以深刺完骨穴、翳风穴为主治疗脑卒中后假性球麻痹致吞咽障碍的临床研究  

Clinical Study on the Deep Acupuncture at Wangu Acupoint and Yifeng Acupoint in the Treatment of Swallowing DisorderCaused by Poststroke Pseudobulbar Paralysis

作　　者：李辉 吉震昌 吕晓慧 LI Hui;JI Zhenchang;LV Xiaohui(Department of Rehabilitation,Luoyang Traditional Chinese Medicine Hospital,Luoyang 471003,China)

机构地区：[1]洛阳市中医院康复科,河南洛阳471003

出　　处：《临床医学工程》2024年第3期299-300,共2页Clinical Medicine & Engineering

摘　　要：目的 探讨以深刺完骨穴、翳风穴为主治疗脑卒中后假性球麻痹致吞咽障碍的临床效果。方法 选择我院2020年12月至2021年12月收治的60例脑卒中后假性球麻痹致吞咽障碍患者,随机分为治疗组及对照组各30例。治疗组采用深刺完骨穴、翳风穴手法,对照组采用普通针刺手法。对比两组治疗效果、洼田饮水试验评分及吞咽评分。结果 治疗组治疗总有效率为93.33%,高于对照组的73.33%(P <0.05)。治疗后,治疗组洼田饮水试验评分低于对照组,藤岛一郎吞咽疗效评分高于对照组(P <0.05)。结论 以深刺完骨穴、翳风穴为主治疗脑卒中后假性球麻痹致吞咽障碍临床效果较好,恢复患者的吞咽功能,对改善预后具有重要作用,值得推广应用。Objective To explore the clinical effect of deep acupuncture at Wangu acupoint and Yifeng acupoint in the treatment of swallowing disorder caused by poststroke pseudobulbar paralysis.Methods 60 patients with swallowing disorder caused by poststroke pseudobulbar paralysis in our hospital from December 2020 to December 2021 were selected and randomly divided into treatment group(30 cases)and control group(30 cases).The treatment group received deep acupuncture at Wangu acupoint and Yifeng acupoint,while the control group received ordinary needling techniques.The treatment effect,water-swallowing test score,and swallowing score were compared between the two groups.Results The total effective rate of treatment in the treatment group was 93.33%,higher than 73.33% in the control group(P<0.05).After treatment,the water-swallowing test score of the treatment group was lower than that of the control group,and the swallowing score was higher than that of the control group(P<0.05).Conclusions Deep acupuncture at Wangu acupoint and Yifeng acupoint in the the treatment of swallowing disorder caused by poststroke pseudobulbar paralysis has better clinical effect,and can restore the patients'swallowing function and improve the prognosis,which is worthy of promotion and application.

关 键 词：脑卒中后假性球麻痹 吞咽障碍 深刺 完骨穴 翳风穴 洼田饮水试验 

分 类 号：R277.7[医药卫生—中医学]