舌三针埋线疗法联合补阳还五汤治疗气虚血瘀型脑卒中后吞咽障碍的临床观察  

Clinical Observation of Tongue Three-Needle Embedding Therapy Combined with Buyang Huanwu Decoction in the Treatment of Dysphagia after Stroke of Qi Deficiency and Blood Stasis Type

作　　者：魏嘉[1] 李斗 田伟[1] 游伟[1] 张帆[1] WEI Jia;LI Dou;TIAN Wei;YOU Wei;ZHANG Fan(Department of Acupuncture and Moxibustion,Beijing Hospital of Traditional Chinese Medicine Affiliated to Capital Medical University,Beijing,100010,China)

机构地区：[1]首都医科大学附属北京中医医院针灸科,北京100010

出　　处：《现代生物医学进展》2024年第23期4449-4451,共3页Progress in Modern Biomedicine

基　　金：北京市医院管理局"扬帆"计划重点医学专业(重点扶持专业)-中西医结合康复项目(ZYLX202140);北京市医院管理中心"登峰"人才培养计划团队(DFL20241001)。

摘　　要：目的:探讨气虚血瘀型脑卒中后吞咽障碍患者经补阳还五汤、舌三针埋线疗法联合治疗后的临床疗效。方法:172例气虚血瘀型脑卒中后吞咽障碍患者按照随机数字表法分为对照组(n=86,常规吞咽功能锻炼和舌三针埋线疗法)和研究组(n=86,对照组基础上接受补阳还五汤治疗)。比较两组中医疗效、中医证候积分、吞咽功能相关量表评分、血清营养状况指标。结果:研究组患者的总有效率高于对照组(P<0.05)。治疗后,研究组的主症、次症、总分、标准吞咽功能评价量表(SSA)、洼田饮水试验(WST)评分低于对照组(P<0.05)。治疗后,研究组的白蛋白(ALB)、前清蛋白(PA)、总蛋白(TP)、吞咽障碍特异性生活质量量表(SWAL-QOL)评分高于对照组(P<0.05)。结论:舌三针埋线疗法联合补阳还五汤治疗气虚血瘀型脑卒中后吞咽障碍,可改善患者营养状况和临床症状,提升生活质量。Objective:To explore the clinical efficacy of buyang huanwu decoction combined with tongue three-needle embedding therapy in patients with dysphagia after stroke of qi deficiency and blood stasis type.Methods:172 patients with dysphagia after stroke of qi deficiency and blood stasis type were divided into control group(n=86,routine swallowing function exercise and tongue three-needle embedding therapy)and study group(n=86,the control group was treated with buyang huanwu decoction on the basis of the control group)according to the method of randomized numerical table.The traditional chinese medicine efficacy,traditional chinese medicine syndrome score,swallowing function related scale score,serum nutritional status index and adverse reactions were compared in two groups.Results:Compared to the control group,the study group's total effective rate was greater(P<0.05).After treatment,the scores of main symptoms,secondary symptoms,total score,standard swallowing function evaluation scale(SSA)and water swallowing test(WST)in study group were lower than those in control group(P<0.05).After treatment,the scores of albumin(ALB),prealbumin(PA),total protein(TP)and dysphagia specific quality of life scale(SWAL-QOL)in study group were higher than those in control group(P<0.05).The incidence of adverse reactions did not differ in two groups(P>0.05).Conclusion:Tongue three-needle embedding therapy combined with buyang huanwu decoction in the treatment of dysphagia after stroke of qi deficiency and blood stasis type,which can substantially improve the patient's nutritional status and clinical symptoms,and don't make negative reactions more common.

关 键 词：舌三针埋线疗法 脑卒中后吞咽障碍 气虚血瘀型 补阳还五汤 临床疗效 

分 类 号：R734.2[医药卫生—肿瘤]