皮内针久留针治疗脑卒中咽期吞咽障碍疗效观察  

Long-time Retaining of Intradermal Needles in Treating Pharyngeal Dysphagia after Cerebral Stroke

作　　者：徐纬[1] 孙丹[1] 陈娜[1] 叶文雄 XU Wei;SUN Dan;CHEN Na;YE Wen-xiong(Hangzhou Third People＇s Hospital,Hangzhou 310009,China)

机构地区：[1]杭州市第三人民医院,杭州310009

出　　处：《上海针灸杂志》2017年第11期1281-1285,共5页Shanghai Journal of Acupuncture and Moxibustion

基　　金：杭州市卫生科技计划项目(2014A29)

摘　　要：目的观察皮内针久留针配合康复训练治疗脑卒中咽期吞咽障碍的临床疗效。方法将60例脑卒中咽期吞咽障碍患者随机分为治疗1组、治疗2组和对照组,每组20例。3组均接受内科基础治疗及护理,对照组采用康复干预措施(神经肌肉电刺激配合吞咽功能训练),治疗1组在对照组基础上采用皮内针久留针治疗,治疗2组在对照组基础上采用电针治疗。治疗3星期后,观察3组治疗前后藤岛吞咽疗效评价评分的变化情况,并比较3组临床疗效。结果 3组治疗后藤岛吞咽疗效评价评分与同组治疗前比较,差异均有统计学意义(P<0.05)。治疗1组和治疗2组治疗后藤岛吞咽疗效评价评分与对照组比较,差异均具有统计学意义(P<0.05)。治疗1组总有效率为95.0%,治疗2组为90.0%,对照组为60.0%,治疗1组和治疗2组总有效率与对照组比较,差异均具有统计学意义(P<0.05)。治疗1组治疗后藤岛吞咽疗效评价评分及总有效率与治疗2组比较,差异均无统计学意义(P>0.05)。结论皮内针久留针配合康复训练是一种治疗脑卒中咽期吞咽障碍的有效方法,其疗效与电针治疗相当。Objective To observe the clinical efficacy of long-time retaining of intradermal needles plus rehabilitation training in treating pharyngeal dysphagia after cerebral stroke. Method Sixty patients with pharyngeal dysphagia after cerebral stroke were randomized into treatment group 1, treatment group 2 and a control group, 20 cases each. In addition to the basic treatment and nursing, the control group received rehabilitation （neuromuscular electrical stimulation plus swallowing training）; treatment group 1 was given long-time retaining of intradermal needles based on the intervention given to the control group; treatment group 2 received electroacupuncture in addition to the intervention given to the control group. After 3-week treatment, the changes in Toshima Ichiro swallowing assessment of the three groups were observed, and the clinical efficacies were also compared. Result After the intervention, each group showed a significant change in the score of Toshima Ichiro swallowing assessment （P〈0.05）. Treatment group 1 and group 2 were both significantly different from the control group in comparing the score of Toshima Ichiro swallowing assessment after the treatment （P〈0.05）. The total effective rate was 95.0% in treatment group 1, 90.0% in treatment group 2, and 60.0% in the control group. The total effective rates in treatment group 1 and 2 were both significantly different from the rate in the control group （P〈0.05）. There were no significant differences in comparing the score of Toshima Ichiro swallowing assessment and total effective rate between treatment group 1 and 2 after the intervention （P〉0.05）. Conclusion Long-time retaining of intradermal needles plus rehabilitation is an effective approach in treating pharyngeal dysphagia after cerebral stroke, and its efficacy is equivalent to that of electroacupuncture.

关 键 词：针刺疗法 皮内针疗法 埋针 电针 中风 吞咽障碍 康复训练 

分 类 号：R246.6[医药卫生—针灸推拿学]