深刺廉泉穴配合项十针治疗卒中后假性球麻痹临床观察  

Clinical Observation of Deeply Needling Lianquan(CV23) plus Acupuncture at the Ten Nape Points for Post-stroke Pseudobulbar Palsy

作　　者：方君辉[1] 朱文宗[1] 宋丰军[1] 刘海飞[1] 叶必宏[1] 夏小云[1] 

机构地区：[1]浙江中医药大学附属温州市中医院,温州325000

出　　处：《上海针灸杂志》2017年第6期652-656,共5页Shanghai Journal of Acupuncture and Moxibustion

基　　金：温州市卫计委资助项目(2015ZB15)

摘　　要：目的通过观察深刺廉泉穴配合项十针法对卒中后假性球麻痹吞咽功能的影响,客观评价深刺廉泉穴配合项十针法对卒中后假性球麻痹的治疗作用。方法将141例确诊为卒中后假性球麻痹的患者,按随机数字表法分为治疗组(71例)和对照组(70例),治疗组给予深刺廉泉穴配合项十针法治疗,对照组给予传统针刺法治疗,1个月后观察两组患者的整体疗效、洼田饮水试验、藤岛一郎疗效评定、SSA评分等情况的变化,并对比两组疗效。结果两组治疗后在整体疗效、洼田饮水试验、藤岛一郎疗效评定、SSA评分等方面均有改善,与治疗前比较差异均有统计学意义(P<0.05)。治疗组治疗后整体疗效、洼田氏饮水试验、藤岛一郎疗效评定、SSA评分与对照组比较差异有统计学意义(P<0.05),治疗组优于对照组。治疗组总有效率为91.5%,对照组总有效率为70.0%,两组总有效率比较差异有统计学意义(P<0.05)。结论深刺廉泉穴配合项十针法治疗卒中后假性球麻痹疗效可靠,优于传统针刺法。Objective By observing the effect of deeply needling Lianquan （CV23） plus acupuncture at the ten nape points on the deglutition function in post-stroke pseudobulbar palsy, to objectively evaluate the efficacy of deeply needling Lianquan plus acupuncture at the ten nape points in treating post-stroke pseudobulbar palsy. Method A total of 141 patients diagnosed with post-stroke pseudobulbar palsy were divided into a treatment group （71 cases） and a control group （70 cases） by following a simple-randomized design （random number table）. The treatment group was intervened by deeply needling Lianquan plus acupuncture at the ten nape points, while the control group was intervened by conventional acupuncture. A month later, the general therapeutic efficacy, Kubota＇s water drinking test, Toshima Ichiro＇s swallowing assessment, and Standardized Swallowing Assessment （SSA） were evaluated, and the therapeutic efficacies of the two groups were compared. Result The general therapeutic efficacy, water drinking test result, Toshima Ichiro＇s swallowing assessment, and SSA score were significantly improved in both groups after the treatment （P〈0.05）. After the treatment, the general therapeutic efficacy, water drinking test result, Toshima lchiro＇s swallowing assessment, and SSA score in the treatment group were significantly different from those in the control group （P〈0.05）, and the treatment was superior to the control group. The total effective rate was 91.5% in the treatment group, versus 70.0% in the control group, and the between-group difference was statistically significant （P〈 0.05）. Conclusion Deeply needling Lianquan plus acupuncture at the ten nape points is effective in treating post-stroke pseudobulbar palsy, superior to the conventional needling method.

关 键 词：假性球麻痹 中风并发症 针刺 吞咽障碍 洼田氏饮水试验 SSA评分 电针 

分 类 号：R246.6[医药卫生—针灸推拿学]