CAJ | 학술논문

目的：观察吞咽分期针刺法治疗中风后吞咽功能障碍临床疗效。方法将符合纳入标准的60例患者随机分为分期针刺组和常规针刺组，在基础治疗上分别施加吞咽分期针刺治疗、常规针刺治疗，两组患者治疗前、治疗后分别进行功能评定和量表评估，并比较其疗效差异。结果经洼田饮水试验疗效比较，分期针刺组总有效率为83.3%，常规针刺组总有效率为53.3%，两组经秩和检验吞咽分期针刺法疗效较显著(P＜0.05)，尤其在咽期吞咽分期针刺组明显优于常规针刺组(P＜0.05)；而在口腔期及食管期两组组间比较无显著性差异(P＞0.05)；在 VFSS 量表评分方面，分期针刺组在改善患者吞咽功能方面优于常规针刺组，经统计学处理有显著性差异(P＜0.05)。结论吞咽分期针刺法在改善中风后吞咽功能障碍患者吞咽功能临床疗效肯定，尤其在改善咽期患者吞咽功能方面疗效显著。
목적：관찰탄인분기침자법치료중풍후탄인공능장애림상료효。방법장부합납입표준적60례환자수궤분위분기침자조화상규침자조，재기출치료상분별시가탄인분기침자치료、상규침자치료，량조환자치료전、치료후분별진행공능평정화량표평고，병비교기료효차이。결과경와전음수시험료효비교，분기침자조총유효솔위83.3%，상규침자조총유효솔위53.3%，량조경질화검험탄인분기침자법료효교현저(P＜0.05)，우기재인기탄인분기침자조명현우우상규침자조(P＜0.05)；이재구강기급식관기량조조간비교무현저성차이(P＞0.05)；재 VFSS 량표평분방면，분기침자조재개선환자탄인공능방면우우상규침자조，경통계학처리유현저성차이(P＜0.05)。결론탄인분기침자법재개선중풍후탄인공능장애환자탄인공능림상료효긍정，우기재개선인기환자탄인공능방면료효현저。
Objective To observe the clinical efficacy of acupuncture by stages in treating post-stroke swallowing dysfunction. Method Sixty eligible patients were randomized into a staging-acupuncture group and an ordinary-acupuncture group, to respectively receive acupuncture by the stage of swallowing and ordinary acupuncture in addition to the basic treatments. Function estimation was conducted before and after intervention in both groups to compare the therapeutic efficacies.Result According to the water drinking test, the total effective rate was 83.3% in the staging-acupuncture group versus 53.3% in the ordinary-acupuncture group, and the difference was statistically significant by rank sum test (P<0.05), and the staging-acupuncture group was superior to the ordinary-acupuncture group especially in the pharyngeal stage (P<0.05); the differences were statistically insignificant in the oral stage and esophageal stage (P>0.05); regarding the video fluoroscopic swallowing study (VFSS), the staging-acupuncture group was significantly better than ordinary-acupuncture group in improving swallowing function (P<0.05).Conclusion Acupuncture by swallowing stages is effective in treating post-stroke swallowing dysfunction, especially in improving the swallowing function in pharyngeal stage.