项五针治疗中风后延髓麻痹吞咽困难疗效观察

Observation on theraputic effect of five-needle-in-nape acupuncture for treatment of poststroke pesudobulbar paralysis dysphagia

目的:比较项五针和常规针刺治疗中风后假性球麻痹吞咽困难的疗效差异。方法:将60例患者随机分为项五针组和常规针刺组,每组30例。项五针组穴取哑门、天柱、治呛穴,行针刺治疗,行针时配合吞咽训练。常规针刺组穴取廉泉、通里、照海,行针刺治疗。两组均每日针刺1次,每周6次,2周为一疗程,治疗2个疗程后评价疗效。结果:项五针组总有效率达93.3%,常规针刺组总有效率达80.0%,项五针组优于常规针刺组(P<0.05)。结论:项五针比常规针刺治疗中风后假性球麻痹吞咽困难有更好的临床疗效。

Objective To compare the therapeutic effect of five-needle-in-nape acupuncture treatment and the routine acupuncture treatment for poststroke pesudobulbar paralysis dysphagia. Methods Sixty cases were randomly divided into a five-needle-in-nape （FNN） group and a routine acupuncture （RA） group （n=30 in each group）. Yamen（GV 15）, Tianzhu （BL10）, Zhiqiang acupoint （Extra） were needled and the training of swallowing was practiced wh：en needling in FNN group. Lianquan （CV 23）, Tongli （HT 5）, Zhaohai （KI 6） were needled in RA group. The course of acupuncture treatment consisted of needling once time every day, six times a week for two weeks. The therapeutic effects were evaluated after two courses of acupuncture treatment. Results The effective rate was 93.3% in FNN group, better than that of 80.0% in RA group （P〈0.05）. Conclusion The therapeutic effect in FNN group was better than that of RA group for poststroke pesudobulbar paralysis dysphagia.