摘要
目的观察通关利窍针刺法对于脑卒中后吞咽障碍患者吞咽功能的影响。方法将91例患者随机分为针刺组46例和对照组45例。针刺组采用通关利窍针刺法,对照组采用康复训练。两组于治疗前后进行标准吞咽功能评估量表(SSA)、改良的Barthel量表(MBI)、吞咽障碍特异性生活质量量表(SWAL-QOL)、汉密尔顿抑郁量表(HAMD)评估。结果两组患者治疗后SSA、MBI、SWAL-QOL、HMAD评分均较治疗前明显改善(P<0.05);治疗后两组各量表评分比较差异均具有统计学意义(P<0.05),且针刺组治疗后各评分改善程度均明显优于对照组(P<0.05)。结论通关利窍针刺法疗效优于传统康复训练,能更有效地改善中风后吞咽障碍患者的吞咽功能、日常生活活动能力,提高生活质量,改善抑郁状态。
Objective To observe the effect of Tong Guan Li Qiao（opening orifices） needling method on the swallowing function in patients with post-stroke deglutition disorders. Method Ninety-one patients were randomized into an acupuncture group of 46 cases and a control group of 45 cases. The acupuncture group was intervened by Tong Guan Li Qiao needling method, while the control group was by rehabilitation training. The Standard Swallowing Assessment（SSA）, Modified Barthel Index（MBI）, Swallowing-related Quality of Life（SWAL-QOL） and Hamilton Depression Scale（HAMD） were adopted for evaluation before and after intervention. Result After intervention, the SSA, MBI, SWAL-QOL, and HAMD scores were significantly improved in the two groups（P〈0.05）; there were significant differences in comparing the scores between the two groups after intervention（P〈0.05）, and the improvements in the acupuncture group were more significant than that in the control group（P〈0.05）. Conclusion Tong Guan Li Qiao needling method can produce a more significant efficacy than conventional rehabilitation, by more effectively improving the swallowing function, activities of daily life, quality of life, and depression state in patients with post-stroke deglutition disorders.
出处
《上海针灸杂志》
2015年第8期721-723,共3页
Shanghai Journal of Acupuncture and Moxibustion
关键词
针刺
中风后遗症
吞咽障碍
通关利窍
脑梗死
Acupuncture
Post-stroke sequelae
Deglutition disorders
Tong Guan Li Qiao
Cerebral infarction
