Objective： To understand the general situation of clinical study on acupuncture for neurogenic dysphagia and the regularity of acupoint selection by literature analysis. Methods： By searching the relevant Chinese an...Objective： To understand the general situation of clinical study on acupuncture for neurogenic dysphagia and the regularity of acupoint selection by literature analysis. Methods： By searching the relevant Chinese and English literature on acupuncture treatment of neurogenic dysphagia from 2999 to 2014 in China National Knowledge Infrastructure （CNKI）, Wanfang Database and Ovid Gateway, the data of the recruited literature, including average age of the patients, acupoint selection, course, therapeutic effects and follow-up information, were input into the data table of Microsoft Excel 2010. Results： Totally, 51 articles were input, involving 4 606 patients. The average course of acupuncture treatment for neurogenic dysphagia was 24.8 d. The average retaining time of the needles was 26.2 min. The average total effective rate was 91.2%. Lianquan （CV 23）, Fengchi （GB 20）, Fengfu （GV 16） and Yifeng （TE 17） were the most commonly used acupoints from the regular meridians, accounting for 63.4% of the totally-used acupoints. Jinjin （EX-HN 12） and Yuye （EX-HN 13） were the most commonly used acupoints from the extraordinary meridians, accounting for 45.9% of the totally-used extraordinary acupoints. The frequently-used meridians in turns were the Conception Vessel, Gallbladder Meridian of Foot Shaoyang and Stomach Meridian of Foot Yangming, accounting for 63.3% of the involved meridians. Conclusion： The therapeutic effect of acupuncture treatment for neurogenic dysphagia was satisfactory. The acupoints were Lianquan （CV 23）, Fengchi （GB 20） and Fengfu （GV 26） in predominance, and they were mostly selected from the Conception Vessel, Gallbladder Meridian and Stomach Meridian those are in close relationship with the throat and neck.展开更多
文摘【目的】评价醒脑开窍针刺法治疗脑卒中后吞咽困难的疗效。【方法】计算机检索中文数据库如中国生物医学文献数据库(CBM)、中国学术文献网络出版总库(CNKI)、中文科技期刊数据库(维普VIP)和万方数据库(Wanfang Data),及外文数据库如Pub Med、Web of Science、EMbase、The Cochrane Library等(从数据库建库到2014年12月)有关醒脑开窍针刺法治疗脑卒中后吞咽困难的随机对照试验(RCT)的文献。由2位评价员按纳入和排除标准独立筛选文献、提取资料和评价纳入研究的方法学质量后,采用Rev Man 5.3.0进行Meta分析。【结果】共纳入8个RCT,涉及766例患者。Meta分析显示:(1)对于恢复期患者,疗程4周的醒脑开窍针刺法联合常规治疗(内科常规治疗或内科常规治疗+吞咽功能训练)总有效率高于不联合治疗组(P<0.01);(2)对于急性期患者,疗程4周的醒脑开窍针刺法联合内科常规治疗与不联合治疗的总有效率无差别(P=0.05);(3)联合醒脑开窍针刺法对肺部并发症作用尚不确定。【结论】醒脑开窍针刺法联合常规治疗(吞咽功能训练、内科治疗)有利于脑卒中恢复期患者的吞咽功能恢复。对于脑卒中后吞咽困难的治疗时机、疗程、并发症等的疗效评估等仍然需要设计合理、报告规范的大规模、高质量的随机对照试验的验证。
文摘Objective： To understand the general situation of clinical study on acupuncture for neurogenic dysphagia and the regularity of acupoint selection by literature analysis. Methods： By searching the relevant Chinese and English literature on acupuncture treatment of neurogenic dysphagia from 2999 to 2014 in China National Knowledge Infrastructure （CNKI）, Wanfang Database and Ovid Gateway, the data of the recruited literature, including average age of the patients, acupoint selection, course, therapeutic effects and follow-up information, were input into the data table of Microsoft Excel 2010. Results： Totally, 51 articles were input, involving 4 606 patients. The average course of acupuncture treatment for neurogenic dysphagia was 24.8 d. The average retaining time of the needles was 26.2 min. The average total effective rate was 91.2%. Lianquan （CV 23）, Fengchi （GB 20）, Fengfu （GV 16） and Yifeng （TE 17） were the most commonly used acupoints from the regular meridians, accounting for 63.4% of the totally-used acupoints. Jinjin （EX-HN 12） and Yuye （EX-HN 13） were the most commonly used acupoints from the extraordinary meridians, accounting for 45.9% of the totally-used extraordinary acupoints. The frequently-used meridians in turns were the Conception Vessel, Gallbladder Meridian of Foot Shaoyang and Stomach Meridian of Foot Yangming, accounting for 63.3% of the involved meridians. Conclusion： The therapeutic effect of acupuncture treatment for neurogenic dysphagia was satisfactory. The acupoints were Lianquan （CV 23）, Fengchi （GB 20） and Fengfu （GV 26） in predominance, and they were mostly selected from the Conception Vessel, Gallbladder Meridian and Stomach Meridian those are in close relationship with the throat and neck.
