针刺配合冰棒刺激治疗中风后吞咽困难的临床研究

Clinical Research of Acupuncture Treatment Combined with Popsicle Stimulus in the Treatment of Dysphagia after Apoplexy

目的:观察针刺配合冰棒刺激治疗脑卒中后吞咽障碍的疗效。方法:将60例吞咽障碍患者随机分为治疗组和对照组,每组各30例。对照组采用神经内科常规治疗,根据病情选用药物和鼻饲饮食支持治疗。治疗组在此基础上针刺阿呛穴,使用自制小冰棒对软腭、舌根及咽后壁等与吞咽有关的黏膜肌肉进行冷刺激治疗。结果:对照组有效率23.3%,治疗组有效率96.7%,两组有效率比较,差异有统计学意义(P<0.01)。结论:针刺配合冰棒刺激治疗治疗中风后吞咽困难有显著疗效。

Objective：To observe the curative effect of acupuncture treatment combined with popsicle stimulus in the treatment of dysphagia after apoplexy.Methods：60 patients with dysphagia were randomly divided into the treatment group and control group.The control group was given the conventional therapy of neurology department as well as drug choice and nasogastric feeding according to the pathogenetic condition.The treatment group was given acupuncture based on the control group with use popsicle stimulus on the relevant muscles of mucous membrane.Results：The difference has not statistical significance according to the standard comparison of curative effect evaluation（P0.05）.The effective rate in the treatment and control was 96.7% and 23.3%respectively.The curative effect evaluation of treatment group was obviously better than the control group.The difference has statistical significance（P〈0.01）.Conclusion：Acupuncture treatment combined with popsicle stimulus in the treatment of dysphagia after apoplexy has remarkable curative effect.