CAJ | 학술논문

　　目的：探讨中风后吞咽困难患者应用深刺内大迎穴方法治疗的疗效。方法：随机抽选82例中风后出现吞咽困难患者，进行分两组，各41例，均予以“醒脑开窍”的针法进行治疗：对照组选取玉液、金津穴位进行点刺放血，治疗组予以深刺内大迎穴的方法治疗，4周后采用吞咽障碍以及洼田饮水试验评分、临床总体治疗疗效对比来评定两组疗效。结果：治疗组总有效率为85.4%，对照组总有效率为70.7%，两组比较差异具有显著性（P<0.05）；两组组内比较，治疗前、后吞咽障碍评分以及洼田饮水试验评分比较差异具有显著性（P<0.05）；两组组间比较，治疗后吞咽障碍评分以及洼田饮水试验评分比较差异具有显著性（P<0.05）；治疗组疗效优于对照组。结论：在中风后吞咽困难的临床针灸治疗中，深刺内大迎的方法治疗，其临床疗效优于传统针刺组，疗效显著，提高了中风病人的生活质量，值得临床推广。
　　목적：탐토중풍후탄인곤난환자응용심자내대영혈방법치료적료효。방법：수궤추선82례중풍후출현탄인곤난환자，진행분량조，각41례，균여이“성뇌개규”적침법진행치료：대조조선취옥액、금진혈위진행점자방혈，치료조여이심자내대영혈적방법치료，4주후채용탄인장애이급와전음수시험평분、림상총체치료료효대비래평정량조료효。결과：치료조총유효솔위85.4%，대조조총유효솔위70.7%，량조비교차이구유현저성（P<0.05）；량조조내비교，치료전、후탄인장애평분이급와전음수시험평분비교차이구유현저성（P<0.05）；량조조간비교，치료후탄인장애평분이급와전음수시험평분비교차이구유현저성（P<0.05）；치료조료효우우대조조。결론：재중풍후탄인곤난적림상침구치료중，심자내대영적방법치료，기림상료효우우전통침자조，료효현저，제고료중풍병인적생활질량，치득림상추엄。
Objective:To investigate clinical effects of acupuncturing the point of Daying on treating dysphagia following stroke. Methods:82 stroke patients with dysphagia were randomly divided into two groups, 41 for each. The control group was acupunctured with the point of Jinjin and Yuye, while the treated group was acupunctured with the point of Daying, comparing the two groups by dysphagia, Kubota drinking water test score and clinical efficacy after 4 weeks. Results:The total efficiency in the treated group was 85.4%, while the control was 70.7%, the difference was significant (P<0.05). After treatment, the difference among the group was significant by dysphagia score and bedside water test score (P<0.05);between the two groups, there was also significant (P<0.05). Conclusion:Treating dysphagia following stroke by acupuncturing the point of Daying is better than the traditional acupuncture, it can improve the quality of life of stroke patients, worthy of a wide application.