卒中后吞咽障碍的针灸治疗近况

Research Review on Deglutition Disorders after Stroke Treated with Acupuncture-moxibustion in Recent Years

对近10年有关针灸治疗卒中后吞咽障碍的文献,从针灸治疗的现状、取穴、操作方法及存在问题进行了整理、分析,结果表明针灸治疗卒中后吞咽障碍是有效的疗法,优于药物治疗。存在的问题有整体质量可信度不高、疗程不统一、病例的完整性不够、质量控制几乎缺失、临床诊断及疗效评定标准混乱、观察指标多样化。建议今后开展按更加严格的科研设计标准进行的随机、对照、盲法、多中心、大样本的临床科研,规范针灸手法的操作与穴位的选择、疗效判断等,进一步完善随访机制,使针灸在卒中后吞咽障碍上的临床研究水平得到提高,使其疗效更具真实性与可靠性。

The relevant documents of deglutition disorders after stroke treated with acupuncture-moxibustion in recent years have been collected and analyzed in aspect of current situation of acupuncture-moxibustion treatment,acupoint selection,manipulation and problems.The results indicate that treating with acupuncture-moxibustion for the deglutition disorders after stroke is effective,and the acupuncture-moxibustion therapy is superior to the medicine.The main problems are low credibility of total quality,inconsistent curative course,incomplete case of illness,missing of quality control,disordered standards of clinical diagnosis and curative effect evaluation,varied observation index and phatic discussion of mechanism.It is suggested to carry on more serious scientific research and design,and in large-scale Randomized Controlled Multi-center Clinical Trials;make standard of acupuncture manipulation and evaluation of therapeutic efficiency in order to guarantee documents of follow up are integrity and enhance research level.Let the result of clinical efficacy become more authentic and dependable.