针刺内大迎穴治疗中风后舌体运动障碍的疗效观察

Clinical Observation on the Method of Needling 'Nei Da Ying' Channal for treatment of Tongue Dyskinesia Post-stroke

目的:观察针刺内大迎穴治疗中风后舌体运动障碍的疗效。方法:将75例中风后舌体运动障碍的患者随机分组,治疗组45例,对照组30例,在“醒脑开窍”针刺法的基础上,治疗组采用针刺内大迎穴,对照组采用传统穴位针刺(金津、玉液点刺放血),4周后通过比较2组患者舌体运动功能的评分情况来进行疗效评定;并通过比较2组患者构音、吞咽功能的评分来进行间接疗效观察。结论:针刺内大迎治疗中风后舌体运动障碍的疗效肯定,明显优于传统针刺组。治疗组有效率82.2%,对照组有效率56.7%(P<0.05)。本法在改善舌体运动功能的同时,使患者的构音和吞咽功能也得到了一定程度的恢复,提高了中风患者的生活质量。

Objective:To observe the therapeutic effect of the method of needling 'Nei DaYing' in treating Tongue Dyskinesia Post-stroke.Methods:Seventy-five Tongue Dyskinesia Post-stroke patients were randomly divided into the treatment group and the traditional acupuncture control group,which includes 45 patients in treatment group and 30 in Control one The former were treated by needling 'Nei Da Ying',while the latter were treated by pricking Jinjin and Yuye to cause bleeding.Their therapeutic effects were compared by the scores of function of tongue movement,phonation and swallowing after four weeks.Conclusions: The therapeutic effect of the treatment group was superior to that of the control group on treatment for Tongue Dyskinesia Post-stroke.The effective rate was 82.2% in the treatment group versus 56.7% in the control group(P<0.05).The therapy can improve not only the function of tongue movement,but also the function of phonation and swallowing.