针刺咽五穴治疗卒中后假性延髓麻痹吞咽困难的临床观察
Clinical Observation on the Treatment of Post-Stroke Pseudobulbar Palsy Dysphagia by Acupuncture at Five Points of Swallow Function
DOI: 10.12677/ACM.2023.13102139, PDF,   
作者: 罗婷婷：黑龙江中医药大学研究生院，黑龙江 哈尔滨；姜广明：涟水县中医院康复科，江苏 淮安
关键词: 卒中；假性延髓麻痹；吞咽困难；咽五穴；针刺疗法；Stroke； Pseudobulbar Palsy； Dysphagia； Five Points of Swallow Function； Acupuncture Therapy
摘要: 目的：比较咽五穴与廉泉三针治疗卒中后假性延髓麻痹吞咽困难的临床疗效。方法：将60例卒中后假性延髓麻痹吞咽困难的患者，按照随机数字表法分为对照组和治疗组，每组各30例，治疗组予咽五穴(舌下穴、风池、天柱、完骨、翳风)针刺治疗，对照组予廉泉三针(廉泉、夹廉泉)疗法，两个疗程后进行比较。分别选用才藤分级法、改良曼恩吞咽能力评估量表(Mann Assessment of Swallowing Ability, MASA)及吞咽障碍生活质量量表(Swallowing Quality of Life, SWAL-QOL)三种评估方法，评估治疗前、后的评级、评分变化。结果：治疗后，两组患者才藤分级法评级较治疗前有显著提高，MASA评分及SWAL-QOL评分均较治疗前有明显升高，差异具有统计学意义(P < 0.05)，且治疗组的评级和评分改善幅度均高于对照组，差异具有统计学意义(P < 0.05)。结论：针刺咽五穴能够有效改善卒中后假性延髓麻痹吞咽困难的症状，提高患者的生活质量，且疗效优于廉泉三针疗法。
Abstract: Objective: To compare the therapeutic effect of five points of swallow function and Lianquan three-needle in the treatment of post-stroke pseudobulbar palsy dysphagia. Method: The random number table method was used to divide 60 patients with post-stroke pseudobulbar palsy dyspha-gia into the treatment and control groups, with 30 cases in each group. The treatment group got acupuncture at five points of swallow function (Shexiaxue, Fengchi, Wangu, Tianzhu, Yifeng), whereas the control group got Lianquan three-needle therapy (Lianquan, Jialianquan), and com-pared after two courses of treatment. Three assessment methods were used to assess the swallow-ing ability of the swallowers, the Mann Assessment of Swallowing Ability (MASA) and the Swallow-ing Quality of Life (SWAL-QOL), respectively, were used to assess changes in ratings and scores be-fore and after treatment. Result: After treatment, Saito’s grading method was significantly higher after treatment compared to before treatment; MASA score and SWAL-QOL score in the two groups were all significantly higher after treatment compared to before treatment, and the difference was statistically significant (P < 0.05); in comparison to the control group, the ratings and scores of the treatment group were higher, and the difference was statistically significant (P < 0.05). Conclusion: Acupuncture at five points of swallow function can statistically improve the clinical symptoms of dysphagia with pseudobulbar palsy after stroke and improve the quality of life of patients, and the efficacy is better than that of Lianquan three-needle therapy.
文章引用：罗婷婷, 姜广明. 针刺咽五穴治疗卒中后假性延髓麻痹吞咽困难的临床观察[J]. 临床医学进展, 2023, 13(10): 15290-15295. https://doi.org/10.12677/ACM.2023.13102139

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