眼针带针康复治疗卒中后吞咽障碍临床观察  

Clinical Observation of Eye Acupuncture and Rehabilitation for Dysphagia after Stroke

作　　者：冯定文 王鹏琴[2] FENG Dingwen;WANG Pengqin(Liaoning University of Traditional Chinese Medicine,Shenyang 110847,Liaoning,China;The Affiliated Hospital of Liaoning University of Traditional Chinese Medicine,Shenyang 110032,Liaoning,China)

机构地区：[1]辽宁中医药大学,辽宁沈阳110847 [2]辽宁中医药大学附属医院,辽宁沈阳110032

出　　处：《实用中医内科杂志》2020年第3期10-12,共3页Journal of Practical Traditional Chinese Internal Medicine

基　　金：国家中医药管理局中医药行业科研专项(201407001-7)。

摘　　要：目的观察眼针带针康复对卒中后吞咽障碍的临床疗效。方法研究对象为辽宁中医药大学附属医院康复中心脑病康复2科收治入院的脑卒中后吞咽障碍患者60例。按照随机数字表法分为治疗组和对照组。在脑卒中常规治疗及对症治疗的基础上,进行吞咽功能训练:包括咽部冷刺激与空吞咽、摄食及吞咽器官功能训练,40 min/次。在康复治疗同时,治疗组行眼针带针康复治疗,取上焦区、下焦区、肝区、肾区。进针10 mm,用专用胶布将针柄粘好。带针行吞咽功能训练,结束后用镊子起针。对照组于康复治疗前行体针治疗,取穴:廉泉、夹廉泉、风池、翳风、金津、玉液六穴,得气后留针30 min,1次/d,5次/周,2周为1个疗程,共治疗2个疗程。2个疗程后,采用洼田饮水试验和藤岛一郎吞咽疗效评价评估,分为痊愈,有效及无效评价两组患者治疗前后的吞咽功能。结果治疗4周后,两组吞咽功能均优于治疗前,总有效率治疗组高于对照组(P<0.05)。结论眼针带针康复可更为有效地促进脑卒中后吞咽功能的恢复,其疗效优于体针后康复治疗,值得临床借鉴。Objective To observe the clinical effect of eye acupunctureand rehabilitation on dysphagia after stroke.Methods Sixty patients with dysphagia after stroke admitted to Encephalopathy Rehabilitation Department 2 of The Affiliated Hospital of Liaoning University of Traditional Chinese Medicine were studied.According to random number table method,they were divided into treatment group and control group.On the basis of routine stroke treatment and symptomatic treatment,the swallowing function training was conducted,including cold pharyngeal stimulation and empty swallowing,feeding and swallowing organ function training.Each treatment lasted for about 40 minutes.At the same time,the treatment group was treated with eye acupuncture rehabilitation,and acupoints were selected: upper focal area,lower focal area,liver area and kidney area.The needle were inserted into 10 mm,using special adhesive tape to stick the needle handle well.The swallowing function was trained with retaining needles.After treatment,the needle was drawn with tweezers.The control group received acupuncture treatment before rehabilitation,and we selected Lianquan (RN23),Jialianquan,Fengchi (GB20),Yifeng (SJ17),Jinjin and Yuye (EX-HN12).The acupuncture was kept for 30 minutes after Qi was obtained.All the above treatments were given once a day,5 times a week,2 weeks for a course of treatment,a total of 2 courses of treatment.After 2 treatment courses,the swallowing function of patients in the two groups was evaluated by drinking water test in low-lying field and evaluation of swallowing effect of Fujijima Ichiro.Results After 4 weeks treatment,the swallowing function of patients in both groups was better than that before treatment.The total effective rate of the treatment group was higher than that of the control group (P<0.05).Conclusion Eye acupuncture and rehabilitation can effectively promote the recovery of swallowing function after stroke.

关 键 词：眼针 带针康复 卒中 吞咽功能障碍 

分 类 号：R245.32[医药卫生—针灸推拿学]