中医药学报
中醫藥學報
중의약학보
ACTA CHINESE MEDICINE AND PHARMACOLOGY
2014年
2期
129-131
,共3页
针刺疗法%吞咽困难%康复训练
針刺療法%吞嚥睏難%康複訓練
침자요법%탄인곤난%강복훈련
Acupuncture%Dysphagia%Rehabilitation training
目的:观察针刺结合吞咽功能训练对脑卒中后(咽期)吞咽困难的临床疗效。方法:选取脑卒中后吞咽困难的患者60例,按随机数字表法随机分为2组,每组30例。治疗组采用针刺疗法配合吞咽功能训练,针刺主穴取廉泉、金津、玉液、风池、合谷、太冲、通里,治疗时金津、玉液点刺放血,廉泉穴行强刺激后与患侧风池穴接通电针进行治疗,其余穴位采用平补平泻手法,每次留针30min,针刺治疗后予以吞咽功能训练,每周治疗5次,治疗6周共计30次;对照组仅采用吞咽功能训练,吞咽功能训练方法同治疗组,每周治疗5次,治疗6周共计30次。所有患者在治疗前后,均采用洼田氏饮水试验评价患者吞咽功能。结果:治疗组治愈8例,有效19例,无效3例,有效率为90%;对照组治愈2例,有效18例,无效10例,有效率为66.7%;治疗组与对照组相比较差异有显著性意义( P<0.05),且治疗组疗效优于对照组。结论:针刺结合吞咽功能训练是治疗脑卒中后(咽期)吞咽困难较为理想的方法,值得在临床推广应用。
目的:觀察針刺結閤吞嚥功能訓練對腦卒中後(嚥期)吞嚥睏難的臨床療效。方法:選取腦卒中後吞嚥睏難的患者60例,按隨機數字錶法隨機分為2組,每組30例。治療組採用針刺療法配閤吞嚥功能訓練,針刺主穴取廉泉、金津、玉液、風池、閤穀、太遲、通裏,治療時金津、玉液點刺放血,廉泉穴行彊刺激後與患側風池穴接通電針進行治療,其餘穴位採用平補平瀉手法,每次留針30min,針刺治療後予以吞嚥功能訓練,每週治療5次,治療6週共計30次;對照組僅採用吞嚥功能訓練,吞嚥功能訓練方法同治療組,每週治療5次,治療6週共計30次。所有患者在治療前後,均採用窪田氏飲水試驗評價患者吞嚥功能。結果:治療組治愈8例,有效19例,無效3例,有效率為90%;對照組治愈2例,有效18例,無效10例,有效率為66.7%;治療組與對照組相比較差異有顯著性意義( P<0.05),且治療組療效優于對照組。結論:針刺結閤吞嚥功能訓練是治療腦卒中後(嚥期)吞嚥睏難較為理想的方法,值得在臨床推廣應用。
목적:관찰침자결합탄인공능훈련대뇌졸중후(인기)탄인곤난적림상료효。방법:선취뇌졸중후탄인곤난적환자60례,안수궤수자표법수궤분위2조,매조30례。치료조채용침자요법배합탄인공능훈련,침자주혈취렴천、금진、옥액、풍지、합곡、태충、통리,치료시금진、옥액점자방혈,렴천혈행강자격후여환측풍지혈접통전침진행치료,기여혈위채용평보평사수법,매차류침30min,침자치료후여이탄인공능훈련,매주치료5차,치료6주공계30차;대조조부채용탄인공능훈련,탄인공능훈련방법동치료조,매주치료5차,치료6주공계30차。소유환자재치료전후,균채용와전씨음수시험평개환자탄인공능。결과:치료조치유8례,유효19례,무효3례,유효솔위90%;대조조치유2례,유효18례,무효10례,유효솔위66.7%;치료조여대조조상비교차이유현저성의의( P<0.05),차치료조료효우우대조조。결론:침자결합탄인공능훈련시치료뇌졸중후(인기)탄인곤난교위이상적방법,치득재림상추엄응용。
Objective:To observe the curative effect of acupuncture therapy and swallowing functional rehabilitation to treat dysphagia after stroke .Methods:The patients who had acataposis because of acute cerebral accident were divided into two groups ( acupuncture group and control group ) .The patients of acupuncture group were given acupuncture and swallowing functional training of rehabilitation once a day and the patients in control group were given swallowing func -tional training only , then the curative effect had been observed after two courses of treatment .Results: Acupuncture group:There were 8 cases cured , 19 cases with approving results and 3 cases without any results .Control group:There were 2 cases cured , 18 cases with approving results and 10 cases without any results .Conclusion:Acupuncture therapy and swallowing functional training of rehabilitation have a reliable effect on dysphagia patients and it is a safe and effec -tive therapy without adverse reaction .