针刺颈四针配合补中益气汤治疗中风后吞咽困难随机对照研究

Research on treating dysphagia after stroke by acupuncture of four neck needle combined with the Buzhong Yiqi decoction

目的:探讨针刺颈四针配合补中益气汤治疗中风后吞咽困难的临床疗效。方法:采用多中心、随机对照、盲法原则,将76例中风后吞咽困难患者随机分为针刺颈四针配合补中益气汤治疗中风后吞咽困难治疗组(38例)和传统针刺对照组(38例)。在常规治疗的基础上,治疗组采用针刺与口服中药相结合的治疗方法;对照组采用针刺传统腧穴的治疗方法,治疗结果采用中风后吞咽障碍中医评价量表进行临床疗效评定。结果:针刺颈四针配合补中益气汤治疗中风后吞咽困难总有效率为92%,优于传统针刺组的74%。结论:针刺颈四针配合补中益气汤是治疗中风后吞咽困难安全而有效的方法。

Objective： To discuss the clinical effect of acupuncture of four neck needle combined with the Buzhong Yiqi decoction on treating dysphagia after stroke. Methods： Based on the multi-center, randomized, controlled, blind method principles, 76 cases were randomly and equally divided into the treated group and the control group. On the basis of the conventional treatment, the treated group was given the acupuncture combined with the oral TCM medicine. The control group was given the traditional acupuncture. The effects after treatment were evaluated with the TCM assessment scale. Results： The total efficiency of acupuncture of four neck needle combined with the Buzhong Yiqi decoction was 92%, better than 74% of the traditional acupuncture group. Conclusion： The method is safety and effective on treating dysphagia after stroke.