醒脑开窍针法配合刺络放血治疗脑卒中后吞咽障碍的临床观察

The Clinical Observation of Xingnao Kaiqiao Combined with Venesection and Phlebotomy Treating on Dysphasia after Stroke

目的:观察醒脑开窍针法配合刺络放血治疗卒中后吞咽障碍的临床疗效。方法:将卒中后吞咽障碍100例患者随机分为观察组和对照组各50例,每组均采用相同的药物治疗。观察组在药物治疗的基础上,采用醒脑开窍针法配合刺络放血治疗,对照组在药物治疗(同观察组)的基础上,加刺络放血治疗,4周为一疗程,采用洼田饮水试验和电视荧光吞咽检查进行评价,对两组治疗前后结果进行比较。结果:两组均能改善卒中后患者的吞咽障碍,取得临床疗效,但醒脑开窍针法配合刺络放血的疗效明显优于单纯应用刺络放血(P<0.05)。结论:醒脑开窍针法配合刺络放血治疗卒中后吞咽障碍具有协同作用,临床疗效显著,能有效改善卒中后患者吞咽障碍,优于单纯应用刺络放血组,值得临床推广。

Objective To observe the clinical curative effect of acupuncture combined with pricking blood therapy on dysphagia after stroke. Methods 100 cases of dysphagia after stroke were randomly divided into two groups, each group were treated with the same drugs. The observation group on the basis of drug treatment, using up xingnaokaiqiao therapy combined with pricking blood therapy the treatment in the experimental group, drug treatment （as observation group） on the basis of plus bloodletting therapy for. 4 weeks for a course of treatment, comparison of the two groups before and after treatment. Results The results of two groups were improved in patients with dysphagia after stroke, has clinical curative effect, but the curative effect by Acupuncture plus bloodletting is better than The application of pricking blood therapy （P 〈 0. 05）. Conclusion XNKQ acupuncture combined with pricking blood therapy on dysphagia after stroke has a synergistic effect, clinical curative effect, can effectively improve the patients with dysphagia after stroke, better than the simple application of bloodletting group, worthy of promotion.