透刺吞咽针法治疗脑卒中后咽期吞咽障碍

Evaluating the clinical effect of penetrating swallowing acupuncture on pharyngeal dysphagia after stroke

目的观察透刺吞咽针法治疗脑卒中后咽期吞咽障碍的治疗效果。方法将60例脑卒中后咽期吞咽障碍患者随机分为透刺吞咽针法组和常规针刺组,各30例。2组均予内科基础治疗,透刺吞咽针法组采用透刺吞咽针法;常规针刺组采用常规针刺法。2组均于星期一至星期六每天固定时间针刺1次,每次30 min,共治疗4周。结果透刺吞咽针法组总有效率(93.3%,28/30)高于常规针刺组(73.3%,22/30)(P<0.05)。治疗后,2组洼田饮水试验评分均低于治疗前,FOIS评分均高于治疗前(均P<0.01),且透刺吞咽针法组洼田饮水试验、FOIS评分均优于常规针刺组(P<0.05,P<0.01)。治疗后,2组舌骨最大位移(Hm)均明显改善(P<0.01),透刺吞咽针法组舌骨最大位移改善程度优于常规针刺组(P<0.01)。结论透刺吞咽针法治疗脑卒中后咽期吞咽障碍疗效显著。

Objective To observe the therapeutic effect of penetrating swallowing acupuncture in the treatment of dysphagia after stroke.Methods Sixty patients with pharyngeal dysphagia after stoke were randomly divided into penetrating swallowing acupuncture group and conventional acupuncture group,30 cases in each group.On the basis of treatment with basic internal medicine,the penetrating swallowing acupuncture group was treatment with the penetrating swallowing needle,while the conventional acupuncture group was treated with conventional acupuncture.Both groups were treated with acupuncture once a day,at a fixed time from Monday to Saturday,30 minutes each time,for a total of 4 weeks.Results The total effective rate(93.3%,28/30)of the penetrating swallowing acupuncture group was higher than that of the conventional acupuncture group(73.3%,22/30)(P<0.05).After treatment,the water swallow test scores in the two groups were lower than those before treatment,yet the FOIS scores were higher than those before treatment(both P<0.01),and the two types of score in the penetrating swallowing acupuncture group were better than those in the conventional acupuncture group(P<0.05,P<0.01,respectively).After treatment,the maximum displacement(Hm)of the hyoid bone in the two groups was both significantly improved(P<0.01),and the improvement in the penetrating swallowing acupuncture group was better than that in the conventional acupuncture group(P<0.05).Conclusion The penetrating swallowing acupuncture method is effective in treating pharyngeal dysphagia after stroke.