于氏项针联合揿针治疗脑卒中后咽期吞咽障碍的临床研究  

Clinical Study on Yu's Nape Needling Combined with Thumbtack Needling in Treatment of Post-Stroke Dysphagia

作　　者：孙妍[1,2] 陈存阳 孙远征 孙颖哲[1,2] SUN Yan;CHEN Cunyang;SUN Yuanzheng;SUN Yingzhe(Heilongjiang University of Chinese Medicine,Harbin 150040,China;The Second Affiliated Hospital of Heilongjiang University of Chinese Medicine,Harbin 150001,China;Daqing Medical College,Daqing 163312,China)

机构地区：[1]黑龙江中医药大学,黑龙江哈尔滨150040 [2]黑龙江中医药大学附属第二医院,黑龙江哈尔滨150001 [3]大庆医学高等专科学校,黑龙江大庆163312

出　　处：《针灸临床杂志》2024年第7期33-37,共5页Journal of Clinical Acupuncture and Moxibustion

基　　金：黑龙江省博士后资助面上项目,编号:LBH-Z21031;黑龙江省博士后科研启动金,编号:LBH-Q21183;孙申田青年人才基金,编号:2021KY-01;黑龙江省中医药科研项目,编号:GY2022-08;哈尔滨市科技计划自筹经费项目,编号:2022ZCZJNS054;黑龙江中医药大学校科研基金,编号:2019MS21;大庆医学高等专科学校科研课题,编号:QYZ-2024KY02。

摘　　要：目的:分析于氏项针联合揿针治疗脑卒中后吞咽障碍的临床疗效。方法:将70例符合纳入标准的脑卒中后吞咽障碍患者随机分为治疗组(于氏项针联合揿针组)与对照组(常规针刺组),各35例,其中对照组脱离1例,剩余34例。两组除基础治疗外,对照组给予常规针刺治疗,治疗组给予于氏项针联合揿针治疗。记录并评价两组患者治疗前后的洼田饮水试验评分表、标准吞咽功能评估量表(SSA)、吞咽造影(VFSS)和吞咽障碍特异性生活质量评分(SWAL-QOL)。结果:治疗后,两组患者洼田饮水试验评分、SSA评分降低,VFSS指标及SWAL-QOL评分增高,且治疗组总有效率以及各项指标均优于对照组,差异具有统计学意义(P<0.05)。结论:于氏项针联合揿针可以改善脑卒中后咽期吞咽障碍,且疗效优于常规针刺。Objective:To analyze the clinical efficacy of Yu's nape needling combined with thumbtack needling in treatment of post-stroke dysphagia.Methods:70 patients with post-stroke dysphagia,who met the inclusion criteria,were randomly divided into the treatment group and the control group,with 35 patients in each group.Both groups were intervened with basic treatment;on which basis,the treatment group was treated with Yu's nape needling combined with thumbtack needling,whereas the control group was treated with conventional needling.One case dropped off in the control group during the treatment.The scores of water swallowing test(WST),standard swallowing assessment(SSA),videofluoroscopic swallowing study(VFSS)and swallowing quality of life(SWAL-QOL)were recorded before and after the treatment in the two groups.Results:The scores of WST and SSA were decreased,and the scores of VFSS and SWAL-QOL were increased after the treatment in the two groups(P<0.05);the improvements were more significant in the treatment group than those in the control group(P<0.05).The total effective rate was higher in the treatment group than that in the control group(P<0.05).Conclusion:Yu's nape needling combined with thumbtack needling can improve swallowing dysfunction of the patients with post-stroke dysphagia,its curative effect is better than conventional acupuncture.

关 键 词：吞咽障碍 脑卒中 揿针 于氏项针 

分 类 号：R246.6[医药卫生—针灸推拿学]