针刺加穴位注射配合吞咽功能训练治疗重症脑病后吞咽障碍的临床研究  

Clinical Observation of Acupuncture and Acupoint Injection Combined with Rehabilitation Training of Swallowing Function in Children with Dysphagia

作　　者：苏珍辉[1] 胡继红[1] 刘丽君[1] 胡晔[1] 刘志雄[1] 郭春光[1] SU Zhen-hui;HU Ji-hong;LIU Li-jun;HU Ye;LIU Zhi-xiong;GUO Chun-guang(Hunan Provincial Children's Hospital,Changsha Hunan 410007,China)

机构地区：[1]湖南省儿童医院,湖南长沙410007

出　　处：《中医药导报》2020年第6期43-45,共3页Guiding Journal of Traditional Chinese Medicine and Pharmacy

基　　金：2017年湖南省中医药管理局重点科研项目(2017135)。

摘　　要：目的:观察针刺加穴位注射配合吞咽功能训练治疗重症脑病后吞咽障碍的临床疗效。方法:将60例重症脑病后吞咽障碍患儿按照随机数字表法分为对照组和治疗组,每组30例。对照组只进行吞咽功能训练,治疗组在吞咽功能训练的基础上加针刺和穴位注射治疗,治疗1个月为1个疗程,中间休息5 d后再行下1个疗程治疗。分别在治疗1个月、治疗2个月后比较两组患儿吞咽功能评估分值;治疗2个月后比较两组患儿临床疗效。结果:治疗前两组患儿吞咽功能评分比较,差异无统计学意义(P>0.05);治疗1、2个月后,对照组患儿吞咽功能评分均低于治疗组(P<0.05)。治疗2个月后治疗组总有效率为96.7%,对照组总有效率为66.7%,两组总有效率比较,差异有统计学意义(P<0.05)。结论:针刺加穴位注射配合吞咽功能训练治疗重症脑病后吞咽障碍疗效优于单纯吞咽功能训练。Objective:To observe the clinical effect of acupuncture plus point injection combined with swallowing function training on dysphagia after severe encephalopathy.Methods:Totally 60 cases of children with dysphagia after severe encephalopathy were divided into treatment group and control group according to the random number table method,30 cases in each group.In the control group,only deglutition function training was conducted.In the treatment group,acupuncture and acupoint injection were added on the basis of deglutition function training,and the treatment lasted for one course of treatment for one month,followed by another course of treatment after a break of five days.The scores of swallowing function assessment were compared between the two groups after one month and two months of treatment.After two months of treatment,the clinical effects of the two groups were compared.Results:Before treatment,the scores of swallowing function assessment in the two groups showed no difference(P>0.05).After one month and two months of treatment,the control group showed lower scores of swallowing function assessment than treatment group(P<0.05).After two months of treatment,the total effective rate was 96.7%in treatment group and 66.7%in control group.The total effective rate of the two groups was significantly different(P<0.05).Conclusion:Acupuncture plus point injection combined with deglutition function training has better effect on dysphagia after severe encephalopathy than deglutition function training.

关 键 词：针刺 穴位注射 吞咽功能康复训练 吞咽障碍 儿童 

分 类 号：R246.6[医药卫生—针灸推拿学]