项针联合颈部皮肤浅刺对气虚血瘀型中风后吞咽障碍的影响  

Effect of nape acupuncture combined with superficial cervical skin acupuncture on dysphagia after stroke of blood stasis due to qi deficiency type

作　　者：许晨 朱岩岩 王利春 黄凤慧 XU Chen;ZHU Yanyan;WANG Lichun;HUANG Fenghui(Department of Acupuncture and Massage,Hebei University of Chinese Medicine,Hebei Province,Shijiazhuang 050091,China;Cangzhou Hospital of Integrated Traditional Chinese Medicine and Western Medicine,Hebei Province,Cangzhou 061001,China)

机构地区：[1]河北中医学院针灸推拿教研室,河北石家庄050091 [2]河北省沧州中西医结合医院,河北沧州061001

出　　处：《中国医药导报》2022年第20期161-164,188,共5页China Medical Herald

基　　金：河北省中医药管理局中医药类科研计划课题(2020517)。

摘　　要：目的探究项针联合颈部皮肤浅刺对气虚血瘀型中风后吞咽障碍的影响。方法选取2019年9月至2020年9月于河北省沧州中西医结合医院康复院区中风后吞咽障碍住院患者60例,按照随机数字表法将其分为联合针刺组和传统针刺组,每组各30例。除常规基础治疗外,联合针刺组采用项针联合颈部皮肤浅刺治疗,传统针刺组采用常规针刺法治疗,每周治疗6 d,休息1 d,4周为1个疗程。比较两组临床疗效、洼田饮水试验等级、藤岛一郎吞咽障碍评分、电视透视吞咽功能检查(VFSS)评分。结果治疗后,联合针刺组临床疗效优于传统针刺组,差异有统计学意义(P<0.05)。治疗后,联合针刺组洼田饮水试验等级优于传统针刺组(P<0.05)。治疗后4周,两组藤岛一郎吞咽障碍评分较治疗前升高,且联合针刺组高于传统针刺组(P<0.05)。治疗后4周,两组VFSS评分较治疗前升高,且联合针刺组高于传统针刺组(P<0.05)。结论项针联合颈部皮肤浅刺可提高中风后吞咽障碍的疗效,改善患者吞咽功能,促进康复进程,值得临床推广。Objective To explore the effect of nape acupuncture combined with superficial cervical skin acupuncture on dysphagia after stroke of blood stasis due to qi deficiency type.Methods Sixty inpatients with dysphagia after stroke in Rehabilitation Hospital of Cangzhou Hospital of Integrated Traditional Chinese Medicine and Western Medicine,Hebei Province from September 2019 to September 2020 were selected and they were divided into combined acupuncture group and traditional acupuncture group according to random number table method,with 30 cases in each group.On the basis of conventional treatment,combined acupuncture group was treated with nape acupuncture combined with superficial cervical skin acupuncture,traditional acupuncture group was treated with conventional acupuncture,six days one week,one day off,four weeks as a course of treatment.Clinical efficacy,Wata drinking water test grade,Ichiro Fujishima swallowing disorder score and video fluoroscopic swallowing study(VFSS)score were compared between two groups.Results After treatment,clinical effect of combined acupuncture group was better than that of traditional acupuncture group(P<0.05).After treatment,Wata drinking water test grade in combined acupuncture group was better than that in traditional acupuncture group(P<0.05).Four weeks after treatment,Ichiro Fujishima swallowing disorder scores in two groups were higher than those before treatment,and combined acupuncture group was higher than traditional acupuncture group(P<0.05).Four weeks after treatment,VFSS scores of two groups were higher than those before treatment,and combined acupuncture group was higher than traditional acupuncture group(P<0.05).Conclusion Nape acupuncture combined with superficial cervical skin acupuncture can improve curative effect of dysphagia after stroke,improve swallowing function of patients,and promote rehabilitation process,which is worthy of clinical promotion.

关 键 词：项针 浅刺疗法 中风 吞咽障碍 对照研究 

分 类 号：R255.2[医药卫生—中医内科学]