风池穴针刺不同角度、深度对老年脑卒中的疗效  

Effect of Acupuncture at Different Angles and Depths at Fengchi Acupoint on Senile Stroke

作　　者：程秀宇[1] 李汶阳 陆蕴松 Cheng Xiuyu;Li Wenyang;Lu Yunsong(Changchun Medical College,Changchun 130031;Changchun Orthopedic Hospital,Changchun 130033)

机构地区：[1]长春医学高等专科学校,长春130031 [2]长春骨伤医院,长春130033

出　　处：《国际老年医学杂志》2024年第5期597-600,共4页International Journal of Geriatrics

基　　金：吉林省教育厅科研项目(JJKH20231546KJ)。

摘　　要：目的观察不同角度和深度针刺风池穴对老年脑卒中患者的临床疗效。方法选取2022年7月-2023年7月长春骨伤医院收治的60例脑卒中合并吞咽障碍的老年患者作为研究对象。采用抽签法随机分为两组,各30例。对照组针刺风池穴按照常规针刺深度进行针刺,向鼻尖方向针刺0.8~1.2寸;观察组针刺风池穴时向喉结方向针刺1.5~2.0寸;两组同时均给予常规治疗。比较两组的临床疗效、中医症候、吞咽功能(洼田饮水试验及视频透视吞咽检查法)、神经功能[美国国立卫生研究院脑卒中量表(NIHSS)]、生活质量及不良反应。结果观察组总有效率高于对照组(P<0.05)。治疗后观察组口角歪斜程度、眼裂闭合程度和鼻唇沟深浅3项中医症候指标评分均低于对照组(P<0.05)。治疗后观察组洼田饮沙沙试验结果、NIHSS评分均低于对照组(P<0.05),且观察组的视频透视吞咽检查结果和生活质量评分均高于对照组(P<0.05)。两组不良反应发生情况比较,差异无统计学意义(P>0.05)。结论风池穴深刺和针向喉结方向对老年脑卒中患者的症状改善及预后有着明显作用,该方法安全可行。Objective To observe the clinical effect of acupuncture at Fengchi acupoint at different angles and depths on elderly stroke patients.Methods 60 elderly patients with stroke complicated with dysphagia admitted to Changchun Orthopaedic Hospital from September 2022 to September 2023 were selected as the study subjects.They were randomly divided into two groups by lottery,30 cases in each group.In the control group,acupuncture at Fengchi acupoint was performed according to the conventional acupuncture depth,0.8-1.2 inches in the direction of the nasal tip,in the observation group,acupuncture at Fengchi acupoint was performed 1.5-2.0 inches in the direction of the laryngeal knot,both groups were also given conventional treatment.The clinical efficacy,TCM symptoms,swallowing function(water swallowing test and vision fluorescence swallowing study),neurological function[National Institutes of Health Stroke Scale(NIHSS)],quality of life and adverse reactions were compared between the two groups.Results The total effective rate of the observation group was higher than that in the control group(P<0.05).After treatment,the scores of mouth angle deviation,eye fissure closure and nasolabial fold depth in the observation group were lower than those in the control group(P<0.05).After treatment,the result of water swallowing test,NIHSS score of the observation group were lower than thosein the control group(P<0.05).The result of vision fluorescence swallaving study and quality of life score in the observation were higher than those in the control group(P<0.05).There was no significant difference in the incidence of adverse reactions between the two groups(P>0.05).Conclusion Deep needling at Fengchi acupoint and acupuncture towards the laryngeal knot have a significant effect on the improvement of symptoms and prognosis in elderly stroke patients,and this method is safe and feasible.

关 键 词：风池穴 针刺方式 脑卒中 

分 类 号：R246.6[医药卫生—针灸推拿学]