舌针配合导管球囊扩张术治疗脑卒中后环咽肌失弛缓型吞咽障碍临床研究  

Clinical Study on Tongue Acupuncture plus Balloon Dilatation for Deglutition Disorders Due to Achalasia of the Cricopharyngeus Muscle after Cerebral Stroke

作　　者：杨凤翔[1] 陈蕾[1] YANG Feng-xiang CHEN Lei.(Shiyan Taihe Hospital,Shiyan 442000,Chin)

机构地区：[1]十堰市太和医院,十堰442000

出　　处：《上海针灸杂志》2017年第3期261-264,共4页Shanghai Journal of Acupuncture and Moxibustion

摘　　要：目的观察舌针配合导管球囊扩张术治疗脑卒中后环咽肌失弛缓型吞咽障碍的临床疗效。方法将48例脑卒中后环咽肌失弛缓型吞咽障碍患者随机分为治疗组和对照组,每组24例。两组均接受常规康复训练,治疗组在此基础上采用舌针配合导管球囊扩张术治疗,对照组采用单纯导管球囊扩张术治疗。两组均每日治疗1次,共治疗4星期。观察两组治疗前后洼田饮水试验评分及标准吞咽功能评估量表(SSA)评分变化情况。结果两组治疗后洼田饮水试验评分和SSA评分与同组治疗前比较,差异均具有统计学意义(P<0.05)。治疗组治疗后洼田饮水试验评分和SSA评分与对照组比较,差异均具有统计学意义(P<0.05)。结论舌针配合导管球囊扩张术是一种治疗脑卒中后环咽肌失弛缓型吞咽障碍的有效方法。Objective To observe the clinical efficacy of tongue acupuncture plus balloon dilatation in treating deglutition disorders due to achalasia of the cricopharyngeus muscle after cerebral stroke.Method Forty-eight patients with deglutition disorders due to achalasia of the cricopharyngeus muscle after cerebral stroke were randomized into a treatment group and a control group, 24 cases each. The two groups both received conventional rehabilitation training. In addition, the treatment group was given tongue acupuncture plus balloon dilatation, and the control group was by balloon dilatation alone. The two groups were treated once a day, for a total of 4 weeks. The water drinking test score and Standardized Swallowing Assessment （SSA） were evaluated before and after the treatment.Result The water drinking test and SSA scores were significantly changed after the intervention in both groups （P〈0.05）. After the treatment, the water drinking test and SSA scores in the treatment group were significantly different from those in the control group （P〈0.05）.Conclusion Tongue needling plus balloon dilatation is an effective approach in treating deglutition disorders due to achalasia of the cricopharyngeus muscle after cerebral stroke.

关 键 词：针刺疗法 舌针 导管球囊扩张术 脑卒中 环咽肌失弛缓症 吞咽障碍 中风并发症 康复训练 

分 类 号：R246.6[医药卫生—针灸推拿学]