项舌针配合治疗假性延髓麻痹优化方案的临床观察

Clinical Study of Nape Acupuncture Treatment for Pseudobulbar Paralysis

目的:优化假性延髓麻痹穴位配伍方案,精简穴位,减轻患者痛苦。方法:用随机分组的方法将60例符合纳入标准的假性延髓麻痹患者分为治疗组和对照组,每组30例,分别进行针刺治疗,治疗结束后对吞咽功能和言语功能两方面进行疗效对比。结果:治疗组对于吞咽功能疗效的有效率为96.6%,对照组有效率为90%,治疗组言语功能疗效有效率为90%,对照组有效率为83.3%,治疗前后两组在吞咽功能和言语功能两方面的组内差异均有统计学意义(P<0.05),治疗后的组间比较差异无统计学意义(P>0.05)。结论:项舌针配合治疗假性延髓麻痹疗效与单纯项针治疗假性延髓麻痹疗效相当,优势不明显。

Objective：To optimize the method of acupoint selection for treating pseudobulbar paralysis and to simplify the therapeutic schedule.Methods：Sixty patients with pseudobulbar paralysis were randomly allocated into a treatment group and a control group,and each group had thirty cases.The treatment group received nape acupuncture plus tongue acupuncture.The control group received nape acupuncture only.Results：In the treat-ment group the total effective rate was 96.6%and in the control group the total effective rate was 90%in swal-lowing functions.In the treatment group the total effective rate was 90%and in the control group the total effec-tive rate was 83.3%in linguistic functions.There were statistically significant differences in graded swallowing and linguistic functions in both groups before and after treatment （ P〈0 .05 ） .But there was no significant difference between two groups after treatment （ P〉0 .05 ） .Conclusion：Nape acupuncture;Tongue acupuncture has a better clinically therapeutic effect on pseudobulbar paralysis,but the advantage might not be obvious.