通督调神针刺法治疗中风吞咽障碍临床观察

Clinical Observation of Tong Du Tiao Shen Needling in Treating Post-stroke Deglutition Disorders

目的观察通督调神针刺法治疗中风吞咽障碍的临床疗效。方法将60例中风吞咽障碍患者,按随机数字表随机分为治疗组和对照组,每组30例,两组均予神经内科常规治疗,对照组予常规针刺法治疗;治疗组采用通督调神针刺法治疗。每星期3次,10次为1个疗程,1个疗程后观察两组治疗前后洼田饮水试验评级、电视X线透视吞咽功能检查(VFSS)各指标结果。结果治疗组总有效率为93.3%,与对照组的66.7%比较差异有统计学意义(P<0.05),治疗组总有效率优于对照组。治疗组和对照组VFSS显示,半流质食物口腔期通过时间、咽期延迟时间、咽期通过时间的组内比较差异均有统计学意义(P<0.05),而两组治疗后组间比较差异均有统计学意义(P<0.05)。结论通督调神针刺法改善中风后吞咽障碍的吞咽功能优于常规针刺法治疗。

Objective To observe the clinical efficacy of Tong Du Tiao Shen needling （unblocking the Governor Vessel and regulating the mind） in treating post-stroke deglutition disorders. Method Sixty patients with post-stroke deglutition disorders were randomized into a treatment group and a control group by the random number table, 30 cases each. In addition to the conventional neurological treatment, the control group was given ordinary acupuncture, and the treatment group was given Tong Du Tiao Shen needling, 3 times a week, 10 sessions as a treatment course. The Water Swallowing Test （WST） and Videofluoroscopic Swallowing Study （VFSS） were observed in the two groups before and after 1 course of treatment. Result The total effective rate was 93.3% in the treatment group, significantly superior to 66.7% in the control group （P〈0.05）. The VFSS showed that the intra-group differences were statistically significant in comparing oral transit, pharyngeal retention and pharyngeal transit of semi-fluid food in both treatment and control groups by the paired t-test （P〈0.05）, and the between-group differences after the treatment were also statistically significant （P〈0.05）. Conclusion Tong Du Tiao Shen needling can produce a more significant efficacy in improving the swallowing function in post-stroke dysphasia compared to ordinary acupuncture.