上海针灸杂志2017，Vol.36Issue(11)：1281-1285,5.DOI:10.13460/j.issn.1005-0957.2017.11.1281
皮内针久留针治疗脑卒中咽期吞咽障碍疗效观察
Long-time Retaining of Intradermal Needles in Treating Pharyngeal Dysphagia after Cerebral Stroke
摘要
Abstract
Objective To observe the clinical efficacy of long-time retaining of intradermal needles plus rehabilitation training in treating pharyngeal dysphagia after cerebral stroke.Method Sixty patients with pharyngeal dysphagia after cerebral stroke were randomized into treatment group 1,treatment group 2 and a control group,20 cases each.In addition to the basic treatment and nursing,the control group received rehabilitation (neuromuscular electrical stimulation plus swallowing training);treatment group 1 was given long-time retaining of intradermal needles based on the intervention given to the control group;treatment group 2 received electroacupuncture in addition to the intervention given to the control group.After 3-week treatment,the changes in Toshima Ichiro swallowing assessment of the three groups were observed,and the clinical efficacies were also compared.Result After the intervention,each group showed a significant change in the score of Toshima Ichiro swallowing assessment (P＜0.05).Treatment group 1 and group 2 were both significantly different from the control group in comparing the score of Toshima Ichiro swallowing assessment after the treatment (P＜0.05).The total effective rate was 95.0％ in treatment group 1,90.0％ in treatment group 2,and 60.0％ in the control group.The total effective rates in treatment group 1 and 2 were both significantly different from the rate in the control group (P＜0.05).There were no significant differences in comparing the score of Toshima Ichiro swallowing assessment and total effective rate between treatment group 1 and 2 after the intervention (P＞0.05).Conclusion Long-time retaining of intradermal needles plus rehabilitation is an effective approach in treating pharyngeal dysphagia after cerebral stroke,and its efficacy is equivalent to that of electroacupuncture.关键词
针刺疗法/皮内针疗法/埋针/电针/中风/吞咽障碍/康复训练Key words
Acupuncture therapy/Intradermal needle therapy/Embedding needle/Electroacupuncture/Stroke/Dysphagia/Rehabilitation分类
医药卫生引用本文复制引用
徐纬,孙丹,陈娜,叶文雄..皮内针久留针治疗脑卒中咽期吞咽障碍疗效观察[J].上海针灸杂志,2017,36(11):1281-1285,5.基金项目
杭州市卫生科技计划项目(2014A29) （2014A29）
