廉泉穴不同针刺深度治疗中风后吞咽障碍疗效观察  

Observation of the Efficacy of Acupuncture at Lianquan (RN23) with Different Needling Depths in Treating Post-stroke Deglutition Disorders

作　　者：廖柏丹 柳元娥 彭宣军 LIAO Bo-dan;LIU Yuan-e;PENG Xuan-jun(The Eighth Affiliated Hospital,Sun Yat-sen University,Shenzhen 518033,China;The University of Hong Kong Shenzhen Hospital,Shenzhen 518000,China)

机构地区：[1]中山大学附属第八医院,深圳518033 [2]香港大学深圳医院,深圳518000

出　　处：《上海针灸杂志》2018年第8期856-859,共4页Shanghai Journal of Acupuncture and Moxibustion

摘　　要：目的观察廉泉穴不同针刺深度治疗中风后吞咽障碍的临床疗效。方法将300例脑梗死后吞咽困难患者随机分为A组、B组和C组,每组100例。A组采用舌咽针刺法治疗,B组采用舌咽针刺法配合廉泉穴浅刺治疗,C组采用舌咽针刺法配合廉泉穴深刺治疗。观察3组治疗前后洼田饮水试验评分的变化情况,并比较3组临床疗效及不良反应发生率。结果 3组治疗2个疗程及治疗后洼田饮水试验评分与同组治疗前比较差异均具有统计学意义(P<0.05)。C组治疗2个疗程及治疗后洼田饮水试验评分与A组和B组比较差异均具有统计学意义(P<0.05)。B组治疗后洼田饮水试验评分与A组比较差异具有统计学意义(P<0.05)。A组总有效率为82.0%,B组为84.0%,C组为95.0%。C组治疗后总有效率与A组和B组比较差异均具有统计学意义(P<0.05)。A组不良反应发生率为12.0%,B组为14.0%,C组为19.0%。3组不良反应发生率组间比较差异均无统计学意义(P>0.05)。结论舌咽针刺法配合廉泉穴深刺治疗中风后吞咽障碍疗效确切,能明显改善患者的吞咽功能。Objective To observe the clinical efficacy of acupuncture at Lianquan（RN23） with different needling depths in treating post-stroke deglutition disorders. Method Three hundred patients with post-stroke deglutition disorders were randomized to group A, group B and group C, with 100 cases in each group. Group A was intervened by glossopharyngeal acupuncture, while group B was additionally given shallow needling at Lianquan, and group C was additionally given deep needling at Lianquan. Before and after treatment, Kubota＇s water drinking test scores in each group were observed. The clinical efficacies and the incidences of adverse reactions were compared among the groups. Result Kubota＇s water drinking test scores showed a significant change after 2 treatment courses and at the end of the treatment in each group（P0.05）. After 2 treatment courses and at the end of the treatment, Kubota＇s water drinking test scores in group C were significantly different from those in group A and group B（P0.05）. After the treatment, Kubota＇s water drinking test score in group B was significantly different from that in group A（P0.05）. The total efficacy rate was 82.0% in group A, 84.0% in group B, and 95.0% in group C. There was a statistically significant difference in the total efficacy rate between group C and group A or B（P0.05）. The rate of adverse reactions was 12.0% in group A, 14.0% in group B, and 19.0% in group C. There was no significant difference in the rate of adverse reactions among the groups（P0.05）. Conclusion Glossopharyngeal acupuncture plus deep needling at Lianquan can produce valid efficacy in treating post-stroke deglutition disorders. It can effectively improve the function of deglutition in the patients.

关 键 词：针刺疗法 吞咽障碍 中风并发症 穴 廉泉 洼田饮水试验 针刺深度 

分 类 号：R246.6[医药卫生—针灸推拿学]