针刺阿呛组穴治疗脑卒中后假性球麻痹吞咽困难的临床研究

发布时间：2018-10-23 19:52

【摘要】：目的:研究针刺阿呛组穴治疗脑卒中后假性球麻痹吞咽困难的临床疗效。方法:将135例脑卒中后假性球麻痹吞咽困难患者随机分为针刺阿呛组穴组、传统针刺组和康复治疗组,每组45例。在常规治疗基础上,针刺阿呛组穴组取阿呛组穴(阿呛穴、治呛穴、吞咽穴、提咽穴)治疗,传统针刺组取内关、风池、金津、玉液治疗,康复治疗组进行吞咽康复训练。分别采用标准吞咽功能评分量表(SSA)和美国国立卫生院脑卒中神经功能缺损评分量表(NIHSS)等进行评定,比较各组有效率及相关并发症发生率。结果:针刺阿呛组穴组总有效率95.56%,优于传统针刺组的82.22%(P0.05)和康复治疗组的75.56%(P0.01);针刺阿呛组穴组SSA和NIHSS评分优于其它两组(均P0.05);并发症发生率低于其他两组(均P0.05)。结论:针刺阿呛组穴能有效改善脑卒中后假性球麻痹吞咽困难,且并发症发生率低。
[Abstract]:Objective: to study the clinical effect of acupuncture at Ake group on dysphagia due to pseudobulbar paralysis after stroke. Methods: 135 patients with dysphagia due to pseudobulbar paralysis after stroke were randomly divided into three groups: acupuncture group (n = 45), traditional acupuncture group (n = 45) and rehabilitation group (n = 45). On the basis of routine treatment, the acupoints (Ake, Zhiqi, swallow, Tiyan) were taken from the acupuncture group and the traditional acupuncture group received the treatment of Neiguan, Fengchi, Jinjin and Yuye, and the rehabilitation group was given rehabilitation training of swallowing. Standard swallowing function scale (SSA) and National Institutes of Health (NIH) neurologic impairment scale (NIHSS) were used to evaluate the effective rate and the incidence of related complications. Results: the total effective rate of acupuncture group was 95.566.It was better than that of traditional acupuncture group (82.22%) and rehabilitation group (75.56%), and the score of SSA and NIHSS of acupuncture group was better than that of other two groups (P0.05), and the incidence of complications was lower than that of other two groups (P0.05). Conclusion: acupuncture at Ake group can effectively improve the dysphagia of pseudobulbar paralysis after stroke, and the incidence of complications is low.
【作者单位】：河南中医药大学第一附属医院神经内科;
【基金】：河南省基础与前沿技术研究项目(152300410108)
【分类号】：R246.6

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