舌三针联合翳风透喉结治疗中风后吞咽困难临床研究  

Clinical Study of Tongue Triple Acupuncture Combined with Penetration Needling Yifeng-Larynx in Treating Post-Stroke Dysphagia

作　　者：刘晓铭[1] 赵贝贝[1] 卞彩茹 黄旭辉[1] LIU Xiaoming;ZHAO Beibei;BIAN Cairu;HUANG Xuhui(Shenzhen Bao’an Hospital of TCM, Shenzhen 518101, China)

机构地区：[1]深圳市宝安区中医院,广东深圳518101

出　　处：《针灸临床杂志》2020年第9期21-24,共4页Journal of Clinical Acupuncture and Moxibustion

基　　金：宝安区医疗卫生科研项目,编号:2016CX029。

摘　　要：目的:研究舌三针联合翳风透喉结治疗中风后吞咽困难患者的临床疗效。方法:选取2017年5月—2019年5月于本院接受治疗并确诊的中风后吞咽困难患者126例,采用随机数字表法分为针疗组和对照组,各63例,对照组患者接受常规治疗,针疗组在对照组基础上实施舌三针+翳风透喉结疗法,治疗1个月后评价两组患者临床疗效,比较治疗前后神经功能缺损量表(NIHSS)评分、吞咽困难评分、吞咽障碍程度评分(VGF)及洼田吞咽能力。结果:针疗组总有效率为88.89%(56/63),明显高于对照组的71.43%(45/63)(P<0.05);治疗前两组NIHSS评分、吞咽困难及VGF评分比较差异无统计学意义(P>0.05);治疗后两组NIHSS评分与治疗前比较显著下降,吞咽困难及VGF评分评分显著增大(P<0.05),且对照组NIHSS评分明显高于针疗组,吞咽困难及VGF评分明显低于针疗组(P<0.05);治疗前两组患者洼田吞咽能力等级比较差异无统计学意义(P>0.05);治疗后两组患者洼田吞咽能力等级较治疗前显著提高(P<0.05),且针疗组患者洼田吞咽能力等级显著高于对照组(P<0.05)。结论:舌三针联合翳风透喉结治疗中风后吞咽困难疗效确切,能有效改善患者神经缺损及吞咽障碍,提高吞咽能力。Objective:To investigate the clinical effect of tongue triple acupuncture combined with penetration needling Yifeng(SJ17)-larynx in treating post-stroke dysphagia.Methods:126 patients with post-stroke dysphagia were randomly divided into the acupuncture group and the control group,with 63 cases in each group.The control group was given routine treatment;on which basis,the acupuncture group was also treated with tongue triple acupuncture combined with penetration needling SJ17-larynx.The clinical efficacy,the scores of NIHSS,dysphagia,VGF and WST were compared between the two groups after one month of treatment.Results:The total effective rate of the acupuncture group was 88.89%(56/63)in the acupuncture group,which was significantly higher than 71.43%(45/63)in the control group(P<0.05).There were no statistical differences in NIHSS score,dysphagia score,VGF score and WST grades between the two groups before the treatment(P>0.05).NIHSS score was significantly decreased,and dysphagia score,VGF score and WST grades were significantly increased in both groups after the treatment(P<0.05);of which the improvements in the acupuncture group were more significant(P<0.05).Conclusion:Application of tongue triple acupuncture combined with penetration needling SJ17-larynx can effectively ameliorate the neurological defects and swallowing disorders,it can improve swallowing ability for patients with post-stroke dysphagia.

关 键 词：中风 吞咽困难 舌三针 翳风透喉结 针刺 

分 类 号：R246.6[医药卫生—针灸推拿学]