醒脑开窍针刺法治疗颅脑损伤吞咽障碍临床研究  

Clinical study on Xingnao Kaiqiao acupuncture for treatment of dysphagia due to craniocerebral injury

作　　者：于眉[1] 李玉波[2] 李玲[1] 王颖超 杨敏[1] 裴明明 YU Mei;LI Yubo;LI Ling(Department of TCD,Beijing Aerospace General Hospital ,Beijing 100076)

机构地区：[1]北京航天总医院中医科,北京100076 [2]中国中医科学院中医基础理论研究所,北京100070

出　　处：《陕西中医》2020年第11期1661-1664,共4页Shaanxi Journal of Traditional Chinese Medicine

基　　金：国家自然科学基金资助项目(81603417)。

摘　　要：目的:探讨醒脑开窍针刺法治疗颅脑损伤吞咽障碍的临床疗效。方法:选取颅脑损伤吞咽障碍患者85例,按照随机数字表法分成两组,对照组患者42例仅行常规治疗方案,观察组43例在对照组基础上联合醒脑开窍针刺治疗,两组患者均连续治疗4周,对比两组患者治疗前后血液流变学指标、细胞炎性因子水平和饮水试验的变化情况。结果:观察组总有效率为86.05%,高于对照组的66.67%(χ^2=4.435,P<0.05);治疗前组间吞咽障碍评分比较,差异无统计学意义(P>0.05),治疗后两组吞咽障碍评分均升高,观察组高于对照组(P<0.05)。治疗后观察组全血黏度(WBV)、红细胞沉降率(ESR)、红细胞聚集指数(EAI)降幅及红细胞变形指数(EDI)增幅均优于对照组(P<0.05);治疗后观察组血清C-反应蛋白(CRP)、白细胞介素-6(IL-6)降幅优于对照组,组间比较,差异有统计学意义(P<0.05)。结论:醒脑开窍针法治疗颅脑损伤吞咽障碍效果显著,可更好的缓解患者血液流变学指标、细胞炎性因子水平,改善患者的临床症状。Objective:To explore the clinical value of Xingnao Kaiqiao acupuncture in treating dysphagia due to craniocerebral injury.Methods:85patients with dysphagia due to craniocerebral injury were divided into two groups according to the random number table method.The control group of 42 patients underwent routine treatment only,and the observation group of 43 patients was combined with Xingnao Kaiqiao acupuncture treatment,and the two groups of patients were treated for 4 weeks.The changes of blood rheology indexes,inflammatory factors and drinking water test before and after treatment were compared between the two groups.Results:The total effective rate in the observation group was 86.05%,higher than that in the control group(χ^2=4.435,P<0.05);after treatment,the observation group had a whole blood viscosity(WBV),red blood cell sedimentation rate(ESR),and red blood cell aggregation index(EAI).The decrease rate and the increase of red blood cell deformation index(EDI)were significantly better than those in the control group(P<0.05).Conclusion:Xingnao Kaiqiao acupuncture has a significant effect on craniocerebral injury and dysphagia,which can better relieve the patient's blood rheology indexes and cellular inflammatory factor levels and improve the patient's clinical symptoms.

关 键 词：颅脑损伤 吞咽障碍 针灸 醒脑开窍法 炎性细胞因子 血液流变学 

分 类 号：R651.15[医药卫生—外科学]