针刺“吞咽点”治疗脑卒中后吞咽障碍的临床效果  

Clinical effect of acupuncture"swallowing point"on dysphagia after stroke

作　　者：李敏[1] 侯文 寇久社[1] 丁天红[1] 张鸿[1] 殷克敬[1] LI Min;HOU Wen;KOU Jiushe;DING Tianhong;ZHANG Hong;YIN Kejing(the Second Affiliated Hospital of Shaanxi University of Chinese Medicine,Xianyang 712000;Affiliated Hospital of Shaanxi University of Chinese Medicine,Xianyang 712000,China)

机构地区：[1]陕西中医药大学第二附属医院,陕西咸阳712000 [2]陕西中医药大学附属医院,陕西咸阳712000

出　　处：《临床医学研究与实践》2021年第13期138-140,共3页Clinical Research and Practice

基　　金：国家重点研发计划(No.2017YFC1703500);陕西省中医药管理局中医药技术研究课题(No.JCPT025);陕西省重点研发计划项目(No.2019SF-309);陕西省中医药重点研究室建设项目(No.23);陕西省中医脑病临床医学研究中心建设项目(No.201704);陕西中医药大学学科创新团队项目(No.2019-YL15);陕西中医药大学校内课题(No.2017QN30)。

摘　　要：目的观察针刺"吞咽点"治疗脑卒中后吞咽障碍的临床效果。方法选取2014年3月至2017年6月陕西中医药大学第二附属医院针灸康复科及殷克敬工作室收治的60例脑卒中后吞咽障碍患者为研究对象,将其随机分为对照组和观察组,每组30例。对照组给予康复训练,观察组给予针刺"吞咽点"治疗。比较两组患者的洼田饮水试验评分、标准吞咽功能评价量表(SSA)评分以及临床疗效。结果治疗前,两组患者的洼田饮水试验评分比较,差异不具有统计学意义(P>0.05);治疗后,两组患者的洼田饮水试验评分均较治疗前降低,且观察组低于对照组,差异具有统计学意义(P<0.05)。治疗前,两组患者的SSA评分比较,差异无统计学意义(P>0.05);治疗后,两组患者的SSA评分均较治疗前降低,且观察组低于对照组,差异具有统计学意义(P<0.05)。观察组患者的治疗总有效率为96.67%,高于对照组患者的73.33%,差异具有统计学意义(P<0.05)。结论针刺"吞咽点"可显著改善脑卒中患者吞咽功能障碍,值得临床应用和推广。Objective To observe the clinical effect of acupuncture"swallowing point"on dysphagia after stroke.Methods Sixty patients with dysphagia after stroke admitted in acupuncture and rehabilitation department of the second affiliated hospital of Shaanxi university of Chinese medicine and Yin kejing studio from March 2014 to June 2017 were selected and randomly divided into control group and observation group,with 30 cases in each group.The control group was given rehabilitation training,and the observation group was given acupuncture"swallowing point"treatment.The scores of water swallow test,standard swallowing function assessment scale(SSA)and clinical efficacy were compared between the two groups.Results Before treatment,there was no significant difference in the score of water swallow test between the two groups(P>0.05);after treatment,the scores of water swallow test in the two groups were lower than those before treatment,that of the observation group was lower than the control group,and the difference was statistically significant(P<0.05).Before treatment,there was no significant difference in the SSA score between the two groups(P>0.05);after treatment,the SSA scores of the two groups were lower than those before treatment,and that of the observation group was lower than the control group,and the difference was statistically significant(P<0.05).The total effective rate of treatment in the observation group was 96.67%,which was higher than 73.33%in the control group,and the difference was statistically significant(P<0.05).Conclusion Acupuncture"swallowing point"can significantly improve the swallowing dysfunction of stroke patients,which is worthy of clinical application and promotion.

关 键 词：针刺 吞咽点 脑卒中 吞咽障碍 

分 类 号：R246.6[医药卫生—针灸推拿学]