摘要
目的:观察针刺合并综合疗法治疗假性延髓麻痹吞咽困难的疗效。方法:将95例患者随机分为治疗组(54人)和对照组(41人),治疗组采用头针、体针、穴位注射及药物进行综合治疗,对照组单纯采用药物治疗,观察比较两组患者的疗效及石氏评分的变化情况。结果:治疗组痊愈24例,显效21例,有效4例,无效5例,总有效率为90.7%;对照组痊愈11例,显效13例,有效5例,无效12例,总有效率为70.7%。两组总有效率具有显著性差异(P<0.05),治疗组的疗效优于对照组。治疗后治疗组石氏评分总分、吞咽饮水评分及咀嚼功能评分分别为16.35±3.96、2.67±1.10及2.61±1.19,显著高于对照组(P<0.05)。结论:针刺综合疗法能有效治疗假性延髓麻痹,效果优于单纯服用西药。
Objective： To observe the therapeutic effect of combined acupuncture therapy on dysphagia due to pseudobulbar palsy in stroke patients. Methods ： A total of 95 stroke patients were randomly divided into combined acupuncture therapy group （n = 54） and medication group （n = 41 ）. Patients of the combined acupuncture therapy group were treated with scalp-acupuncture, body acupuncture, acupoint-injection （Cobamanlide, 0.5 mg/mL） and medicines as Red Sage Root Injection （800 mg, i. v,, once daily）, Aspirin （300 mg for the first 15 days, and 100 mg thereafter, PO, once daily）, Nimotop （30 mg, PO, 3 times per day）, etc. Scalp-points used were bilateral Motor Area （MS 1）, body acupoints were Baihui （GV 20）, Lianquan （CV 23）, Tongli （HT 5）, Fenglong （ST 40）, Taichong （LR 3） and Zusanli （ST 36）. Electroacupuncture （EA, 3-5 mA, 10-50 Hz） was applied to MS 1 ,HT 5 and ST 40 for 30 min. Cobamanlide （0.5 mL/point） was injected into Zusanli （ST 36）. The treatment was given once daily with 15 times being a therapeutic course and 2 courses altogether. Patients of medication group were treated with simple medicines. The therapeutic effect was evaluated according to Professor SHI＇s criteria. Results： After one month of treat- ment, of the 54 cases and 41 cases in treatment and medication groups, 24 （44.4 % ） and 11 （26.8 % ） were cured, 21 （38.9 % ） and 13 （31.7%） had marked improvement, 4 （7.4%） and 5 （12.2%） had improvement, 5 （9.3%） and 12 （29.3%） failed respectively. The effective rate, total scores, and scores of swallowing-drinking function, masticatory function in combined acupuncture therapy group were significantly higher than those in medication group （P〈0. 05, 90.7%, 16.35±3.96, 2.67 ± 1. 10, 2. 61 ±1. 19 vs 70, 7 %, 13. 83 ± 5. 58, 2. 12 ±1. 25 and 2, 07 ±1, 21 ）, Conclusion ： The therapeutic effect of combined acupuncture treatment is significantly superior to that of simple medication in improving symptoms and signs as dysphagia due to pseudobulbar palsy, etc. in patients with stroke.
出处
《针刺研究》
CAS
CSCD
2006年第6期359-361,共3页
Acupuncture Research
关键词
假性延髓麻痹
吞咽困难
针刺综合疗法
药物
Pseudobulbar palsy Dysphagia Combined acupuncture therapy Medication
