Objective To observe the clinical therapeutic effects on dysphagia induced by pseudobulbar palsy chiefly treated with neck acupuncture and probe into the mechanism on the effects. Methods The 86 cases that had been di...Objective To observe the clinical therapeutic effects on dysphagia induced by pseudobulbar palsy chiefly treated with neck acupuncture and probe into the mechanism on the effects. Methods The 86 cases that had been diagnosed definitely were randomized into two groups, the treatment group and control group. The treatment group (acupuncture+western medication) (44 cases) was treated with acupuncture on Fēngfǔ(风府 GV16), Fēngchí (风池GB20), Gòngxě(供血 Extra), Yīmíng (翳明 EX-HN14), Zhìqiāng (治呛 Extra), Tūnyàn (吞咽 Extra), Fāyīn (发音 Extra), Liánquán (廉泉CV23), etc., and the intravenous injection with Shuxuetong (疏血通) 6- 10 mL and 0.9%, NaCl 250 mL. The control group (western medication) (42 cases) was treated with the intravenous injection with Shuxuetong (疏血通) 6- 10 mL and 0.9%, NaCl 250 mL. Results The total effective rate was 97.73 % and 80.95 % in the treatment group and control group respectively, indicating very significant difference (P 〈 0.01 ). Conclusion The therapeutic effects mainly with neck acupuncture are better on dysphagia induced by psudalbulbar palsy, which is superior to that with simple western medication and worth to be promoted. Concerning to the mechanism on the therapeutic results, it is viewed that acupuncture on neck points improves the excitability of cerebral neurocytes, resuscitates the reversible neurocytes or awakens the inhibited neurocytes.展开更多
文摘Objective To observe the clinical therapeutic effects on dysphagia induced by pseudobulbar palsy chiefly treated with neck acupuncture and probe into the mechanism on the effects. Methods The 86 cases that had been diagnosed definitely were randomized into two groups, the treatment group and control group. The treatment group (acupuncture+western medication) (44 cases) was treated with acupuncture on Fēngfǔ(风府 GV16), Fēngchí (风池GB20), Gòngxě(供血 Extra), Yīmíng (翳明 EX-HN14), Zhìqiāng (治呛 Extra), Tūnyàn (吞咽 Extra), Fāyīn (发音 Extra), Liánquán (廉泉CV23), etc., and the intravenous injection with Shuxuetong (疏血通) 6- 10 mL and 0.9%, NaCl 250 mL. The control group (western medication) (42 cases) was treated with the intravenous injection with Shuxuetong (疏血通) 6- 10 mL and 0.9%, NaCl 250 mL. Results The total effective rate was 97.73 % and 80.95 % in the treatment group and control group respectively, indicating very significant difference (P 〈 0.01 ). Conclusion The therapeutic effects mainly with neck acupuncture are better on dysphagia induced by psudalbulbar palsy, which is superior to that with simple western medication and worth to be promoted. Concerning to the mechanism on the therapeutic results, it is viewed that acupuncture on neck points improves the excitability of cerebral neurocytes, resuscitates the reversible neurocytes or awakens the inhibited neurocytes.