颈项针舌针联合吞咽训练治疗脑卒中吞咽障碍临床观察  

Clinical Observation on Neck Acupuncture and Tongue Acupuncture Combined with Swallowing Training in the Treatment of Dysphagia after Stroke

作　　者：侍昊 杨州 尹昊翔 佘春梅 周姗 SHI Hao;YANG Zhou;YIN Haoxiang;SHE Chunmei;ZHOU Shan(Department of Acupuncture and Moxibustion,Lianyungang Hospital of Traditional Chinese Medicine Affiliated to Kangda College,Nanjing Medical University,Jiangsu Province,Lianyungang 222000,China;Department of Clinical Medicine,Kangda College,Nanjing Medical University,Jiangsu Province,Lianyungang 222000,China;Department of Rehabilitation,Lianyungang Hospital of Traditional Chinese Medicine Affiliated to Kangda College,Nanjing Medical University,Jiangsu Province,Lianyungang 222000,China)

机构地区：[1]南京医科大学康达学院附属连云港中医院针灸科,江苏连云港222000 [2]南京医科大学康达学院临床医学部,江苏连云港222000 [3]南京医科大学康达学院附属连云港中医院康复科,江苏连云港222000

出　　处：《中国中医药现代远程教育》2021年第20期108-110,共3页Chinese Medicine Modern Distance Education of China

基　　金：南京医科大学康达学院科研发展基金【No.KD2019KYJJYB027】;连云港市中医院“赵化南”青年科技基金【No.LZYQ1906】。

摘　　要：目的观察颈项针舌针联合吞咽训练治疗脑卒中吞咽障碍的疗效。方法选取2018年6月—2020年6月连云港市中医康复科的脑卒中吞咽困难患者60例,按照随机数字表法分成对照组和联合组,每组30例。对照组予吞咽训练,联合组在对照组基础上加以颈项针舌针,每日1次,5次/周,共4周。治疗结束后,比较2组患者疗效,并对洼田饮水(Water swallowing test,WST)试验评级,对藤岛一郎吞咽障碍、标准吞咽功能评估量表(Standardized swallowing assessment,SSA)、电视透视吞咽功能检查(Video fluoroscopic swallowing study,VFSS)和吞咽生命质量量表(Swallowing quality of life,SAWL-QOL)进行评分。结果联合组的总有效率83.3%(25/30)高于对照组63.3%(19/30),差异有统计学意义(P<0.05)。与对照组相比,联合组在WST试验分级,藤岛一郎、SSA、VSFF和SWAL-QOL评分方面的改善更为明显(P<0.05)。结论颈项针舌针联合吞咽训练对脑卒中吞咽障碍有较好的疗效。Objective To observe the effect of neck and tongue acupuncture combined with swallowing training on dysphagia after stroke.Methods A total of 60 stroke patients with dysphagia in department of traditional Chinese medicine rehabilitation from June 2018 to June 2020 were selected and divided into control group and combined group according to random number table method,with 30 cases in each group.The control group was given swallowing training,while the combined group was given neck acupuncture and tongue acupuncture on the basis of the control group,once a day,5 times a week for 4 weeks.After treatment,the curative effect of the two groups was compared.The water swallow test was graded.The dysphagia of Ichiro Fujishima,standard swallowing assessment,video fluoroscopic swallowing study and swallowing quality of life were scored.Results The total effective rate of the combined group was 83.3%(25/30)higher than that of the control group 63.3%(19/30),and there had statistical difference(P<0.05).Compared with the control group,the improvement of water swallow test,the dysphagia score of Ichiro Fujishima,standard swallowing assessment,video fluoroscopic swallowing test and swallowing quality of life in the combined group were also significantly different(P<0.05).Conclusion Neck acupuncture and tongue acupuncture combined with swallowing training has a good effect on dysphagia after stroke.

关 键 词：中风 脑卒中 喑痱 吞咽障碍 颈项针 舌针 吞咽训练 

分 类 号：R246.6[医药卫生—针灸推拿学]