基于冲脉理论针刺治疗中风后吞咽障碍的临床观察

发布时间：2019-03-28 09:31

【摘要】：目的:观察冲脉理论针刺方法对中风后吞咽障碍患者的临床疗效,比较其与目前的常规针刺治疗方法的疗效差异,分析冲脉理论在治疗该病中的临床意义。方法:依据中华医学会脑血管病诊断标准中有关脑血管病后吞咽障碍的诊断标准,采取随机对照的设计方法,将60例中风后吞咽障碍患者随机分配到冲脉理论针刺组(治疗组)和常规针刺组(对照组),两组在进行基础治疗及康复训练的前提下,治疗一个月后比较两组患者的临床疗效及治疗前后洼田饮水试验评分以及藤岛一郎吞咽疗效评价。结果:治疗组与对照组在整体疗效、洼田饮水试验、藤岛一郎吞咽疗效评分等情况在治疗后均有改善,与治疗前比较,差异均有统计学意义(P0.05)。治疗后治疗组的整体疗效、洼田饮水试验、藤岛一郎吞咽疗效评分与对照组相比,差异有统计学意义(P0.05),治疗组优于对照组。在整体疗效方面,治疗组总有效率93%,对照组总有效率70%,两组总有效率有显著性差异(P0.05),治疗组疗效优于对照组。结论:基于冲脉理论针刺治疗中风后吞咽障碍与传统针刺疗法均可改善中风后吞咽障碍患者的吞咽功能,但前者疗效优于后者。且冲脉理论针刺法较传统疗法更加简、便、效、廉,值得推广应用。
[Abstract]:Aim: to observe the clinical effect of pulse theory acupuncture on patients with dysphagia after apoplexy, to compare the curative effect of acupuncture therapy with conventional acupuncture method, and to analyze the clinical significance of pulse theory in the treatment of dysphagia after apoplexy. Methods: according to the diagnostic standard of cerebrovascular disease in the Chinese Medical Association, a randomized controlled design method was adopted for the diagnosis of dysphagia after cerebrovascular disease. Sixty patients with dysphagia after apoplexy were randomly assigned to the treatment group (treatment group) and the conventional acupuncture group (control group). On the premise of basic treatment and rehabilitation training, the two groups were divided into two groups: the treatment group (treatment group) and the routine acupuncture group (control group). One month after treatment, the clinical efficacy, the scores of Wada drinking water test before and after treatment and the efficacy of Ichiro Fujima swallowing were compared between the two groups. Results: the treatment group and the control group in the overall efficacy, Wada drinking water test, Fujima Yichiro swallowing efficacy scores were improved after treatment, compared with the pre-treatment, the difference was statistically significant (P0.05). After treatment, the overall curative effect of the treatment group, Wada drinking water test, Fujima Ichiro swallowing efficacy score compared with the control group, the difference was statistically significant (P0.05), the treatment group was better than the control group. The total effective rate was 93% in the treatment group and 70% in the control group. There was significant difference in the total effective rate between the two groups (P0.05). The curative effect of the treatment group was better than that of the control group. Conclusion: both acupuncture therapy and traditional acupuncture therapy can improve the swallowing function of patients with post-stroke dysphagia based on the theory of pulse, but the former is superior to the latter in the treatment of dysphagia after apoplexy. And pulse theory acupuncture method than traditional therapy is simpler, convenient, effective, cheap, worth popularizing and applying.
【学位授予单位】：辽宁中医药大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R246.6

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