上海针灸杂志2017，Vol.36Issue(6)：663-667,5.DOI:10.13460/j.issn.1005-0957.2017.06.0663
针刺配合康复训练治疗中风后吞咽障碍临床观察
Clinical Observation of Acupuncture plus Rehabilitation Training for Post-stroke Deglutition Disorder
摘要
Abstract
Objective To observe the clinical efficacy of needling a group of acupoints for choke plus rehabilitation training in treating post-stroke deglutition disorder.Method Ninety patients with post-stroke deglutition disorder were randomized into a treatment group and a control group, 45 cases in each group. In addition to the conventional treatment, the control group also received swallowing rehabilitation training, and the treatment group received acupuncture ata group of acupoints for chokeas the major intervention(Aqiang point, Zhiqiang point, Tunyan point, Tiyan point and Fayin point, all extra) besides the intervention given to the control group, both for 3 successive treatment courses. Before and after theintervention, the National Institute of Health Stroke Scale (NIHSS), Videofluoroscopic Study (VFSS), post-stroke swallowing scale of traditional Chinese medicine (TCM) (TCM scale for short), and the occurrence rate of relevant complications were comparedbetween the two groups.Result The total effective rate was 97.8% in the treatment group, significantly higher than 84.4% in the control group (P<0.05); the scores of NIHSS, VFSS and TCM scale in the treatment group were superior to those in the control group (P<0.05);the NIHSS, VFSS and TCM scale scores in the treatment group were superior to those in the control group after the intervention (P<0.05);24 cases in the control group presented complications versus 8 cases in the treatment group (P<0.05).Conclusion Acupuncture at the points group for chokepredominantlyplus rehabilitation training can effectively improve post-stroke deglutition disorder and reduce the occurrence of complications, with satisfactory safety and consistency.关键词
针刺/阿呛组穴/康复训练/中风并发症/吞咽障碍/NIHSS/VFSS/中风后吞咽障碍中医评分量表Key words
Acupuncture/Points group for choke/Rehabilitation/Poststroke syndrome/Deglutition disorders/NIHSS/VFSS/Post-stroke swallowing scale of traditional Chinese medicine分类
医药卫生引用本文复制引用
王彦华,杨国防,周红霞,刘君颖,王新志..针刺配合康复训练治疗中风后吞咽障碍临床观察[J].上海针灸杂志,2017,36(6):663-667,5.基金项目
河南省基础与前沿技术研究项目(152300410108) （152300410108）
