于氏项区丛刺治疗脑梗死所致假性延髓麻痹的临床疗效观察

发布时间：2018-01-19 00:04

本文关键词： 假性延髓麻痹脑梗死于氏项区丛刺吞咽功能语言功能　出处：《黑龙江中医药大学》2016年硕士论文　论文类型：学位论文

【摘要】：目的：观察于氏项区丛刺对于治疗脑梗死所致假性延髓麻痹的临床疗效。方法：将60例患有脑梗死所致假性延髓麻痹的患者按照数字表随机分为治疗组和对照组,两组患者数量各30例。治疗组采用于氏头针(包含于氏项区丛刺)、常规体针治疗；对照组采用于氏头针(除外于氏项区丛刺)、常规体针、延髓麻痹治疗仪治疗。两组患者均给予常规基础治疗,针灸治疗时间均以6天为一疗程,两疗程间休息1天,连续治疗2个疗程。治疗前后均采用洼田吞咽能力评定法及语言五分级法对患者吞咽功能及语言功能的变化分别进行评定。并采用统计学软件SPSS 23.0对所得数据进行统计学分析.结果：经过治疗后,两组患者吞咽功能及语言功能的评分较治疗前均有显著提高,有统计学意义(P0.01),且治疗组提高程度优于对照组,有统计学意义(P0.05)。经治疗后,治疗组吞咽功能的临床疗效为96.67%明显高于对照组的80.00%,有统计学意义(P0.05),治疗组语言功能的临床疗效为93.33%高于对照组的8 0.0 0%,但无统计学意义(P0.05)。结论：于氏项区丛刺治疗脑梗死所致假性延髓麻痹较延髓麻痹治疗仪具有更好的临床疗效,能够有效改善患者的吞咽功能及构音障碍症状。
[Abstract]:Objective: to observe the clinical effect of cluster needling on cerebral infarction induced pseudobulbar palsy. Sixty patients with pseudobulbar palsy caused by cerebral infarction were randomly divided into treatment group and control group according to the digital table. There were 30 cases in each group. The treatment group was treated with Yu's scalp acupuncture (including cluster prickles in the area of the item) and routine body acupuncture. The control group was treated with Yu's scalp acupuncture (except in the area of Yu's number), routine body acupuncture, and the treatment instrument of bulbar palsy. The patients in both groups were given routine basic treatment, and the time of acupuncture and moxibustion treatment was 6 days as a course of treatment. One day's rest between two courses of treatment. The changes of swallowing function and language function were evaluated by the method of depressive capacity assessment and language five grading method before and after treatment. The changes of swallowing function and language function were evaluated by statistical software SPSS. 23.0 the data were analyzed statistically. Results: after treatment. The scores of swallowing function and language function in both groups were significantly higher than those before treatment (P 0.01), and the improvement of the treatment group was better than that of the control group. After treatment, the clinical efficacy of swallowing function in the treatment group was significantly higher than that in the control group (P 0.05). The clinical effect of language function in the treatment group was 93.33% higher than that in the control group (8 0.0 0%). Conclusion: the treatment of pseudobulbar palsy caused by cerebral infarction by cluster needling in Yu's area is more effective than that by the instrument of palsy of medulla oblongata. Can effectively improve the patient's swallowing function and dysarthria symptoms.
【学位授予单位】：黑龙江中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R246.6

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