醒脑开窍针法结合常规疗法治疗脑卒中吞咽障碍临床研究  

Clinical Study of Consciousness-restoring Acupuncture Therapy Combined with Routine Therapy for Dysphagia after Stroke

作　　者：俞国尧[1] YU Guoyao

机构地区：[1]杭州市萧山区第一人民医院针灸科,浙江杭州311201

出　　处：《新中医》2018年第9期199-201,共3页New Chinese Medicine

摘　　要：目的:观察醒脑开窍针法结合康复训练与常规药物治疗脑卒中吞咽障碍的临床疗效。方法:将110例脑卒中吞咽障碍患者随机分成对照组和观察组各55例。对照组给予康复训练及常规药物治疗,观察组在对照组治疗的基础上给予醒脑开窍针法治疗,2组疗程均为3周。评定2组的临床疗效,治疗前后评定洼田饮水试验评分、标准吞咽功能评估量表(SSA)评分和神经功能缺损程度评分标准中吞咽困难亚量表的评分。结果:观察组总有效率为90.91%,高于对照组的7 4.55%,差异有统计学意义(P<0.05)。2组洼田饮水试验评分、SSA评分和吞咽困难评分均较治疗前下降(P<0.01),观察组3项评分均低于对照组(P<0.01)。2组洼田饮水试验结果均较治疗前改善(P<0.05);观察组洼田饮水试验结果优于对照组(P<0.05)。结论:在康复训练与常规药物治疗基础上加用醒脑开窍针法治疗脑卒中后吞咽障碍,可促进患者的吞咽功能恢复,提高临床疗效。Objective： To observe the clinical effect of consciousness-restoring acupuncture therapy combined with rehabilitation training and routine medication for dysphagia after stroke. Methods：Divided 110 cases of patients with dysphagia after stroke into the control group and the observation group randomly, 55 cases in each group. The control group was given rehabilitation training and routine medication,while the observation group was additionally given the consciousness-restoring acupuncture therapy. The treatment for both groups lasted for 3 weeks. Evaluated the clinical effect and scores of the water swallow test, standardized swallowing assessment（SSA） and dysphagia subscale in neurological deficit score. Results：The total effective rate was 90.91% in the observation group and 74.55% in the control group,difference being significant（P〈0.05）. The scores of water swallow test,SSA and dysphagia in the two groups were all decreased compared with those before treatment（P〈0.01）. These three scores in the observation group were lower than those in the control group（P〈0.01）. The results of water swallow test in the two groups were improved when compared with those before treatment（P〈0.05）. The results of water swallow test in the observation group were better than those in the control group（P〈0.05）. Conclusion： The application of consciousness-restoring acupuncture therapy based on the rehabilitation training and routine medication for dysphagia after stroke can promote the recovery of swallowing function of patients and improve the clinical effect.

关 键 词：脑卒中 吞咽障碍 中西医结合疗法 针刺 醒脑开窍针法 

分 类 号：R246.6[医药卫生—针灸推拿学]