上海针灸杂志2018，Vol.37Issue(2)：135-139,5.DOI:10.13460/j.issn.1005-0957.2018.02.0135
"项针"联合康复训练治疗脑卒中后假性球麻痹临床观察
Clinical Observation of Nape Acupuncture plus Rehabilitation Training in Treating Pseudobulbar Palsy After Cerebral Stroke
摘要
Abstract
Objective To observe the clinical efficacy of nape acupuncture plus basic treatment and rehabilitation in treating pseudobulbar palsy after cerebral stroke and the relation between the efficacy and age of onset. Method A hundred patients were randomized into an observation group and a control group, 50 cases each. The control group was intervened by basic treatment and swallowing rehabilitation training, and the observation group was intervened by nape acupuncture in addition to the treatment given to the control group, once a day, five sessions a week, for 8 weeks in total. The Repetitive Saliva Swallowing Test (RSST), Water Swallowing Test (WST) and Standardized Swallowing Assessment (SSA) were observed in the two groups before and after the treatment; the relation between the age of onset and the efficacy of the integrated treatment method was also observed. Result The scores of RSST, SSA and WST were significantly improved after the treatment in both groups (P<0.01), and the improvements in the observation group were more significant than those in the control group (P<0.01). The therapeutic efficacy of nape acupuncture plus basic treatment and swallowing rehabilitation training was associated with the age of onset (P<0.05). Conclusion Nape acupuncture plus basic treatment and swallowing training can effectively improve dysphagia in pseudobulbar palsy after cerebral stroke. This method produces the most significant efficacy for patients aged 51-60, better than that for those aged over 60 and equivalent to the efficacy for patients aged 41-50.关键词
针刺/中风并发症/吞咽障碍/假性球麻痹/穴位,头颈部/"项针"疗法/康复训练/发病年龄Key words
Acupuncture/Stroke complications/Deglutition disorders/Pseudobulbar palsy/Points/Head & Neck/Nape acupuncture therapy/Rehabilitation/Age of onset分类
医药卫生引用本文复制引用
陈飞宇,刘小平,包烨华,楚佳梅.."项针"联合康复训练治疗脑卒中后假性球麻痹临床观察[J].上海针灸杂志,2018,37(2):135-139,5.基金项目
浙江省中医药管理局科研基金项目(2014ZA094) （2014ZA094）
