摘要
目的观察针灸治疗卒中后吞咽障碍的临床疗效。方法选取卒中后吞咽障碍患者82例,随机分为治疗组和对照组各41例。在常规内科治疗的基础上,治疗组给予针灸综合治疗方案(体针、电针、点刺放血)联合吞咽康复训练,对照组仅给予单纯的吞咽康复训练。每周3次,隔日1次,14天为1个疗程,共治疗60天。以治疗开始的第14、28、42、60天为疗效评价时点,用洼田饮水试验和滕岛一郎吞咽疗效评价标准对2组进行疗效评价。结果治疗组和对照组总有效率分别为97.5%和95.0%,治疗组痊愈率(65.0%)高于对照组(35.0%),差异有统计学意义(P<0.05)。结论针灸联合吞咽康复训练比单纯吞咽康复训练疗效好,治愈率高。
Objective To observe the clinical efficacy of acupuncture and moxibustion on dysphagia after stroke. Methods Eighty-two cases with dysphagia after stroke were randomly divided into a treatment group and a control group, and 41 cases in each one. On the basis of conventional medical treatment, the treatment group was given comprehensive acupuncture treatment （body acupuncture, eletro-acupuncture, and prick to cause bleeding） combined with swallowing rehabilitation training, whereas the control group was only given swallowing rehabilitation training. 3 times a week, once every other day, 14 days were required for one course and the total treatment was for 60 days. The efficacy was assessed by Kubota water drinking test and Shima Ichiro swallowing function evaluation criterion at the efficacy evaluation points, 14th, 28th, 42nd, 60th days after the beginning of the treatment. Results The total effective rates of the treatment group and the control group were 97.5% and 95.0% respectively, and the cure rate of the treatment group （65.0%） was higher than that of the control group （35.90%）, with significant difference （P 〈0.05）. Conclusion The therapy of acupuncture combined with swallowing rehabilitation training has a better effect and higher cure rate than only swallowing rehabilitation training.
出处
《北京中医药》
2013年第7期512-514,共3页
Beijing Journal of Traditional Chinese Medicine
基金
北京市科委2010年度科技计划重大项目(D101107049310003)
关键词
脑卒中
吞咽康复训练
吞咽障碍
针灸
stroke
swallowing rehabilitation training
dysphagia
acupuncture and moxibustion
