点刺舌咽部特定部位治疗中风后假性球麻痹临床研究  

Clinical study on the treatment of pseudobulbar palsy after stroke with specific parts of the pharynx and tongue

作　　者：王从安 鞠静[1] 孙国栋 王丹丹[3] 师彬 WANG Cong-an;JU Jing;SUN Guo-dong;WANG Dan-dan;SHI Bin(School of Acupuncture and Tui-na,Shandong University of Traditional Chinese Medicine,Ji'nan 250014,China;Affiliated Hospital of Shandong Academy of Medical Sciences,Ji'nan 250031,China;Shandong Pharmaceutical Biotechnology Research Center,Ji'nan 250062,China)

机构地区：[1]山东中医药大学针灸推拿学院,山东济南250014 [2]山东省医学科学院附属医院,山东济南250031 [3]山东省医药生物技术研究中心,山东济南250062

出　　处：《时珍国医国药》2019年第10期2447-2449,共3页Lishizhen Medicine and Materia Medica Research

基　　金：泰山学者特聘专家计划(ts201511074);山东省自然科学基金(ZR2018LH019)

摘　　要：目的观察针灸针点刺舌咽部特定部位治疗中风后假性球麻痹的疗效。方法 36例中风后假性球麻痹导致的吞咽功能障碍的患者随机分为点刺组18例和常规组18例,常规组采用普通刺疗法加吞咽障碍治疗仪治疗;点刺组在常规组疗法基础上,增加针灸针点刺舌体、腭弓、软腭及舌下静脉丛。两组患者采用洼田氏饮水试验,分别对入组当天和治疗第7、14、28天的吞咽功能改善情况进行积分评价,并进行临床疗效评定。结果与治疗前比较,两组患者治疗后吞咽功能障碍均明显改善(P<0.05);点刺组临床疗效总有效率为94.44%,常规组为66.67%,点刺组总有效率优于常规组(P<0.05)。点刺组患者吞咽功能改善更明显(P<0.05)。结论常规针灸加吞咽障碍治疗仪治疗中风后假性球麻痹的吞咽障碍的临床疗效确切,同时配合点刺舌咽部特定部位治疗效果更加显著。Objective To observe the effect of acupuncture on specific parts of the pharynx and tongue on the treatment of pseudobulbar palsy after stroke. Methods Thirty six patients with dysphagia caused by pseudobulbar palsy after stroke were randomly divided into two groups, eighteen in the certain point acupuncture group and another eighteen in the regular group. In regular group, patients were with ordinary acupuncture therapy plus the treatment of Dysphagia Treatment Instrument, and the patients in the certain point acupuncture group were added acu-points to the tongue body, the dorsal arch, the soft palate and Sublingual venous plexus. According to the results of water swallowing test, the patients were evaluated for the improvement of swallowing function and clinical effect when they entered the groups and were on the seventh, fourteenth and twenty-eighth days during the course.Results Compared with themselves before treatment, patients of both groups had improved dysphagia after treatment, differences are statistically significant(P<0.05). The total efficiency of the clinical of the point acupuncture group was 94.44%, better than that of the regular group 66.67%. In terms of improvement of swallowing function, the point acupuncture group is better than the regular group, differences are statistically significant(P<0.05). Conclusion The clinical effect of the therapy with conventional acupuncture and swallowing disorders treatment instrument on the patients who suffered with pseudobulbar palsy caused by pseudobulbar palsy after stroke exists accurately, and if it was added with acupuncture the specific parts of the pharynx and tongue at the same time, the effect would be more remarkable.

关 键 词：中风 假性球麻痹 吞咽功能障碍 点刺 舌咽部 

分 类 号：R245[医药卫生—针灸推拿学]