better

关 键 词：速刺疗法 阿呛穴 吞咽困难 饮水呛咳 随机对照试验 

分 类 号：R246.6[医药卫生—针灸推拿学]