针刺治疗脑卒中后假性延髓性麻痹的临床研究

Clinical Study on Acupuncture on Pseudobulbar Paralysis after Stroke

目的观察针刺治疗脑卒中后假性延髓性麻痹的吞咽、言语功能障碍的临床疗效并探讨其作用机制。方法 80例患者随机分为治疗组与对照组各40例。对照组依照指南给予规范西医治疗和康复训练,治疗组在对照组的基础上,增加针刺治疗。均连续治疗两个疗程。观察两组治疗方法对吞咽、言语障碍的临床疗效。结果两组治疗前吞咽、言语功能评级比较,差别均不大(均P> 0.05)。治疗后两组吞咽、言语功能评级与治疗前比较均改善(均P <0.05),且治疗组吞咽、言语功能评级改善优于对照组(均P <0.05)。治疗后,治疗组总有效率为77.50%,高于对照组的70.00%(P <0.05)。两组治疗期间均未见明显不良反应。结论针刺治疗假性延髓性麻痹的临床疗效显著。

Objective:To observe the clinical efficacy of acupuncture on swallowing and speech dysfunction of pseudobulbar paralysis after stroke.Methods:80 patients were randomly divided into the treatment group and the control group.The control group was given standardized Western medicine treatment and rehabilitation training according to the guidelines.The treatment group increased acupuncture treatment on the basis.Both were treated continuously for two courses.The clinical effects of two groups on dysphagia and speech disordero were observed.Results:There was no significant difference in swallowing and speech function rating between the two groups before treatment(all P >0.05).After treatment,the state was improved compared with those before treatment(all P<0.05),and those of the treatment group were better than those of the control group(all P<0.05).After treatment,the total effective rate of the treatment group was 77.50%,higher than 70.00%of the control group(P<0.05).There were no obvious adverse reactions during the treatment period in both groups.Conclusion:The clinical effect of acupuncture on pseudobulbar paralysis is significant.