国际中医中药杂志
國際中醫中藥雜誌
국제중의중약잡지
INTERNATIONAL JOURNAL OF TRIDITIONAL CHINESE MEDICINE
2015年
2期
122-125
,共4页
张春雨%邢鹏%聂耀%周福荣
張春雨%邢鵬%聶耀%週福榮
장춘우%형붕%섭요%주복영
假性延髓麻痹%卒中%吞咽障碍%针刺%血液流变学
假性延髓痳痺%卒中%吞嚥障礙%針刺%血液流變學
가성연수마비%졸중%탄인장애%침자%혈액류변학
Pseudobulbar Palsy%Stroke%Deglutition Disorders%Acupuncture%Hemorheology
目的：观察针刺联合常规疗法对脑卒中后假性延髓麻痹患者吞咽功能和血液流变学的影响。方法选取2010年3月－2013年11月呼和浩特市中蒙医院针灸科脑卒中后假性延髓麻痹患者131例，采用随机数字表法将患者随机分为治疗组66例和对照组65例。对照组采用阿司匹林＋瑞舒伐他汀治疗，治疗组在对照组基础上采用益气化痰针灸处方针刺治疗，共4周。采用洼田吞水试验评价吞咽功能，并检测血液流变学各指标。结果治疗组吞咽功能总改善率为86.36%（57/66）显著高于对照组的64.61%（42/65）（χ2＝8.391，P＝0.004）。治疗后，治疗组高切[(4.96±0.53)mPa?s比(5.32±0.63)mPa?s；t＝3.541， P＝0.001]和低切[(23.23±0.94)mPa?s比(23.81±1.01)mPa?s；t＝3.403，P＝0.001]全血黏度和血浆黏度[(1.52±0.24)mPa?s 比(1.61±0.28)mPa?s；t＝1.976，P＝0.050]显著低于对照组（P＜0.05）。结论针刺联合常规疗法可改善脑卒中后假性延髓麻痹的吞咽功能和血液流变学指标。
目的：觀察針刺聯閤常規療法對腦卒中後假性延髓痳痺患者吞嚥功能和血液流變學的影響。方法選取2010年3月－2013年11月呼和浩特市中矇醫院針灸科腦卒中後假性延髓痳痺患者131例，採用隨機數字錶法將患者隨機分為治療組66例和對照組65例。對照組採用阿司匹林＋瑞舒伐他汀治療，治療組在對照組基礎上採用益氣化痰針灸處方針刺治療，共4週。採用窪田吞水試驗評價吞嚥功能，併檢測血液流變學各指標。結果治療組吞嚥功能總改善率為86.36%（57/66）顯著高于對照組的64.61%（42/65）（χ2＝8.391，P＝0.004）。治療後，治療組高切[(4.96±0.53)mPa?s比(5.32±0.63)mPa?s；t＝3.541， P＝0.001]和低切[(23.23±0.94)mPa?s比(23.81±1.01)mPa?s；t＝3.403，P＝0.001]全血黏度和血漿黏度[(1.52±0.24)mPa?s 比(1.61±0.28)mPa?s；t＝1.976，P＝0.050]顯著低于對照組（P＜0.05）。結論針刺聯閤常規療法可改善腦卒中後假性延髓痳痺的吞嚥功能和血液流變學指標。
목적：관찰침자연합상규요법대뇌졸중후가성연수마비환자탄인공능화혈액류변학적영향。방법선취2010년3월－2013년11월호화호특시중몽의원침구과뇌졸중후가성연수마비환자131례，채용수궤수자표법장환자수궤분위치료조66례화대조조65례。대조조채용아사필림＋서서벌타정치료，치료조재대조조기출상채용익기화담침구처방침자치료，공4주。채용와전탄수시험평개탄인공능，병검측혈액류변학각지표。결과치료조탄인공능총개선솔위86.36%（57/66）현저고우대조조적64.61%（42/65）（χ2＝8.391，P＝0.004）。치료후，치료조고절[(4.96±0.53)mPa?s비(5.32±0.63)mPa?s；t＝3.541， P＝0.001]화저절[(23.23±0.94)mPa?s비(23.81±1.01)mPa?s；t＝3.403，P＝0.001]전혈점도화혈장점도[(1.52±0.24)mPa?s 비(1.61±0.28)mPa?s；t＝1.976，P＝0.050]현저저우대조조（P＜0.05）。결론침자연합상규요법가개선뇌졸중후가성연수마비적탄인공능화혈액류변학지표。
Objective To investigate the effects of acupuncture combined with conventional treatment on swallowing function and hemorheology in patients with pseudobulbar palsy following stroke. Methods One hundred thirty-one patients with laughing sickness after cerebral stroke from March 2010 to November 2013 were selected and divided into two group by random number table method:a treatment group (66 patients) and a control group (65 patients). The control group was treated with aspirin and rosuvastatin, while the treatment group was additional treated with acupuncture for benefiting vital energy and eliminating phlegm for 4 weeks. The swallowing function was evaluated by Kubota Water Swallow Test and the hemorheological measurements were performed. Results The total improvement rate of swallowing function in the treatment group was significantly higher than that in the control group (86.36% vs. 64.61%; χ2=8.391, P=0.004). After the treatment, the whole blood viscosities at high shear rate (4.96 ± 0.53 mPa?s vs. 5.32 ± 0.63 mPa?s;t=3.541, P=0.001) and low shear rate (23.23 ± 0.94 mPa?s vs. 23.81 ± 1.01 mPa?s;t=3.403, P=0.001), and the plasma viscosity (1.52 ± 0.24 mPa?s vs. 1.61 ± 0.28 mPa?s;t=1.976, P=0.050) in the treatment group were significantly lower than those in the control group. Conclusion Acupuncture combined with conventional treatment can improve the swallowing function and the hemorheological parameters in patients with pseudobulbar palsy following stroke.
