摘要
目的 观察针刺夹廉泉穴联合穴位点按治疗卒中后咽反射消失合并吞咽障碍患者的临床疗效。方法 选取咽反射消失合并吞咽障碍的患者120例,随机分为联合组、点按组和常规组,每组40例。3组患者均接受常规吞咽康复训练,联合组另予针刺夹廉泉穴联合穴位点按治疗,点按组另予穴位点按治疗,常规组不接受其他治疗。观察3组治疗前后咽反射功能以及Rosenbek渗漏/误吸量表(penetration aspiration scale, PAS)、视频吞咽造影功能障碍量表(videofluoroscopic dysphagia scale, VDS)、标准吞咽功能评价量表(standardized swallowing assessment, SSA)和吞咽障碍特异性生活质量问卷(swallowing quality of life, SWAL-QOL)评分的变化,比较3组不良反应发生情况。结果 治疗后,3组患者咽反射情况及PAS、VDS、SSA和SWAL-QOL评分均较治疗前改善(P<0.05);且联合组上述指标均优于其余两组(P<0.05),点按组上述指标均优于常规组(P<0.05)。联合组不良反应发生率低于其余两组(P<0.05),点按组不良反应发生率低于常规组(P<0.05)。结论 在常规吞咽康复训练基础上,针刺夹廉泉穴联合穴位点按可显著提高卒中后咽反射消失合并吞咽障碍患者的咽反射功能和吞咽功能,疗效优于单纯穴位点按和常规吞咽康复训练。
Objective To observe the effect of acupuncture at Jialianquan combined with acupoint pressure therapy on patients with post-stroke loss of pharyngeal reflex combined with dysphagia.Method A total of 120 patients with loss of pharyngeal reflex combined with dysphagia were randomly divided into a combined group,a pressure group and a conventional group,with 40 cases in each group.All groups received conventional swallowing rehabilitation training.The combined group was additionally treated with acupuncture at Jialianquan combined with acupoint pressure therapy.The pressure group was additionally treated with acupoint pressure therapy.The conventional group did not receive additional treatment.Changes in pharyngeal reflex function and scores on Rosenbek penetrationaspiration scale(PAS),videofluoroscopic dysphagia scale(VDS),standardized swallowing assessment(SSA),and swallowing quality of life questionnaire(SWAL-QOL)were observed before and after treatment in the three groups.The incidence of adverse reactions was also compared among the three groups.Result After treatment,the pharyngeal reflex condition and PAS,VDS,SSA,and SWAL-QOL scores were improved in all three groups compared to before treatment(P<0.05);the above indices in the combined group were superior to those in the other two groups(P<0.05),and those in the pressure group were superior to those in the conventional group(P<0.05).The incidence of adverse reactions in the combined group was lower than in the other two groups(P<0.05),and the pressure group had a lower incidence than the conventional group(P<0.05).Conclusion On the basis of conventional swallowing rehabilitation training,acupuncture at Jialianquan combined with acupoint pressure therapy can significantly improve pharyngeal reflex function and swallowing function in patients with post-stroke loss of pharyngeal reflex combined with dysphagia.The efficacy is superior to that of acupoint pressure therapy alone and conventional swallowing rehabilitation training.
作者
高盼盼
孙洁
张倩
刘婷慧
GAO Panpan;SUN Jie;ZHANG Qian;LIU Tinghui(Xuzhou Medical University,Xuzhou 221000,China;Xuzhou Central Hospital,Jiangsu Province,Xuzhou 221009,China)
出处
《上海针灸杂志》
2025年第8期911-916,共6页
Shanghai Journal of Acupuncture and Moxibustion
基金
江苏省老年健康科研项目(LKM2022046)
徐州市医学领军人才项目(XWRCHT20210024)
徐州市重点专题项目(XWKYHT20230012)。
关键词
针刺疗法
穴
廉泉
点穴疗法
康复训练
卒中
中风后遗症
咽反射
吞咽障碍
Acupuncture therapy
Point,Lianquan(CV23)
Acupoint pressure therapy
Rehabilitation training
Stroke
Post-stroke sequelae
Pharyngeal reflex
Dysphagia
