针刺联合膏摩治疗帕金森病吞咽障碍的疗效观察  

Observation on the clinical effect of acupuncture combined with herbal ointment massage on dysphagia of Parkinson disease

作　　者：冯卫星 臧娅楠 唐丽娟 李沛 戎杰 王强[2] 周锋 FENG Weixing;ZANG Yanan;TANG Lijuan;LI Pei;RONG Jie;WANG Qiang;ZHOU Feng(Affiliated Hospital of Shaanxi University of Chinese Medicine,Xianyang 712000,China;Shaanxi University of Chinese Medicine,Xianyang 712046,China)

机构地区：[1]陕西中医药大学附属医院,咸阳712000 [2]陕西中医药大学,咸阳712046

出　　处：《中华中医药杂志》2025年第2期980-984,共5页China Journal of Traditional Chinese Medicine and Pharmacy

基　　金：陕西省重点产业创新链-社会发展领域项目(No.2020ZDLSF05-14);陕西省中医药管理局中西医结合临床协作创新项目(No.2020-ZXY-002);陕西中医药大学科技创新人才体系建设计划项目(No.2023-CXTD-02);陕西中医药大学附属医院科研项目(No.2020LCJD002,No.2020LCJD003,No.2020HL011);全国中医药创新骨干人才培训项目(No.国中医药人教函[2019]128号)。

摘　　要：目的:探讨针刺联合膏摩治疗帕金森病吞咽障碍的临床疗效。方法:66例帕金森病吞咽障碍患者随机分为对照组(33例,脱落3例)和观察组(33例,脱落2例)。对照组给予西药联合针刺治疗,观察组在对照组的基础上给予膏摩治疗。两组均为1次/d,每周治疗6次,连续治疗3周。比较两组治疗前后洼田饮水试验(WST)评级变化情况,标准吞咽功能评定量表(SSA)和吞咽生活质量量表(SWAL-QOL)评分变化情况。结果:治疗后两组患者的WST评级、SSA评分和SWAL-QOL评分均较治疗前显著改善(P<0.05,P<0.01),且观察组优于对照组(P<0.05,P<0.01);观察组总有效率为87.1%(27/31),显著高于对照组的73.3%(22/30)(P<0.05)。结论:针刺联合膏摩治疗帕金森病吞咽障碍可显著改善患者吞咽相关的生活质量,提高临床效果。Objective:To investigate the clinical effect of acupuncture combined with harbal ointment massage in the treatment of dysphagia in Parkinson disease.Methods:A total of 66 patients with PD dysphagia were randomly divided into control group(33 cases,abscission in 3 cases)and observation group(33 cases,abscission in 2 cases).The control group was treated with western medicine combined with acupuncture,and the observation group was treated with ointment on the basis of the control group.Both groups were treated once a day,6 times a week for 3 weeks.The scores of water swallowing test(WST),standardized swallowing assessment(SSA)and swallowing quality of life(SWAL-QOL)before and after treatment were compared between the two groups.Results:After treatment,WST rating,SSA score and SWAL-QOL score of 2 groups were significantly improved compared with before treatment(P<0.05,P<0.01).Compared with the control group,the observation group were significantly different in WST rating,SSA score and SWAL-QOL score(P<0.05,P<0.01).The total effective rate of the observation group was 87.1%(27/31),which was significantly higher than that of the control group[73.3%(22/30)](P<0.05).Conclusion:Acupuncture combined with herbal ointment massage in the treatment of dysphagia in Parkinson disease can significantly improve the swallowing related quality of life and improve the clinical effect.

关 键 词：帕金森病 吞咽障碍 针刺 膏摩 咽三针 临床疗效 

分 类 号：R246.6[医药卫生—针灸推拿学]