针刺联合中药穴位离子导入治疗缺血性脑卒中后吞咽功能障碍

Acupuncture Combined with Chinese Medicine Acupointion Introduction in Treating for Swallowing Dysfunction After Ischemic Stroke

目的:观察针刺联合启咽方穴位离子导入治疗缺血性脑卒中后吞咽功能障碍的疗效及对血清中P物质水平的影响。方法:将缺血性脑卒中后吞咽功能障碍患者116例,按数字表法随机分为对照组58例和治疗组58例。对照组进行常规药物干预。治疗组在对照组基础上给予针刺联合启咽方穴位离子导入治疗。两组连续治疗4周。比较两组洼田饮水试验吞咽功能评分、吞咽困难分级评分、标准吞咽功能评价量表(standardized swallowing assessment,SSA)评分及临床疗效。检测两组患者血清中P物质水平。结果:治疗后2周、4周,治疗组吞咽功能评分均显著低于同期对照组(P<0.01)。治疗组治疗后吞咽困难分级和SSA评分均明显低于对照组(P<0.01)。治疗组有效率为95.24%,对照组有效率为76.19%,治疗组显著优于对照组(P<0.05)。治疗后2周、4周,治疗组血清中P物质水平显著高于对照组(P<0.01)。结论:在常规西医治疗基础上,针刺联合启咽方穴位离子导入可促进缺血性脑卒中后吞咽功能障碍患者康复,上调患者血清中P物质水平可能是其疗效途径。

Objective： To observe efficacy of acupuncture combined with Chinese medicine acupoint ion introduction in treating for swallowing dysfunction after ischemic stroke and the effect on serum levels of p substance. Method： 116 Cases with ischemic cerebral apoplexy accompanying swallowing dysfunction were randomly divided into control group(58 cases） and treatment group(58 cases）. The control group was given routine therapy. The treatment group was treated with acupuncture combined with Chinese medicine acupoint ion introduction. Treatment course was for 2 weeks in both groups. Scores of swallowing function Kubata drinking water test,dysphagia grade,standard swallowing function assessment scale(SSA） and clinical efficacy were compared between two groups. Serum level of p substance was detected in two groups. Results： 2 and 4 weeks after treatment,the swallowing function score of treatment group was significantly lower than that of the control group at the same time(P 〈 0. 01）. Scores of dysphagia grade standard and SSA were significantly lower than those of control group(P 〈 0. 01）. The total efficiency of the treatment group was 95. 24%,which was significantly higher than that(76. 19%） of the control group(P 〈 0. 05）. 2 and 4 weeks after treatment,serum levels of p substance in the treatment group was obviously higher than that of the control group(P 〈 0. 01）. Conclusion： On the basis of routine western medicine therapy,acupuncture combined with Chinese medicine acupoint ion introduction can promote recovery rate with cases of swallowing dysfunction after ischemic stroke,and it can up-regulate the serum levels of p substance.