针刺对帕金森病吞咽障碍患者吞咽功能的影响

Effect of acupuncture on swallowing function for patients of Parkinson's disease with dysphagia

目的:在常规药物治疗及康复训练基础上,观察针刺对帕金森病(PD)吞咽障碍患者吞咽功能及生活质量的影响。方法:将60例PD吞咽障碍患者随机分为观察组(30例,脱落2例)和对照组(30例,脱落3例)。对照组给予常规药物治疗及康复训练;观察组在对照组的基础上行针刺治疗,穴取风府、百会、神庭、印堂、咽三针、风池(双侧),留针30 min,每日1次,每周6次,连续治疗4周。分别于治疗前后应用洼田饮水试验、标准吞咽功能评定量表(SSA)、吞咽生活质量量表(SWAL-QOL)评定两组患者吞咽功能及生活质量。结果:治疗后,两组患者洼田饮水试验评级、SSA评分较治疗前降低(P<0.05,P<0.001),SWAL-QOL评分较治疗前升高(P<0.001);观察组洼田饮水试验评级、SSA评分低于对照组(P<0.05),SWAL-QOL评分高于对照组(P<0.001)。结论:在常规药物治疗及康复训练基础上,针刺可改善PD吞咽障碍患者吞咽功能及生活质量。

Objective To observe the effects of acupuncture on swallowing function and quality of life for patients with dysphagia in Parkinson's disease(PD).MethodsA total of 60 patients of PD with dysphagia were randomly divided into an observation group(30 cases,2 cases dropped off)and a control group(30 cases,3 cases dropped off).The control group was given conventional medication therapy and rehabilitation training.On the basis of the treatment as the control group,the observation group was given acupuncture at Fengfu(GV 16),Baihui(GV 20),Shenting(GV 24),Yintang(GV 24'),Yansanzhen and bilateral Fengchi(GB 20),30 min each time,once a day,6 times a week for 4 weeks.Before and after treatment,the Kubota water swallowing test,standardized swallowing assessment(SSA)and swallowing quality of life(SWAL-QOL)were used to evaluate the swallowing function and quality of life of the two groups.Results After treatment,the Kubota water swallowing test grade,SSA scores in the two groups were decreased compared with those before treatment(P<0.05,P<0.001),the SWAL-Q0L scores were increased compared with those before treatment(P<0.001);in the observation group,the Kubota water swallowing test grade and SSA score were lower than those in the control group(P<0.05),the SWAL-QOL score was higher than that in the control group(P<0.001).Conclusion On the basis of conventional medication therapy and rehabilitation training,acupuncture could improve the swallowing function and quality of life for patients of PD with dysphagia.