Objective:To compare the clinical effects of needling at "five acupoints for swallow function" combined with rehabilitation training and only rehabilitation training in the treatment of dysphagia due to pseu...Objective:To compare the clinical effects of needling at "five acupoints for swallow function" combined with rehabilitation training and only rehabilitation training in the treatment of dysphagia due to pseudobulbar paralysis after stroke.Methods:Seventy-six patients were randomized into rehabilitation group and combination group,with 38 cases in each.Both groups were treated with basic treatment of western medicine.The rehabilitation group was treated with routine rehabilitation training,and the combination group was treated with acupuncture at "five acupoints for swallow function" based on treatment in the rehabilitation group.Patients in the two groups were treated once a day,6 days a week,1 day for rest,for 3 weeks in succession.The changes in the grades and scores of water swallow test(WST),video fluoroscopic swallowing study(VFSS),and swallowing quality of life questionnaire(SWAL-QOL) in the two groups were observed before and after treatment,and the clinical effects of the two groups were compared.Results:After treatment,the WST grades of the two groups were statistically different from that of before treatment(both P<0.05),and the WST grade of the combination group was statistically different from that of the rehabilitation group(P<0.05).After treatment,the VFSS and SWAL-QOL scores of the two groups were increased in comparing with those of before treatment(all P <0.05),and the VFSS and SWAL-QOL scores of the combination group were higher than those of the rehabilitation group(both P <0.05).The total effective rate of the combination group was 92.1%(35/38),higher than 60.1%(23/38) of the rehabilitation group.Conclusion:The acupuncture combined with rehabilitation training for pseudobulbar paralysis after stroke is more effective than rehabilitation training only.The combination of the two can significantly relieve the dysphagia and improve the patients' quality of life.展开更多
OBJECTIVE: To evaluate the therapeutic effects of nape acupuncture combined with rehabilitative swallowing training for dysphagia caused by pseudobulbar palsy, and to compare it with rehabilitative swallowing training...OBJECTIVE: To evaluate the therapeutic effects of nape acupuncture combined with rehabilitative swallowing training for dysphagia caused by pseudobulbar palsy, and to compare it with rehabilitative swallowing training alone, and to observe the improvement in quality of life after the therapy.METHODS: One hundred patients were randomly divided into two groups: the rehabilitative swallowing training group(control group, n = 50) and the nape acupuncture combined with rehabilitative swallowing training group(experimental group,n = 50). Each group had 8 weeks' therapy, 5 times a week. Patients in the control group received rehabilitative swallowing training, while those in the experimental group received nape acupuncture therapy based on swallowing rehabilitation. The out-comes were assessed by the repetitive saliva-swallowing test(RSST), water swallow test(WST), standardized swallowing assessment(SSA), and a swallow quality-of-life questionnaire(SWAL-QOL). Correlations of onset age, onset frequency and lesion location with the efficacy of the acupuncture treatment were also observed.RESULTS: The scores for RSST, WST, and SSA in both groups were lower than before the therapy(P <0.001), although the changes were more marked in the experimental group than in the control group(RSST and WST, P < 0.005; SSA, P < 0.001). Both groups recorded changes in SWAL-QOL index after the therapy(P < 0.001); and the experimental group scored higher than the control group(P < 0.001). The efficacy of acupuncture was not correlated with location(P > 0.05), but was related to onset age(P < 0.05) and onset frequency(P < 0.01).CONCLUSION: Nape acupuncture combined with rehabilitative swallowing training has an effect on dysphagia caused by pseudobulbar palsy and improves quality of life.展开更多
Objective:To explore the rules of acupoint combination in acupuncture treatment of post-stroke pseudobulbar palsy(PBP),based on acupuncture prescriptions retrieved from literature and using complex network analysis.Me...Objective:To explore the rules of acupoint combination in acupuncture treatment of post-stroke pseudobulbar palsy(PBP),based on acupuncture prescriptions retrieved from literature and using complex network analysis.Methods:The articles were searched from China National Knowledge Infrastructure(CNKI),Wanfang and VIP databases as the source of data.The eligible articles were selected in accordance with inclusion and exclusion criteria.The relevant data were extracted to set up the acupoint prescription database in acupuncture treatment of PBP.By using co-occurrence relationship in acupoint prescriptions,the core acupoints and the combination rules were analyzed in acupuncture treatment of PBP.Results:A total of 194 articles were eligible finally,with 202 acupoint prescriptions extracted.19 core acupoints were collected in total,i.e.Liánquán(廉泉CV23),Fēngchí(风池GB20),Bǎihuì(百会GV20),Jīnjīn(金津EX-HN12),Yùyè(玉液EX-HN13),Fēngfǔ(风府GV16),Yǎmén(哑门GV15),Shuǐgōu(水沟GV26),Nèiguān(内关PC6),Fēnglóng(丰隆ST40),Wángǔ(完骨GB12),Sānyīnjiāo(三阴交SP16),Yìfēng(翳风TE17),Tōnglǐ(通里HT5),Tàichōng(太冲LR3),Hégǔ(合谷LI4),Hǎiquán(海泉EX-HN11),Jùquán(聚泉EX-HN10)and Yìntáng(印堂EX-HN3).The core acupoint groups were CV23-GB20,EX-HN12-EX-HN13 and GV26-PC6-SP6.Acupoints were mostly selected from governor vessel.The methods of acupoint combination included the combination of distal and nearby points,and the combination of the acupoints located in the front and on the back.Conclusions:In treatment of PBP with acupuncture,biaoben(manifestation and root cause)theory is emphasized,the methods for dispelling wind,resolving phlegm,regaining consciousness,and opening orifices are recommended.Moreover,the attentions are paid on spirit regulation,holistic adjustment,and syndrome differentiation in treatment.展开更多
Pseudobulbar paralysis is a kind of common clinical syndromes of cerebral vascular diseases, which is manifested as dyslalia, dysphagia and choking. By several-year clinical observations, 36 cases were treated with sa...Pseudobulbar paralysis is a kind of common clinical syndromes of cerebral vascular diseases, which is manifested as dyslalia, dysphagia and choking. By several-year clinical observations, 36 cases were treated with satisfactory therapeutic effects as reported in the following.Clinical DataOf 36 in-patients, there were 24 males and 12 females, aged from 44 to 81 years, averaging 64.92 years. Of 36 cases, 24 were at the acute stage and 12 at the recovery stage. All the cases were diagnosed as cerebral vascular diseases by cranial CT scan and MRI, of which, 4 were cerebral infarction, 26 lacunar cerebral infarction, 5 cerebral hemorrhage and 1 mixed type. Of 36 cases, 15 were the first attack of wind-stroke, 15 the second attack, 5 the third attack and 1 the forth attack. There were 26 patients with hypertension among 36 cases, of which, 8 patients suffered from hypertension within 10 years, 6 for more than 10 years, 9 for more than 20 years and 3 for more than 30 years. All the 36 cases were associated with dysphagia and agreeable to Standard on Diagnosis and Evaluation of Therapeutic Effects of Wind-stroke issued by the State Scientific Committee 85-919-01-01, 1995.展开更多
In the present paper, the therapeutic effects of otopoint pellet pressing plus body acupuncture and simple body acupuncture for dysphagia and water drinking induced coughing are compared in 126 cases of pseudobulbar p...In the present paper, the therapeutic effects of otopoint pellet pressing plus body acupuncture and simple body acupuncture for dysphagia and water drinking induced coughing are compared in 126 cases of pseudobulbar paralysis who are randomly divided into treatment group (n=63) and control group (n=63). Main acupoints used are Shuigou (GV 26), Fengchi (GB 20), Lianquan (CV 23) and Sanyinjiao (SP 6), while otopoints used are Xin (MA IC), Gan (MA SC 5), Pi (MA IC), Shen (MA SC), Yanhou (MA T 3) and She (MA L). Following one course of treatment (12 sessions), in treatment group, of the 63 cases, 34 (54.0%) are cured, 18 (28.5%) have remarkable improvement, 5 (8.0%) have improvement, and 6 ( 9.0%) have no apparent changes, with the tottal effective rate being 90.5%; while in control group, of the 63 cases, 18 (28.5%) are cured, 11 (17.5%) have marked amelioration, 15 ( 24.0%) experience apparent amelioration and 19 (30.0%) have no obvious changes, with a total effective rate of 70.0%. The therapeutic effect of otopoint pellet pressing plus body acupuncture is significantly superior to that of simple body acupuncture in the treatment of dysphagia and water drinking induced coughing.展开更多
Objective: to study the clinical treatment of patients with pseudobulbar palsy after cerebral hemorrhage, and to analyze whether swallowing and language rehabilitation training can improve swallowing function, relieve...Objective: to study the clinical treatment of patients with pseudobulbar palsy after cerebral hemorrhage, and to analyze whether swallowing and language rehabilitation training can improve swallowing function, relieve dysarthria and create conditions for treatment. Methods: 98 patients with pseudobulbar palsy after cerebral hemorrhage treated in our hospital from June 2019 to February 2022 were randomly selected and divided into two groups according to different treatment methods. The control group received basic medical treatment, while the research group received additional swallowing and language rehabilitation training. The changes of swallowing and articulation function of patients were evaluated, and the proportion of effective patients was counted, and the final curative effect was compared. Results: after treatment, the scores of swallowing ability scale and Frenchay articulation ability scale in both groups were improved, while the scores of the study group were higher than those of the control group, showing obvious advantages (P < 0.05). And the effective rate of the study group is higher than that of the control group (P < 0.05). Conclusion: the treatment of swallowing and language rehabilitation training for patients with pseudobulbar palsy after cerebral hemorrhage can significantly improve swallowing function, articulation ability and quality of life of patients, and has good rehabilitation effect and application value. This method is worthy of reference and popularization.展开更多
Objective:To observe the clinical efficacy of fire-needle therapy in treating deglutition disorders due to pseudobulbar palsy in the remission stage of stroke.Methods:Sixty-two eligible subjects were divided into a fi...Objective:To observe the clinical efficacy of fire-needle therapy in treating deglutition disorders due to pseudobulbar palsy in the remission stage of stroke.Methods:Sixty-two eligible subjects were divided into a fire-needle group and a rehabilitation group by a simple randomization method at a ratio of 1:1.The two groups received same basic intervention;in addition,the fire-needle group received fire-needle treatment,while the rehabilitation group received rehabilitation training.The two groups of subjects all received a 3-week treatment and were evaluated by the dysphagia severity rating scale (DSRS),modified Mann assessment of swallow ability (MMASA) and Kubota Toshio swallow test (KTST) before and after the intervention.The complications and adverse events occurred during the trial were recorded.The data were statistically analyzed.Results:At the third week,the DSRS,MMASA and KTST scores changed significantly compared with the baseline in both groups (P<0.05),and the changes in the fire-needle group were more significant than those in the rehabilitation group (P<0.05).The between-group comparison at the third week showed that the therapeutic efficacy in the fire-needle group was superior to that in the rehabilitation group (P<0.05).Conclusion:Fire-needle therapy can obviously change the DSRS,MMASA and KTST scores in pseudobulbar palsy in the remission stage of stroke,and significantly enhance the therapeutic efficacy of the treatment of deglutition disorders in this stage.展开更多
Objective： To observe the clinical efficacy of needling nape acupoints in the treatment of pseudobulbar palsy. Methods： One hundred and twenty cases of pseudobulbar palsy were randomized into two groups, a treatment...Objective： To observe the clinical efficacy of needling nape acupoints in the treatment of pseudobulbar palsy. Methods： One hundred and twenty cases of pseudobulbar palsy were randomized into two groups, a treatment group in which 60 cases were treated by needling nape acupoints and a control group in which 60 cases were treated by needling tongue acupoints; after one-month treatment, the clinical symptoms and signs were observed. Results： The cure rate and total effective rate were respectively 41.7% and 90.0% in the treatment group, and respectively 26.7% and 81.7% in the control group, with differences in the cure rate and total effective rate between the two groups （P〈0.01）. Conclusion： Needling nape acupoints is quite effective to treat pseudobulbar palsy in the relief of clinical symptoms and signs.展开更多
Objective： To prove the feasibility and validity of Xing Nao Jing acupoint-injection （XNJ-AI） at Fengchi （GB 20） for pseudobulbar palsy caused by ischemic stroke （PBP-IS）. Methods： An assessor-blinded, two-par...Objective： To prove the feasibility and validity of Xing Nao Jing acupoint-injection （XNJ-AI） at Fengchi （GB 20） for pseudobulbar palsy caused by ischemic stroke （PBP-IS）. Methods： An assessor-blinded, two-parallel-group, randomized controlled trial was conducted, and the patients with PBP-IS were recruited and randomly divided into two groups. Patients in the control group received oral aspirin （100 mg per day for 2 weeks）. In addition to oral aspirin; patients in the treatment group received XNJ-AI at Fengchi （GB 20）, once a day, for two weeks. The primary outcome was assessed by the water-swallowing test （WST）. Thromboxane B2 （TXB2） and 6-keto-prostaglandin F1α （6-keto-PGF1α） in plasma were measured before and after the treatment. Results： In the treatment group, the percentage of swallowing function no less than grade 3 before and after the treatment was 32% and 88%, respectively; in the control group, it was 28% and 76% before and after the treatment, respectively; the difference after the treatment between the two groups was statistically significant （P〈0.05）. There were statistical differences between pre- and post-treatment levels of plasma TXB2 and 6-keto-PGF1α in the two groups （both P〈0.05）. After the treatment, there were significant differences in the levels of plasma TXB2 and 6-keto-PGF1α between the two groups （both P〈0.05）. Conclusion： XNJ-AI at Fengchi （GB 20） can improve the patients＇ swallowing function and balance the levels of TXB2 and 6-keto-PGF1α in plasma.展开更多
Objective: To study the therapeutic effect of treating apoplectic pseudobulbar paralysis with acupuncture.Method: Consciousness-restoring & obstruction-clearing needling technique and points Fengchi (GB 20), Yifen...Objective: To study the therapeutic effect of treating apoplectic pseudobulbar paralysis with acupuncture.Method: Consciousness-restoring & obstruction-clearing needling technique and points Fengchi (GB 20), Yifeng (TE 17), Wangu (GB 12), Neiguan (PC 6), Shuigou (GV 26), Sanyinjiao (SP 6), Shanglianquan (Ex-HN), Jinjin (Ex-HN 12), Yuye (Ex-HN 13) and Baihui (GV 20) were selected to treat 300 cases of apoplectic pseudobulbar paralysis.Result: Cure: 189 cases, marked effect: 71 cases, effective: 32 cases, no effect: 8 cases and the whole effective rate is 97.3%.Conclusion: Consciousness-restoring & obstruction-clearing needling technique is effective in treating apoplectic pseudobulbar paralysis. Key Words Cerebral Hemorrhage/complications - Hemiplegia - Acupuncture Therapy - Pseudobulbar Palsy - Cerebral Infarction/complications JIANG Ge-li, MD of acupuncture, senior consultant doctor, professor, engages in the theoretical study of psychosomatic medicine and clinical treatment method of hyperplastic spine arthrosis and apoplexy sequelae.Translator: HAN Chou-ping展开更多
Objective： To investigate the curative effect of combined acupuncture and medicine on pseudobulbar paralysis. Method：The patients were allocated into an acupuncture group of 50 cases and a control group of 48 cases ...Objective： To investigate the curative effect of combined acupuncture and medicine on pseudobulbar paralysis. Method：The patients were allocated into an acupuncture group of 50 cases and a control group of 48 cases by completely random sampling, The acupuncture group received western medicine combined with acupuncture and the control group received simple Western medicine. Results： The effective rate was 92,0% in the acupuncture group and 62.5% in the control group, There was a very significant difference in curative effect between the two groups（P〈 0.01）. Conclusion：The curative effect of combined acupuncture and medicine on pseudobulbar paralysis is significantly better than that of simple Western medicine.展开更多
Objective： To investigate the efficacy of scalp acupuncture in combination with body acupuncture for treating pseudobulbar paralysis. Methods： Eighty patients were randomly divided into treatment and control groups,...Objective： To investigate the efficacy of scalp acupuncture in combination with body acupuncture for treating pseudobulbar paralysis. Methods： Eighty patients were randomly divided into treatment and control groups, 40 cases each. The control group was treated by the routine method of Western medicine and the treatment group by combined scalp and body acupuncture on the basis of the former. The curative effect was evaluated after treatment in both groups. The influence of the treatment on mean blood velocity（MBV） in anterior, middle and posterior cerebral arteries was observed by transcranial Doppler（TCD） in both groups. Results： The total efficacy rate was 97.5% in the treatment group and 12.5% in the control group. The recovery rate was 75% in the treatment group and 0% in the control group. There was a significant difference between the two groups（P〈 0.01）. TCD showed that blood velocity in cerebral arteries was significantly increased and the unbalanced stasis of the right and left cerebral blood flow changed in the treatment group. A comparison of MBV between pretreatment and posttreatment showed P 〈 0.01. Conclusion： Scalp acupuncture in combination with body acupuncture has a good effect on pseudobulbar paralysis.展开更多
Objective： To explore the interfering effect of acupuncture treatment in remodeling the swallowing functions for the patients with pseudobulbar palsy after cerebral infarction. Methods： Seventy-two cases with pseudo...Objective： To explore the interfering effect of acupuncture treatment in remodeling the swallowing functions for the patients with pseudobulbar palsy after cerebral infarction. Methods： Seventy-two cases with pseudobulbar palsy after cerebral infarction were randomly allocated into an observation group and a control group, 36 cases in each group. The treatment neurological therapies, once a day, with one day rest group was treated with acupuncture based upon routine after continuous treatment for six days, and therapeutic effects were assessed after six courses of the treatments. The control group was treated with routine neurological therapies, with the therapeutic effects observed after the treatment for 42 d. Results： The total effective rate was 80.6% in the observation group and 58.3% in the control group, with statistical significance in comparison of difference between the two groups （P〈0.05）, and with statistical significance in comparison of the score of deglutition disorder between the observation group and control group （P〈0.01）. Conclusion： Nape acupuncture can obviously improve the clinical symptoms and signs for the patients with pseudobulbar palsy, with affirmative therapeutic effects, and is worthy of popularization.展开更多
Sixty cases of pseudobulbar palsy were treated by puncturing Shuigou (GV 26), Lianquan (GV 23), Fengchi (GB 20), Wangu (GB 12), Yifeng (TE 17), Tongli (HT 5), Neiguan (PC 6) and Fenglong (ST 40) with the needling tech...Sixty cases of pseudobulbar palsy were treated by puncturing Shuigou (GV 26), Lianquan (GV 23), Fengchi (GB 20), Wangu (GB 12), Yifeng (TE 17), Tongli (HT 5), Neiguan (PC 6) and Fenglong (ST 40) with the needling technique to refresh mind and open orifice, and by puncturing the retropharyngeal wall and palatine arch, plus training of swallowing function, the total effective rate reached 95.0%. Key Words Acupuncture Therapy - Pseudobulbar Palsy - Cerebral Hemorrhage/complications - Cerebral Infarction/complications Author: WANG Li-qun (1966-), male, attending physicianTranslator: HUANG Guo-qi展开更多
目的探讨头针联合吞咽功能康复训练治疗中风后假性球麻痹吞咽障碍患者的临床疗效。方法选取2023年1月—2023年12月期间保定市第一中心医院收治的中风后假性球麻痹吞咽障碍患者80例,按照随机对照试验设计方法分为对照组和观察组,每组各4...目的探讨头针联合吞咽功能康复训练治疗中风后假性球麻痹吞咽障碍患者的临床疗效。方法选取2023年1月—2023年12月期间保定市第一中心医院收治的中风后假性球麻痹吞咽障碍患者80例,按照随机对照试验设计方法分为对照组和观察组,每组各40例。对照组接受康复训练等常规西医治疗,观察组在对照组基础上联合头针治疗。治疗4周后,观察比较两组患者治疗前后中医证候积分、洼田氏饮水试验评分、Barthel指数评分、美国国立卫生研究院卒中量表(National institute of health stroke scale,NIHSS)评分、吞咽功能评估表(Standardized swallowing assessment,SSA)评分、吞咽障碍特异性生活质量量表(Swallowing quality of life,SWAL-QOL)评分改善状况,并比较两组患者临床总有效率和不良反应发生率。结果治疗后两组患者中医证候积分和洼田氏饮水试验评分均较治疗前降低,差异有统计学意义(P<0.05);且观察组中医证候积分和洼田氏饮水试验评分均低于对照组,差异有统计学意义(P<0.05)。治疗后两组患者Barthel指数评分较治疗前升高,NIHSS评分较治疗前降低,差异有统计学意义(P<0.05);且观察组Barthel指数评分高于对照组,NIHSS评分低于对照组,差异有统计学意义(P<0.05)。治疗后两组患者SSA评分较治疗前降低,SWAL-QOL评分较治疗前升高,差异有统计学意义(P<0.05);且观察组SSA评分低于对照组,SWAL-QOL评分高于对照组,差异有统计学意义(P<0.05)。治疗后观察组临床总有效率92.50%(37/40)高于对照组75.00%(30/40),差异有统计学意义(P<0.05)。治疗期间,两组患者均未出现晕针、血肿等不良反应发生情况。结论头针联合吞咽功能康复训练能改善中风后假性球麻痹吞咽障碍患者的神经损伤程度和吞咽功能,缓解患者临床症状表现,提高吞咽障碍患者生活质量,具有显著的临床疗效。展开更多
文摘Objective:To compare the clinical effects of needling at "five acupoints for swallow function" combined with rehabilitation training and only rehabilitation training in the treatment of dysphagia due to pseudobulbar paralysis after stroke.Methods:Seventy-six patients were randomized into rehabilitation group and combination group,with 38 cases in each.Both groups were treated with basic treatment of western medicine.The rehabilitation group was treated with routine rehabilitation training,and the combination group was treated with acupuncture at "five acupoints for swallow function" based on treatment in the rehabilitation group.Patients in the two groups were treated once a day,6 days a week,1 day for rest,for 3 weeks in succession.The changes in the grades and scores of water swallow test(WST),video fluoroscopic swallowing study(VFSS),and swallowing quality of life questionnaire(SWAL-QOL) in the two groups were observed before and after treatment,and the clinical effects of the two groups were compared.Results:After treatment,the WST grades of the two groups were statistically different from that of before treatment(both P<0.05),and the WST grade of the combination group was statistically different from that of the rehabilitation group(P<0.05).After treatment,the VFSS and SWAL-QOL scores of the two groups were increased in comparing with those of before treatment(all P <0.05),and the VFSS and SWAL-QOL scores of the combination group were higher than those of the rehabilitation group(both P <0.05).The total effective rate of the combination group was 92.1%(35/38),higher than 60.1%(23/38) of the rehabilitation group.Conclusion:The acupuncture combined with rehabilitation training for pseudobulbar paralysis after stroke is more effective than rehabilitation training only.The combination of the two can significantly relieve the dysphagia and improve the patients' quality of life.
基金Supported by Zhejiang province administration of Traditional Chinese Medicine funded Project:Effects of nape acupuncture on dysphagia in pseudobulbar palsy in different stages(Project No:2014ZA094)
文摘OBJECTIVE: To evaluate the therapeutic effects of nape acupuncture combined with rehabilitative swallowing training for dysphagia caused by pseudobulbar palsy, and to compare it with rehabilitative swallowing training alone, and to observe the improvement in quality of life after the therapy.METHODS: One hundred patients were randomly divided into two groups: the rehabilitative swallowing training group(control group, n = 50) and the nape acupuncture combined with rehabilitative swallowing training group(experimental group,n = 50). Each group had 8 weeks' therapy, 5 times a week. Patients in the control group received rehabilitative swallowing training, while those in the experimental group received nape acupuncture therapy based on swallowing rehabilitation. The out-comes were assessed by the repetitive saliva-swallowing test(RSST), water swallow test(WST), standardized swallowing assessment(SSA), and a swallow quality-of-life questionnaire(SWAL-QOL). Correlations of onset age, onset frequency and lesion location with the efficacy of the acupuncture treatment were also observed.RESULTS: The scores for RSST, WST, and SSA in both groups were lower than before the therapy(P <0.001), although the changes were more marked in the experimental group than in the control group(RSST and WST, P < 0.005; SSA, P < 0.001). Both groups recorded changes in SWAL-QOL index after the therapy(P < 0.001); and the experimental group scored higher than the control group(P < 0.001). The efficacy of acupuncture was not correlated with location(P > 0.05), but was related to onset age(P < 0.05) and onset frequency(P < 0.01).CONCLUSION: Nape acupuncture combined with rehabilitative swallowing training has an effect on dysphagia caused by pseudobulbar palsy and improves quality of life.
基金Supported by Qilu Chinese Medicine Academic Heritage Project:[2020]No.132。
文摘Objective:To explore the rules of acupoint combination in acupuncture treatment of post-stroke pseudobulbar palsy(PBP),based on acupuncture prescriptions retrieved from literature and using complex network analysis.Methods:The articles were searched from China National Knowledge Infrastructure(CNKI),Wanfang and VIP databases as the source of data.The eligible articles were selected in accordance with inclusion and exclusion criteria.The relevant data were extracted to set up the acupoint prescription database in acupuncture treatment of PBP.By using co-occurrence relationship in acupoint prescriptions,the core acupoints and the combination rules were analyzed in acupuncture treatment of PBP.Results:A total of 194 articles were eligible finally,with 202 acupoint prescriptions extracted.19 core acupoints were collected in total,i.e.Liánquán(廉泉CV23),Fēngchí(风池GB20),Bǎihuì(百会GV20),Jīnjīn(金津EX-HN12),Yùyè(玉液EX-HN13),Fēngfǔ(风府GV16),Yǎmén(哑门GV15),Shuǐgōu(水沟GV26),Nèiguān(内关PC6),Fēnglóng(丰隆ST40),Wángǔ(完骨GB12),Sānyīnjiāo(三阴交SP16),Yìfēng(翳风TE17),Tōnglǐ(通里HT5),Tàichōng(太冲LR3),Hégǔ(合谷LI4),Hǎiquán(海泉EX-HN11),Jùquán(聚泉EX-HN10)and Yìntáng(印堂EX-HN3).The core acupoint groups were CV23-GB20,EX-HN12-EX-HN13 and GV26-PC6-SP6.Acupoints were mostly selected from governor vessel.The methods of acupoint combination included the combination of distal and nearby points,and the combination of the acupoints located in the front and on the back.Conclusions:In treatment of PBP with acupuncture,biaoben(manifestation and root cause)theory is emphasized,the methods for dispelling wind,resolving phlegm,regaining consciousness,and opening orifices are recommended.Moreover,the attentions are paid on spirit regulation,holistic adjustment,and syndrome differentiation in treatment.
文摘Pseudobulbar paralysis is a kind of common clinical syndromes of cerebral vascular diseases, which is manifested as dyslalia, dysphagia and choking. By several-year clinical observations, 36 cases were treated with satisfactory therapeutic effects as reported in the following.Clinical DataOf 36 in-patients, there were 24 males and 12 females, aged from 44 to 81 years, averaging 64.92 years. Of 36 cases, 24 were at the acute stage and 12 at the recovery stage. All the cases were diagnosed as cerebral vascular diseases by cranial CT scan and MRI, of which, 4 were cerebral infarction, 26 lacunar cerebral infarction, 5 cerebral hemorrhage and 1 mixed type. Of 36 cases, 15 were the first attack of wind-stroke, 15 the second attack, 5 the third attack and 1 the forth attack. There were 26 patients with hypertension among 36 cases, of which, 8 patients suffered from hypertension within 10 years, 6 for more than 10 years, 9 for more than 20 years and 3 for more than 30 years. All the 36 cases were associated with dysphagia and agreeable to Standard on Diagnosis and Evaluation of Therapeutic Effects of Wind-stroke issued by the State Scientific Committee 85-919-01-01, 1995.
文摘In the present paper, the therapeutic effects of otopoint pellet pressing plus body acupuncture and simple body acupuncture for dysphagia and water drinking induced coughing are compared in 126 cases of pseudobulbar paralysis who are randomly divided into treatment group (n=63) and control group (n=63). Main acupoints used are Shuigou (GV 26), Fengchi (GB 20), Lianquan (CV 23) and Sanyinjiao (SP 6), while otopoints used are Xin (MA IC), Gan (MA SC 5), Pi (MA IC), Shen (MA SC), Yanhou (MA T 3) and She (MA L). Following one course of treatment (12 sessions), in treatment group, of the 63 cases, 34 (54.0%) are cured, 18 (28.5%) have remarkable improvement, 5 (8.0%) have improvement, and 6 ( 9.0%) have no apparent changes, with the tottal effective rate being 90.5%; while in control group, of the 63 cases, 18 (28.5%) are cured, 11 (17.5%) have marked amelioration, 15 ( 24.0%) experience apparent amelioration and 19 (30.0%) have no obvious changes, with a total effective rate of 70.0%. The therapeutic effect of otopoint pellet pressing plus body acupuncture is significantly superior to that of simple body acupuncture in the treatment of dysphagia and water drinking induced coughing.
文摘Objective: to study the clinical treatment of patients with pseudobulbar palsy after cerebral hemorrhage, and to analyze whether swallowing and language rehabilitation training can improve swallowing function, relieve dysarthria and create conditions for treatment. Methods: 98 patients with pseudobulbar palsy after cerebral hemorrhage treated in our hospital from June 2019 to February 2022 were randomly selected and divided into two groups according to different treatment methods. The control group received basic medical treatment, while the research group received additional swallowing and language rehabilitation training. The changes of swallowing and articulation function of patients were evaluated, and the proportion of effective patients was counted, and the final curative effect was compared. Results: after treatment, the scores of swallowing ability scale and Frenchay articulation ability scale in both groups were improved, while the scores of the study group were higher than those of the control group, showing obvious advantages (P < 0.05). And the effective rate of the study group is higher than that of the control group (P < 0.05). Conclusion: the treatment of swallowing and language rehabilitation training for patients with pseudobulbar palsy after cerebral hemorrhage can significantly improve swallowing function, articulation ability and quality of life of patients, and has good rehabilitation effect and application value. This method is worthy of reference and popularization.
基金National Natural Science Foundation of China(国家自然科学基金,81473761,81704181)Key Research Project of Economic and Social Development in Heilongjiang Province(黑龙江省经济社会发展重点研究课题,JD2017019).
文摘Objective:To observe the clinical efficacy of fire-needle therapy in treating deglutition disorders due to pseudobulbar palsy in the remission stage of stroke.Methods:Sixty-two eligible subjects were divided into a fire-needle group and a rehabilitation group by a simple randomization method at a ratio of 1:1.The two groups received same basic intervention;in addition,the fire-needle group received fire-needle treatment,while the rehabilitation group received rehabilitation training.The two groups of subjects all received a 3-week treatment and were evaluated by the dysphagia severity rating scale (DSRS),modified Mann assessment of swallow ability (MMASA) and Kubota Toshio swallow test (KTST) before and after the intervention.The complications and adverse events occurred during the trial were recorded.The data were statistically analyzed.Results:At the third week,the DSRS,MMASA and KTST scores changed significantly compared with the baseline in both groups (P<0.05),and the changes in the fire-needle group were more significant than those in the rehabilitation group (P<0.05).The between-group comparison at the third week showed that the therapeutic efficacy in the fire-needle group was superior to that in the rehabilitation group (P<0.05).Conclusion:Fire-needle therapy can obviously change the DSRS,MMASA and KTST scores in pseudobulbar palsy in the remission stage of stroke,and significantly enhance the therapeutic efficacy of the treatment of deglutition disorders in this stage.
文摘Objective： To observe the clinical efficacy of needling nape acupoints in the treatment of pseudobulbar palsy. Methods： One hundred and twenty cases of pseudobulbar palsy were randomized into two groups, a treatment group in which 60 cases were treated by needling nape acupoints and a control group in which 60 cases were treated by needling tongue acupoints; after one-month treatment, the clinical symptoms and signs were observed. Results： The cure rate and total effective rate were respectively 41.7% and 90.0% in the treatment group, and respectively 26.7% and 81.7% in the control group, with differences in the cure rate and total effective rate between the two groups （P〈0.01）. Conclusion： Needling nape acupoints is quite effective to treat pseudobulbar palsy in the relief of clinical symptoms and signs.
基金supported by Chinese Medicine Scientific Research Program of Heilongjiang,No.ZH04B06~~
文摘Objective： To prove the feasibility and validity of Xing Nao Jing acupoint-injection （XNJ-AI） at Fengchi （GB 20） for pseudobulbar palsy caused by ischemic stroke （PBP-IS）. Methods： An assessor-blinded, two-parallel-group, randomized controlled trial was conducted, and the patients with PBP-IS were recruited and randomly divided into two groups. Patients in the control group received oral aspirin （100 mg per day for 2 weeks）. In addition to oral aspirin; patients in the treatment group received XNJ-AI at Fengchi （GB 20）, once a day, for two weeks. The primary outcome was assessed by the water-swallowing test （WST）. Thromboxane B2 （TXB2） and 6-keto-prostaglandin F1α （6-keto-PGF1α） in plasma were measured before and after the treatment. Results： In the treatment group, the percentage of swallowing function no less than grade 3 before and after the treatment was 32% and 88%, respectively; in the control group, it was 28% and 76% before and after the treatment, respectively; the difference after the treatment between the two groups was statistically significant （P〈0.05）. There were statistical differences between pre- and post-treatment levels of plasma TXB2 and 6-keto-PGF1α in the two groups （both P〈0.05）. After the treatment, there were significant differences in the levels of plasma TXB2 and 6-keto-PGF1α between the two groups （both P〈0.05）. Conclusion： XNJ-AI at Fengchi （GB 20） can improve the patients＇ swallowing function and balance the levels of TXB2 and 6-keto-PGF1α in plasma.
文摘Objective: To study the therapeutic effect of treating apoplectic pseudobulbar paralysis with acupuncture.Method: Consciousness-restoring & obstruction-clearing needling technique and points Fengchi (GB 20), Yifeng (TE 17), Wangu (GB 12), Neiguan (PC 6), Shuigou (GV 26), Sanyinjiao (SP 6), Shanglianquan (Ex-HN), Jinjin (Ex-HN 12), Yuye (Ex-HN 13) and Baihui (GV 20) were selected to treat 300 cases of apoplectic pseudobulbar paralysis.Result: Cure: 189 cases, marked effect: 71 cases, effective: 32 cases, no effect: 8 cases and the whole effective rate is 97.3%.Conclusion: Consciousness-restoring & obstruction-clearing needling technique is effective in treating apoplectic pseudobulbar paralysis. Key Words Cerebral Hemorrhage/complications - Hemiplegia - Acupuncture Therapy - Pseudobulbar Palsy - Cerebral Infarction/complications JIANG Ge-li, MD of acupuncture, senior consultant doctor, professor, engages in the theoretical study of psychosomatic medicine and clinical treatment method of hyperplastic spine arthrosis and apoplexy sequelae.Translator: HAN Chou-ping
文摘Objective： To investigate the curative effect of combined acupuncture and medicine on pseudobulbar paralysis. Method：The patients were allocated into an acupuncture group of 50 cases and a control group of 48 cases by completely random sampling, The acupuncture group received western medicine combined with acupuncture and the control group received simple Western medicine. Results： The effective rate was 92,0% in the acupuncture group and 62.5% in the control group, There was a very significant difference in curative effect between the two groups（P〈 0.01）. Conclusion：The curative effect of combined acupuncture and medicine on pseudobulbar paralysis is significantly better than that of simple Western medicine.
文摘Objective： To investigate the efficacy of scalp acupuncture in combination with body acupuncture for treating pseudobulbar paralysis. Methods： Eighty patients were randomly divided into treatment and control groups, 40 cases each. The control group was treated by the routine method of Western medicine and the treatment group by combined scalp and body acupuncture on the basis of the former. The curative effect was evaluated after treatment in both groups. The influence of the treatment on mean blood velocity（MBV） in anterior, middle and posterior cerebral arteries was observed by transcranial Doppler（TCD） in both groups. Results： The total efficacy rate was 97.5% in the treatment group and 12.5% in the control group. The recovery rate was 75% in the treatment group and 0% in the control group. There was a significant difference between the two groups（P〈 0.01）. TCD showed that blood velocity in cerebral arteries was significantly increased and the unbalanced stasis of the right and left cerebral blood flow changed in the treatment group. A comparison of MBV between pretreatment and posttreatment showed P 〈 0.01. Conclusion： Scalp acupuncture in combination with body acupuncture has a good effect on pseudobulbar paralysis.
文摘Objective： To explore the interfering effect of acupuncture treatment in remodeling the swallowing functions for the patients with pseudobulbar palsy after cerebral infarction. Methods： Seventy-two cases with pseudobulbar palsy after cerebral infarction were randomly allocated into an observation group and a control group, 36 cases in each group. The treatment neurological therapies, once a day, with one day rest group was treated with acupuncture based upon routine after continuous treatment for six days, and therapeutic effects were assessed after six courses of the treatments. The control group was treated with routine neurological therapies, with the therapeutic effects observed after the treatment for 42 d. Results： The total effective rate was 80.6% in the observation group and 58.3% in the control group, with statistical significance in comparison of difference between the two groups （P〈0.05）, and with statistical significance in comparison of the score of deglutition disorder between the observation group and control group （P〈0.01）. Conclusion： Nape acupuncture can obviously improve the clinical symptoms and signs for the patients with pseudobulbar palsy, with affirmative therapeutic effects, and is worthy of popularization.
文摘Sixty cases of pseudobulbar palsy were treated by puncturing Shuigou (GV 26), Lianquan (GV 23), Fengchi (GB 20), Wangu (GB 12), Yifeng (TE 17), Tongli (HT 5), Neiguan (PC 6) and Fenglong (ST 40) with the needling technique to refresh mind and open orifice, and by puncturing the retropharyngeal wall and palatine arch, plus training of swallowing function, the total effective rate reached 95.0%. Key Words Acupuncture Therapy - Pseudobulbar Palsy - Cerebral Hemorrhage/complications - Cerebral Infarction/complications Author: WANG Li-qun (1966-), male, attending physicianTranslator: HUANG Guo-qi
文摘目的探讨头针联合吞咽功能康复训练治疗中风后假性球麻痹吞咽障碍患者的临床疗效。方法选取2023年1月—2023年12月期间保定市第一中心医院收治的中风后假性球麻痹吞咽障碍患者80例,按照随机对照试验设计方法分为对照组和观察组,每组各40例。对照组接受康复训练等常规西医治疗,观察组在对照组基础上联合头针治疗。治疗4周后,观察比较两组患者治疗前后中医证候积分、洼田氏饮水试验评分、Barthel指数评分、美国国立卫生研究院卒中量表(National institute of health stroke scale,NIHSS)评分、吞咽功能评估表(Standardized swallowing assessment,SSA)评分、吞咽障碍特异性生活质量量表(Swallowing quality of life,SWAL-QOL)评分改善状况,并比较两组患者临床总有效率和不良反应发生率。结果治疗后两组患者中医证候积分和洼田氏饮水试验评分均较治疗前降低,差异有统计学意义(P<0.05);且观察组中医证候积分和洼田氏饮水试验评分均低于对照组,差异有统计学意义(P<0.05)。治疗后两组患者Barthel指数评分较治疗前升高,NIHSS评分较治疗前降低,差异有统计学意义(P<0.05);且观察组Barthel指数评分高于对照组,NIHSS评分低于对照组,差异有统计学意义(P<0.05)。治疗后两组患者SSA评分较治疗前降低,SWAL-QOL评分较治疗前升高,差异有统计学意义(P<0.05);且观察组SSA评分低于对照组,SWAL-QOL评分高于对照组,差异有统计学意义(P<0.05)。治疗后观察组临床总有效率92.50%(37/40)高于对照组75.00%(30/40),差异有统计学意义(P<0.05)。治疗期间,两组患者均未出现晕针、血肿等不良反应发生情况。结论头针联合吞咽功能康复训练能改善中风后假性球麻痹吞咽障碍患者的神经损伤程度和吞咽功能,缓解患者临床症状表现,提高吞咽障碍患者生活质量,具有显著的临床疗效。
