运用微浅刺法与中成药对进行性延髓麻痹症治疗的临床疗效研究河北以岭医院  

Clinical Effect of Shallow Needling And Chinese Patent Medicine on Progressive Bulbar Palsy

作　　者：张庆茹[1] 周顺林[1] ZHANG Qing-ru;ZHOU Shun-lin(Hebei Yiling Hospital,Shijiazhuang 050091)

机构地区：[1]河北以岭医院,石家庄050091

出　　处：《河北中医药学报》2019年第2期33-36,共4页Journal of Hebei Traditional Chinese Medicine and Pharmacology

基　　金：河北省中医药管理局科研项目:No.2015212;国家中医药管理局重点专科(肌萎缩科)

摘　　要：目的:研究分析在络病理论指导下运用微浅刺法结合中成药在治疗疑难病进行性延髓麻痹症(PBP)引起的吞咽不利,构音不清及呛咳等症状的短期临床疗效上,提供临床选用针刺治疗PBP时更有效的一种针刺手法。方法:根据纳入标准,将50例PBP患者随机分为观察组和对照组,每组25例。观察组治疗接受微浅刺法结合院内中成药,对照组治疗接受常规针刺法结合院内中成药。2组患者均是每日针刺1次、3次中成药口服(每次10粒),10 d为1疗程;经过2个疗程的治疗,对2组的总有效率和有效患者症状改善的时间进行了综合观察、分析和比较。结果:观察组总有效率(84%)和有效症状改善时间显著高于对照组的总有效率(60%)及有效患者症状改善时间,2个疗程后2组总有效率对比差异有显著性(P<0.05)。结论:微浅刺法在治疗疑难病PBP时疗效较常规针刺治疗疗效更为显著,说明微浅刺法在治疗PBP时安全性高、针法操作简便、无不良反应、痛苦性偏小,能在短期内快速有效的改善患者的主要症状,使患者在生存周期及生活质量的改善上得到提高,是一种较其他针刺手法治疗PBP安全性更高,优势性更强,疗效更好的针刺治疗首选方法。Objective: To study and analyze the short-term clinical efficacy of shallow needling combined with Chinese patent medicine in the treatment of dysphagia, dysarthria and cough caused by progressing bulbar palsy (PBP) under the guidance of Collateral Disease Theory, so as to provide a more effective acupuncture method in the treatment of PBP. Methods: According to the inclusion criteria, 50 patients with PBP were randomly divided into observation group and control group, 25 cases in each group. The observation group received shallow needling combined with Chinese patent medicines, while the control group received conventional acupuncture combined with Chinese patent medicines. Acupuncture once a day, 3 times of oral Chinese patent medicines (10 pills each time),for 10 days for a course of treatment in both groups;after two courses of treatment, the total effective rate of the two groups and the improvement time were comprehensively observed, analyzed and compared. Results: The total effective rate (84%) and improvement time of the observation group were significantly higher than those of the control group (the total effective rate 60%).There was significant difference in the total effective rate between the two groups after two courses of treatment ( P <0.05).Conclusion: The curative effect of shallow needling is more remarkable than that of routine acupuncture in the treatment of PBP. It shows that shallow needling is safer, easier to operate, less adverse reaction and less pain in the treatment of PBP. It can improve the main symptoms of patients quickly and effectively in a short time, and improve the life cycle and quality of patients. It is a preferred method for PBP with higher safety, stronger superiority and better curative effect.

关 键 词：微浅刺法 进行性延髓麻痹症 络病学 瘖痱 痿证 喉痹 参芪强力胶囊 中成药 

分 类 号：R246.6[医药卫生—针灸推拿学]