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  本文關(guān)鍵詞：關(guān)刺頸前區(qū)五穴治療急性腦卒中后真性延髓麻痹吞咽障礙的臨床觀察　出處：《黑龍江中醫(yī)藥大學(xué)》2017年碩士論文　論文類型：學(xué)位論文

  更多相關(guān)文章： 關(guān)刺 頸前區(qū)五穴 急性腦卒中 真性延髓麻痹 吞咽障礙

【摘要】：目的:觀察關(guān)刺頸前區(qū)五穴治療急性腦卒中后真性延髓麻痹吞咽障礙的臨床療效及安全性,證明"三區(qū)三線"學(xué)說及頸部五穴對于治療真性延髓吞咽障礙的治療作用,為臨床治療提供新的方法與思路。方法:選擇符合納入標(biāo)準(zhǔn)的60例急性腦卒中后真性延髓麻痹吞咽障礙的患者,采用隨機數(shù)字法分為關(guān)刺頸前區(qū)五穴治療組和普通針刺頸部腧穴對照組,每組30例,每天針刺1次,每周針刺6天,休息1天,治療7天為一個療程,連續(xù)治療4個療程后觀察對兩組患者治療前后的洼田飲水試驗評分以及吞咽造影檢查會厭移動時間、舌骨向前移動最大距離(hyoid anterior displacement,HA)、舌骨向上移動最大距離(hyoid vertical displacement,HV)、舌骨最大位移(hyoid excursion maximum,Hm)和吞咽功能分級的前后差異,并且進行安全性指標(biāo)評估,以上數(shù)據(jù)運用統(tǒng)計學(xué)方法進行分析處理。結(jié)果1.關(guān)刺頸前區(qū)五穴組和普通針刺頸部腧穴組患者在治療4個療程后各量表評分均較治療前有明顯改善(P0.05),經(jīng)過安全性指標(biāo)評估統(tǒng)計證明兩組治療均安全有效。2.與普通手法針刺頸部腧穴組相比,關(guān)刺頸前區(qū)五穴組患者洼田飲水試驗評分以及吞咽造影檢查會厭移動時間、舌骨向前移動最大距離(hyoid anterior displacement,HA)、舌骨向上移動最大距離(hyoid vertical displacement,HV)、舌骨最大位移(hyoid excursion maximum,Hm)和吞咽功能分級均明顯改善,安全性評估證明治療方法安全可行。結(jié)論1.關(guān)刺頸前區(qū)五穴及普通針刺頸部腧穴均有利于急性腦卒中后真性延髓麻痹吞咽障礙患者的吞咽功能恢復(fù)。2.關(guān)刺頸前區(qū)五穴治療急性腦卒中后真性延髓麻痹吞咽障礙效果優(yōu)于對照組。3.關(guān)刺以"三區(qū)三線"定位的頸前區(qū)"五穴"對于治療急性腦卒中后真性延髓麻痹由于舌骨喉提拉無力、咽縮肌群收縮無力及環(huán)咽肌失遲緩等原因所導(dǎo)致的吞咽障礙治療效果優(yōu)于對照組。
[Abstract]:Objective: to observe the clinical efficacy and safety of five points in the anterior cervical area of Guanacupuncture in treating dysphagia of acute stroke patients with dysphagia of the true medulla oblongata. It is proved that the theory of "three regions and three lines" and the treatment of cervical five points are effective in the treatment of true dysphagia of medulla oblongata. Methods: 60 patients with dysphagia after acute stroke were selected. The method of random number was used to divide the treatment group into five points in the front area of the cervical area and the control group with common acupuncture on the neck. 30 cases in each group were treated with acupuncture once a day, 6 days a week, rest 1 day, and treat 7 days as a course of treatment. After 4 consecutive courses of treatment, the scores of sag water test before and after treatment and the movement time of epiglottis were examined by swallowing angiography. Hyoid anterior displacement (HA). Hyoid vertical displacement (HVV). Hyoid excursion maximum (Hm) and swallowing function grade were compared before and after, and the safety indexes were evaluated. The above data were analyzed and processed by statistical method. 1. The scores of each scale of the patients in the five points group and the common acupuncture acupoint group in the front cervical area of Guan prick were significantly improved after 4 courses of treatment. 2. (2) after 4 courses of treatment, the scores of each scale were significantly improved (2). P0.05). Through the evaluation of safety indicators statistics proved that the two groups are safe and effective. 2. Compared with the common manipulation acupuncture acupoint group neck. In the five acupoints group of the front cervical area of Guan acupuncture patients, the score of drinking water test of depressions and the time of epiglottis movement were examined by swallowing angiography. Hyoid anterior displacement (HA). Hyoid vertical displacement (HVV). Hyoid excursion maximum (Hm) and swallowing function grade were significantly improved. The safety evaluation proves that the treatment method is safe and feasible. 1. The five points in the anterior cervical area of Guanprong and the common acupuncture acupoints in the neck are beneficial to the recovery of swallowing function in the patients with dysphagia due to the true bulbar palsy after acute stroke. 2. The effect of five points in the anterior cervical area on dysphagia after acute stroke was better than that in the control group. The "five points" located in the anterior cervical area of the three regions and three lines are effective in the treatment of the true medulla oblongata after acute stroke due to hyoid laryngotic weakness. The effect of dysphagia caused by contraction weakness of pharyngeal constrictor muscle and tardiness of circular pharynx muscle was better than that of control group.
【學(xué)位授予單位】：黑龍江中醫(yī)藥大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2017
【分類號】：R246.6

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