上海针灸杂志2018，Vol.37Issue(2)：140-143,4.DOI:10.13460/j.issn.1005-0957.2018.02.0140
通督调神针刺法治疗中风吞咽障碍临床观察
Clinical Observation of Tong Du Tiao Shen Needling in Treating Post-stroke Deglutition Disorders
摘要
Abstract
Objective To observe the clinical efficacy of Tong Du Tiao Shen needling (unblocking the Governor Vessel and regulating the mind) in treating post-stroke deglutition disorders. Method Sixty patients with post-stroke deglutition disorders were randomized into a treatment group and a control group by the random number table, 30 cases each. In addition to the conventional neurological treatment, the control group was given ordinary acupuncture, and the treatment group was given Tong Du Tiao Shen needling, 3 times a week, 10 sessions as a treatment course. The Water Swallowing Test (WST) and Videofluoroscopic Swallowing Study (VFSS) were observed in the two groups before and after 1 course of treatment. Result The total effective rate was 93.3% in the treatment group, significantly superior to 66.7% in the control group (P<0.05). The VFSS showed that the intra-group differences were statistically significant in comparing oral transit, pharyngeal retention and pharyngeal transit of semi-fluid food in both treatment and control groups by the paired t-test (P<0.05), and the between-group differences after the treatment were also statistically significant (P<0.05). Conclusion Tong Du Tiao Shen needling can produce a more significant efficacy in improving the swallowing function in post-stroke dysphasia compared to ordinary acupuncture.关键词
中风并发症/吞咽障碍/针刺/通督调神/针药并用Key words
Stroke/Deglutition disorders/Acupuncture/Tong Du Tiao Shen/Acupuncture medication combined分类
医药卫生引用本文复制引用
张立志,许能贵,李如良,王琳..通督调神针刺法治疗中风吞咽障碍临床观察[J].上海针灸杂志,2018,37(2):140-143,4.基金项目
国家自然科学基金重点项目(81230088) （81230088）
广东省青年创新人才项目(2016KQNCX027) （2016KQNCX027）
