针刺治疗延髓梗死后吞咽障碍1例

Acupuncture in the Treatment of Dysphagia after Medulla Oblongata Infarction for One Case

目的观察针刺治疗延髓梗死后吞咽障碍的临床疗效。方法对1例延髓梗死的患者进行针刺治疗,选取承浆、地仓、廉泉、金津、玉液等,每疗程后经洼田饮水试验和标准吞咽功能评定量表(SSA)测评吞咽功能。结果患者吞咽功能较治疗前提升3级,SSA评分下降11分。结论针刺治疗延髓梗死后吞咽障碍效果显著。

Objective To observe the clinical effect of acupuncture in the treatment of dysphagia after medulla oblongata infarction. Method One case of patient with dysphagia after medulla oblongata infarction was given acupuncture therapy,and Chengjiang（ RN24）,Dicang（ ST4）,Lianquan（ RN23）,Jinjin（ EX-HN12）,Yuye（ EX-HN13） etc were selected. The patient＇s swallowing function after each course through Watian drinking water test and Standardized Swallowing Assessment was evaluated. Results Patient＇s swallowing function improved3 levels,and SSA declined 11 points comparing to before-treatment. Conclusion The acupuncture in the treatment of dysphagia after medulla oblongata infarction has significant effect.