本文選題：針刺 + 咽五針�。� 參考：《時(shí)珍國(guó)醫(yī)國(guó)藥》2017年06期

【摘要】：目的觀察咽五針治療腦卒中后吞咽困難的臨床療效。方法將180例腦卒中后吞咽困難患者隨機(jī)分為基礎(chǔ)治療組,傳統(tǒng)針刺組和針刺咽五針組,每組各60例�；A(chǔ)治療組進(jìn)行常規(guī)的基礎(chǔ)治療,傳統(tǒng)針刺組在基礎(chǔ)治療組治療基礎(chǔ)上取傳統(tǒng)針刺穴位進(jìn)行治療,針刺咽五針組在基礎(chǔ)治療組治療基礎(chǔ)上取治嗆穴、吞咽穴、提咽穴、發(fā)音穴、治返流穴進(jìn)行治療,療程均為60d。以標(biāo)準(zhǔn)吞咽功能評(píng)分量表(SSA)、電視熒光吞咽檢查(VFSS)和中風(fēng)后吞咽困難的中醫(yī)辨證量表進(jìn)行療效評(píng)定。結(jié)果治療后針刺咽五針組總有效率93.3%(56/60),顯著高于基礎(chǔ)治療組68.3%(41/60,P0.01)和傳統(tǒng)針刺組的81.7%(49/60,P0.05);針刺咽五針組SSA、VFSS和中風(fēng)后吞咽困難的中醫(yī)辨證量表評(píng)分較基礎(chǔ)治療組和傳統(tǒng)針刺組改善更為顯著(均P0.05)。結(jié)論針刺咽五針組能有效改善腦卒中后吞咽困難。
[Abstract]:Objective to observe the clinical effect of five-needle pharynx on dysphagia after stroke. Methods 180 patients with dysphagia after stroke were randomly divided into basic treatment group, traditional acupuncture group and five-needle acupuncture group with 60 cases in each group. The basic treatment group was treated with routine basic treatment, the traditional acupuncture group took the traditional acupuncture points for treatment on the basis of the basic treatment group, and the acupuncture five-needle group treated the choking points, swallowing the points, lifting the pharynx points, and the pronunciation points on the basis of the treatment of the basic treatment group. The treatment course was 60 days. The therapeutic effects were evaluated by standard swallowing score scale (SSAA), TV fluorescence swallowing examination (VFSS) and TCM syndrome differentiation scale for dysphagia after stroke. Results after treatment, the total effective rate of the five-needle acupuncture group was 93.3% 56 / 60%, which was significantly higher than that of the basic treatment group (68.3%) and the traditional acupuncture group (81.7% / 60% P0.05); the SSAVFSS of the five-needle acupuncture group and the TCM syndrome differentiation scale score of dysphagia after stroke were higher than those of the basic treatment group and the traditional acupuncture group. The improvement was more significant (P 0.05). Conclusion Acupuncture can effectively improve dysphagia after stroke.
【作者單位】： 河南中醫(yī)藥大學(xué);河南中醫(yī)藥大學(xué)第三附屬醫(yī)院;
【基金】：河南省中醫(yī)藥大學(xué)博士科研基金項(xiàng)目(No.BSJJ2014-21)
【分類號(hào)】：R246.6

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本文編號(hào)：1802850