针灸推拿医学（英文版）2026，Vol.24Issue(2)：151-157,7.DOI:10.1007/s11726-026-1562-0
点穴疗法联合耳穴电针治疗急性脑梗死后吞咽障碍的临床研究
Clinical study on point pressure therapy combined with auricular electroacupuncture in the treatment of deglutition disorders after acute cerebral infarction
摘要
Abstract
Objective:To observe the effect of point pressure therapy combined with auricular electroacupuncture on deglutition disorders after acute cerebral infarction. Methods:A total of 124 patients with deglutition disorders after acute cerebral infarction were randomly divided into a Tuina(Chinese therapeutic massage)group and a combined group using the random number table method,with 62 patients in each group.Both groups received the same conventional treatment.The Tuina group was additionally treated with point pressure therapy,while the combined group received auricular electroacupuncture based on the Tuina group's treatment.After 2 courses of treatment,changes in swallowing function,the amplitude and latency of motor evoked potentials(MEPs),and tongue muscle thickness were observed in both groups.Adverse reactions during treatment were recorded,and clinical efficacy was evaluated. Results:After treatment,the total effective rate in the combined group was 95.2%,which was significantly higher than 80.7%in the Tuina group(P<0.05).In both groups,the standardized swallowing assessment(SSA)score and MEP latency were significantly decreased(P<0.05),while the videofluoroscopic swallowing study(VFSS)score and MEP amplitude were significantly increased(P<0.05);the differences in these indicators between the two groups were statistically significant(P<0.05).The change in tongue muscle thickness in the combined group was significantly greater than that in the Tuina group(P<0.05).There was no significant difference in the incidence of adverse reactions between the two groups during treatment(P>0.05). Conclusion:Based on conventional treatment,point pressure therapy combined with auricular electroacupuncture has better clinical efficacy than point pressure therapy alone in the treatment of deglutition disorders after acute cerebral infarction.The combined therapy can more significantly improve swallowing function and decrease tongue muscle thickness,with high safety.关键词
推拿/按摩/点穴疗法/穴位,耳针/电针/急性脑梗死/吞咽障碍Key words
Tuina/Massage/Point Pressure Therapy/Points,Auricular Acupuncture/Electroacupuncture/Acute Cerebral Infarction/Deglutition Disorders分类
医药卫生引用本文复制引用
龚佳欣,全超,邓煜,郑苏,刘灵儿..点穴疗法联合耳穴电针治疗急性脑梗死后吞咽障碍的临床研究[J].针灸推拿医学（英文版）,2026,24(2):151-157,7.基金项目
This study was supported by Traditional Chinese Medicine Scientific Research Project of Hubei Provincial Health Commission(湖北省卫生健康委员会中医药科研项目,No.ZY2021Q015). （湖北省卫生健康委员会中医药科研项目,No.ZY2021Q015）
