“皮层-咽部-舌根”序贯针刺法治疗卒中后吞咽障碍临床研究

Clinical study of Cortex-throat-root of the tongue sequential acupuncture for treating dysphagia after cerebral hemorrhage

目的观察"皮层-咽部-舌根"序贯针刺法治疗卒中后吞咽障碍的临床疗效。方法将68例卒中后吞咽障碍患者随机分为2组,对照组33例予基础治疗,治疗组35例在对照组治疗基础上应用"皮层-咽部-舌根"序贯针刺法治疗。2组均连续治疗14 d。观察2组治疗前后洼田饮水试验评分变化,比较疗效。结果 2组治疗后洼田饮水试验评分均低于本组治疗前(P<0.05,P<0.01);2组治疗后洼田饮水试验评分比较差异有统计学意义(P<0.05),治疗组低于对照组。2组愈显率、总有效率比较差异均有统计学意义(P<0.05),治疗组疗效优于对照组。结论在基础治疗基础上应用"皮层-咽部-舌根"序贯针刺法治疗卒中后吞咽障碍,可提高洼田饮水试验评分,在愈显率、总有效率方面优于基础治疗,更好地改善卒中后吞咽障碍患者临床症状。

Objective To observe the clinical effects of Cortex- throat- root of the tongue sequential acupuncture for treating dysphagia after cerebral hemorrhage. Methods 68 subjects with dysphagia after cerebral hemorrhage were randomly divided into two groups. 33 subjects in control group were received basic treatment,and 35 subjects in treatment group were received Cortex- throat- root of the tongue sequential acupuncture on the basis of control group treatment. Both groups were treated continuously for 14 d. The scores of sub- water test before and after treatment were observed in two groups. The curative effect was compared. Results The sub- water test score after treatment was decreased in two groups（ P〈0. 05,P〈0. 01）. The sub- water test score after treatment in treatment group was lower than that in control group（ P〈0. 05）. There were statistical differences on the cure and markedly effective rate and total effective rate between two groups（ P〈0. 05）. Conclusion Cortex- throat- root of the tongue sequential acupuncture for treating dysphagia after cerebral hemorrhage,can increase the sub- water test score,improve the cure and markedly effective rate and total effective rate.