上海针灸杂志2017，Vol.36Issue(6)：652-656,5.DOI:10.13460/j.issn.1005-0957.2017.06.0652
深刺廉泉穴配合项十针治疗卒中后假性球麻痹临床观察
Clinical Observation of Deeply Needling Lianquan (CV23) plus Acupuncture at the Ten Nape Points for Post-stroke Pseudobulbar Palsy
摘要
Abstract
Objective By observing the effect of deeply needling Lianquan (CV23) plus acupuncture at the ten nape points on the deglutition function in post-stroke pseudobulbar palsy, to objectively evaluate the efficacy of deeply needling Lianquanplus acupuncture at the ten nape points in treating post-stroke pseudobulbar palsy.Method A total of 141 patients diagnosed with post-stroke pseudobulbar palsy were divided into a treatment group (71 cases) and a control group (70 cases) by following asimple-randomized design (random number table). The treatment group was intervened by deeply needling Lianquan plus acupuncture at the ten nape points, while the control group was intervened by conventional acupuncture. A month later, the general therapeutic efficacy, Kubota's water drinking test, Toshima Ichiro's swallowing assessment, and Standardized Swallowing Assessment (SSA) were evaluated, and the therapeutic efficacies of the two groups were compared.Result The general therapeutic efficacy, waterdrinking test result, Toshima Ichiro's swallowing assessment, and SSA score were significantly improved in both groups after the treatment (P<0.05). After the treatment, the general therapeutic efficacy, water drinking test result, Toshima Ichiro's swallowing assessment, and SSA score in the treatment group were significantly different from those in the control group (P<0.05), and the treatmentwas superior to the control group. The total effective rate was 91.5% in the treatment group, versus 70.0% in the control group, and the between-group difference was statistically significant (P<0.05).Conclusion Deeply needling Lianquan plus acupunctureat the ten nape points is effective in treating post-stroke pseudobulbar palsy, superior to the conventional needling method.关键词
假性球麻痹/中风并发症/针刺/吞咽障碍/洼田氏饮水试验/SSA评分/电针Key words
Pseudobulbar palsy/Poststroke syndrome/Acupuncture/Deglutition disorders/Water drinking test/SSA/Electroacupuncture分类
医药卫生引用本文复制引用
方君辉,朱文宗,宋丰军,刘海飞,叶必宏,夏小云..深刺廉泉穴配合项十针治疗卒中后假性球麻痹临床观察[J].上海针灸杂志,2017,36(6):652-656,5.基金项目
温州市卫计委资助项目(2015ZB15) （2015ZB15）
