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醒脑开窍针刺法联合冰刺激治疗中风后吞咽障碍临床研究 被引量:38

Clinical Study of Xingnao Kaiqiao Acupuncture Combined with Ice Stimulation in Treatment of Dysphagia after Stroke
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摘要 目的:观察醒脑开窍针刺法联合冰刺激对中风患者吞咽障碍的疗效。方法:60例患者按完全随机化法分为针冰组及针刺组。针刺组接受基础神经内科治疗及醒脑开窍针刺法治疗,针冰组在此基础上联合冰刺激治疗。两组患者于治疗前后进行标准吞咽功能评分(SSA)、采用洼田饮水试验进行疗效评价、吞咽等级评分。结果:针冰组总有效率93.3%,针刺组总有效率67.7%,针冰组总有效率明显优于针刺组(P<0.05);两组患者治疗后SSA评分均明显改善(P<0.05),针冰组SSA评分改善明显优于针刺组(P<0.05);两组患者吞咽等级评分均下降(P<0.05),且差异有统计学意义(P<0.05)。结论:醒脑开窍针刺法联合冰刺激治疗中风后吞咽障碍确有疗效,吞咽功能可得到显著恢复,其效果优于单纯醒脑开窍针刺法治疗。 Objective: To observe the curative effect of Xingnao Kaiqiao acupuncture combined with ice stimulation in treatment of dysphagia after stroke. Methods: 60 patients were randomized into the Acu-Ice group( n = 30) and the acupuncture group( n = 30). Both groups were given conventional neurological treatment and Xingnao Kaiqiao acupuncture; on which basis,the Acu-Ice group was also treated with ice stimulation. The therapeutic effect was evaluated by scores of SSA,Kubato water drinking test,and swallowing grade. Results:The total effective rate of the Acu-Ice group was 93. 3%,which was significantly higher than 67. 7% of the acupuncture group( P〈0. 05). SSA score was improved after treatment in the two groups( P〈0. 05),in which the Acu-Ice group was superior to the acupuncture group( P〈0. 05). The score of swallowing grade was decreased after treatment in the two groups( P〈0. 05),and there was statistical difference between the two groups( P〈0. 05). Conclusion: Xingnao Kaiqiao acupuncture combined with ice stimulation is effective for dysphagia after stroke,it can improve the swallowing function,it is better than the simple Xingnao Kaiqiao acupuncture.
作者 张曼 李春梅 ZHANG Man;LI Chunmei(Tianjin University of TCM,Tianjin 300193,China;The First Affiliated Hospital of Tianjin University of TCM,Tianjin 300193,China)
出处 《针灸临床杂志》 2018年第6期27-30,共4页 Journal of Clinical Acupuncture and Moxibustion
关键词 针刺疗法 冰刺激 醒脑开窍 中风 吞咽障碍 Acupuncture therapy Ice stimulation Xingnao Kaiqiao Stroke Dysphagia
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