针刺结合吞咽功能训练治疗脑卒中后(咽期)吞咽障碍临床疗效观察

Clinical Observation of Acupuncture Therapy and Swallowing Functional Rehabilitation for Dysphagia after Stroke

目的:观察针刺结合吞咽功能训练对脑卒中后(咽期)吞咽困难的临床疗效。方法:选取脑卒中后吞咽困难的患者60例,按随机数字表法随机分为2组,每组30例。治疗组采用针刺疗法配合吞咽功能训练,针刺主穴取廉泉、金津、玉液、风池、合谷、太冲、通里,治疗时金津、玉液点刺放血,廉泉穴行强刺激后与患侧风池穴接通电针进行治疗,其余穴位采用平补平泻手法,每次留针30min,针刺治疗后予以吞咽功能训练,每周治疗5次,治疗6周共计30次;对照组仅采用吞咽功能训练,吞咽功能训练方法同治疗组,每周治疗5次,治疗6周共计30次。所有患者在治疗前后,均采用洼田氏饮水试验评价患者吞咽功能。结果:治疗组治愈8例,有效19例,无效3例,有效率为90%;对照组治愈2例,有效18例,无效10例,有效率为66.7%;治疗组与对照组相比较差异有显著性意义(P<0.05),且治疗组疗效优于对照组。结论:针刺结合吞咽功能训练是治疗脑卒中后(咽期)吞咽困难较为理想的方法,值得在临床推广应用。

Objective： To observe the curative effect of acupuncture therapy and swallowing functional rehabilitation to treat dysphagia after stroke. Methods： The patients who had acataposis because of acute cerebral accident were divided into two groups（ acupuncture group and control group）. The patients of acupuncture group were given acupuncture and swallowing functional training of rehabilitation once a day and the patients in control group were given swallowing functional training only,then the curative effect had been observed after two courses of treatment. Results： Acupuncture group： There were 8 cases cured,19 cases with approving results and 3 cases without any results. Control group： There were 2 cases cured,18 cases with approving results and 10 cases without any results. Conclusion： Acupuncture therapy and swallowing functional training of rehabilitation have a reliable effect on dysphagia patients and it is a safe and effective therapy without adverse reaction.