点刺为主配合舌三针治疗脑卒中构音障碍临床研究

Clinical Research of Peck Needling Combine with Tongue Triple Acupuncture in Treating Post-stroke Dysarthria

目的:通过运用点刺为主配合舌三针的方法对脑卒中后构音障碍的患者进行治疗,并观察其构音功能的改善情况,探讨该方法的临床疗效,为临床治疗脑卒中后构音障碍提供一定的依据。方法:按照入组顺序对符合纳入标准的病人进行随机分组,分别为治疗组(A组)30例、对照组(B组)30例。治疗组主穴取舌三针(即上廉泉穴和左右旁廉泉穴)、金津穴、玉液穴,其中金津穴、玉液穴及咽喉壁均向舌根方向针刺1~1.2寸、点刺放血,每次每穴放血量为3~5滴,隔天治疗1次,4周为1个疗程。舌三针的针刺方法为单手快速进针,针尖向舌根方向,与其呈45~60°角,刺入25~40mm,留针30min,以使患者舌根部感觉有酸麻胀痛感并发出声音即可,并于出针后鼓励患者尽量大声说话,1次/d,每周针刺6d,4周为1个疗程。对照组选廉泉、哑门,以上各穴均以得气为度,治疗4周。分别于治疗前和治疗后运用Frenchay构音障碍评价量表对2组患者进行疗效评定,并对数据进行统计学分析。结果:(1)治疗组(即点刺为主配合舌三针组)疗效优于对照组(P<0.05)。(2)治疗组对不同病种(即脑出血、脑梗死和脑栓塞)间导致的构音障碍疗效无显著性差异(P>0.05)。结论:点刺为主配合舌三针在改善脑卒中构音障碍患者的构音功能方面,其疗效优于常规针刺法,且简单易操作,是治疗脑卒中后构音障碍的一种较为有效的方法,值得临床推广应用。

Objective： To observe the clinical effect of peck needling combine with tongue triple acupuncture in treating post-stroke dysarthria. And to observe the improvement of the situation, to explore clinical efficacy for the clinical treat- ment of post-stroke dysarthria to provide a basis. The patients who meet the inclusion criteria were randomly divided into treatment group （group A）, control group （group B）, 30 patients in each group. Treatment group： the specific acupoints as follows： the main points to take the tongue three needles （that is, on the Lianquan and around the edge of Lianquan）, Jin- jin points, Yuye point points, of which Jinjin points, Yuye point and throat wall are to the tongue root needle Thorn 1 to 1.2 inch, point thorn bleeding, each time the amount of bleeding per hole 3 to 5 drops, the next day treatment 1, 4 weeks for a course of treatment. Tongue three needle acupuncture method for one hand fast needle, needle tip to the root direc- tion, with its 45-60 angle, piercing 25 - 40ram, needle 30rain, so that patients with tongue and mouth feel tingling pain and issued The sound can be, and after the needle to encourage patients to speak as loud as possible, l/d, 6d per week, 4 weeks for a course of treatment. Control group selection points： Lianquan, dumb door, the above points are to get gas for the degree of treatment for 4 weeks. The efficacy of the Frenchay dysentery evaluation scale was evaluated before and after treatment, and the data were statistically analyzed. Results： ① The curative effect of the treatment group was better than that of the control group （P〈0.05）. There was no significant difference in the curative effect between the treatment group and the different symptoms （ie, cerebral hemorrhage, cerebral infarction and cerebral embolism） （P〉0.05）. Conclusion： The combination of acupoints better than that of conventional acupuncture, and it is a simple and easy operation. It is a kind of effective method treatment for post-stroke dysarthria, worthy of clinical application.