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解语利窍针法治疗假性球麻痹临床研究 被引量:6

Clinical Research of Pseudo-Bulbar Paralysis Treated with Jieyu Liqiao Needling Technique
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摘要 目的观察解语利窍针法治疗脑卒中后假性球麻痹(Pseudo-Bulbar Paralysis,PBP)的临床疗效。方法将60例假性球麻痹的患者随机分为治疗组和对照组各30例,治疗组在神经内科基础治疗配合康复训练的同时采用"解语利窍针法",对照组在神经内科基础治疗配合康复训练的同时采用教科书常规针法。3个疗程后对两组进行疗效评定。结果治疗组总有效率为96.7%,对照组总有效率为83.3%。治疗组与对照组比较,差异有统计学意义(P<0.05),说明治疗组疗效明显优于对照组。两组治疗前总积分,吞咽障碍、情感状态、构音障碍评分,VFSS评分比较,差异均无统计学意义(P>0.05);两组治疗后总积分,吞咽障碍、情感状态、构音障碍评分,VFSS评分比较,差异均有统计学意义(P<0.05)。结论解语利窍针法治疗脑卒中后假性球麻痹疗效确切,且优于常规的针刺治疗。 Objective To observe the clinical therapeutic effects on pseudo-bulbar paralysis treated with jieyu liqiao needling technique. Methods A total of 60 cases of pseudo-bulbar paralysis were randomized into a treatment group and a control group,30 cases in each one. In the treatment group,the basic treatment of neurological medicine and rehabilitation training,as well the acupuncture for recovering speech( jieyu liqiao needling technique) were adopted. In the control group,beside the basic treatment of neurological medicine and rehabilitation training,the conventional acupuncture technique in the textbook was used.The therapeutic effects were assessed after 3 courses of treatment. Results The total effective rate was96. 7% in the treatment group and was 83. 3% in the control group,indicating the significant difference in comparison( P〈0. 05). The therapeutic effects in the treatment group were remarkable as compared with the control group. The differences were not significant in the total score,dysphagia,affective state and dysphonia before treatment between the two groups. The difference was not significant in VFSS score before treatment( P〉0. 05). After treatment,the differences were significant in the total score,dysphagia,affective state and dysphonia,as well as VFSS score between the two groups( P〈0. 05). Conclusion Jieyu liqiao needling technique achieves the definite therapeutic effects on post-stroke pseudo-bulbar paralysis. The effects are superior to conventional acupuncture treatment.
出处 《世界中西医结合杂志》 2017年第11期1539-1541,共3页 World Journal of Integrated Traditional and Western Medicine
关键词 解语利窍 假性球麻痹 针刺 Jieyu Liqiao( Recovering Speech ) Pseudo - Bulbar Paralysis Acupuncture
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