针刺治疗中风慢性期中重度吞咽障碍临床研究

Clincal Study on Acupuncture Treatment for Moderate and Severe Deglutition Disorders at the Chronic Stage of Apoplexy

目的 :评价针刺治疗中风慢性期吞咽障碍临床疗效和安全性。方法 :采用针刺风府、人迎、廉泉、百劳治疗 ,随机设立康复对照组。 结果 :根据床边吞咽功能评价量表评价 :针刺组治愈率31 7% ,有效率 6 1 6 % ,总有效率 93 3% ;针刺组疗效明显优于对照组 (P <0 0 1) ;针刺组起效快 ,且疗效与病程长短无关 ;针刺组假性球麻痹疗效优于球麻组。根据电视荧光吞咽功能评价 :针刺组治愈率 2 5 0 % ,有效率 6 0 0 % ,总有效率 85 0 % ;

Purpose To assess clinical therapeutic effect and safety of acupuncture for treatment of deglutition disorder at the chronic stage of apoplexy. Methods Acupuncture was given at Fengfu(GV 16), Renying(ST 9), Lianquan (CV 23) and Bailao, and the bedside deglutition function rating scale was used to assess therapeutic effects, and a rehabilitation control group was randomly set up. Results The cured rate was 31 7%, the effective rate was 61 6%, the total effective rate was 93 3% in the acupuncture group, which was significantly superior to the control group in the therapeutic effect( P <0 01); and the acupuncture group had rapid effect. The therapeutic effect was not related with the duration of illness. The therapeutic effect for false bulbar paralysis in the acupuncture group was superior to that for bulbar paralysis. Assessment of deglutition by electrotelevision fluoresence indicated that the cured rate was 25 0%,the effective rate was 60 0% and the total effective rate was 85 0% in the acupuncture group, which significantly superior to the control group in the therapeutic effect.