摘要
目的观察芒针透刺联合毫针针刺治疗中风后吞咽障碍的临床疗效,并观察对血氧饱和度、吞咽功能及其营养状况的影响。方法将57例中风后吞咽障碍患者随机分为针刺组(18例)、康复组(20例)和药物组(19例)。3组均采用基础治疗,药物组予以单唾液酸四己糖神经节苷脂(GM1)静滴;康复组采用常规吞咽康复治疗;针刺组采用芒针透刺联合毫针针刺。观察3组治疗前、治疗2周后、治疗后及治疗后6个月随访洼田饮水试验前后脉冲血氧饱和度、标准吞咽功能评价量表(SSA)评分、血清白蛋白和前白蛋白的水平变化,并比较3组临床疗效。结果3组治疗2周后、治疗后及随访,洼田饮水试验前后脉冲血氧饱和度下降值和SSA评分均降低(P<0.05),且针刺组低于康复组及药物组(P<0.05);3组治疗后及随访,血清白蛋白及前白蛋白水平均上升(P<0.05),且针刺组高于康复组及药物组(P<0.05)。针刺组总有效率为94.4%,高于康复组及药物组的90.0%和84.2%(P<0.05)。结论在基础治疗基础上,芒针透刺联合毫针针刺可有效改善中风后吞咽障碍患者的吞咽功能和营养状况。
Objective To observe the clinical efficacy of penetrating acupuncture with elongated needles plus acupuncture with filiform needles on blood oxygen saturation,swallowing function and nutritional status in post-stroke patients with dysphagia.Method Fifty-seven post-stroke patients with dysphagia meeting the criteria were randomized to acupuncture(18 cases),rehabilitation(20 cases)and medication(19 cases)groups.The three groups were all given basic treatment.The medication group received intravenous drip of monosialotetrahexose ganglioside(GM1);the rehabilitation group,conventional swallowing rehabilitation;the acupuncture group,penetrating acupuncture with elongated needles plus acupuncture with filiform needles.Decrease value of pulse blood oxygen saturation before and after water swallow test,the standardized swallowing assessment(SSA)score,and serum albumin and prealbumin levels were observed in the three groups before the treatment,after two weeks of the treatment,after the treatment and follow-up.The clinical efficacy was compared among the three groups.Result After two weeks of the treatment,after the treatment and follow-up,decrease value of pulse blood oxygen saturation before and after water swallow test and the SSA score decreased in the three groups(P<0.05)and were lower in the acupuncture group than in the rehabilitation and medication groups(P<0.05).After the treatment and follow-up,serum albumin and prealbumin levels increased in the three groups(P<0.05)and were higher in the acupuncture group than in the rehabilitation and medication groups(P<0.05).The total efficacy rate was 94.4%in the acupuncture group,which was higher than 90.0%in the rehabilitation group and 84.2%in the medication group(P<0.05).Conclusion Penetrating acupuncture with elongated needles plus acupuncture with filiform needles based on basic treatment can effectively improve swallowing function and nutritional status in post-stroke patients with dysphagia.
作者
程红亮
薛晓婕
胡培佳
柳星
苏星星
赵建军
黄萃
CHENG Hongliang;XUE Xiaojie;HU Peijia;LIU Xing;SU Xingxing;ZHAO Jianjun;HUANG Cui(The Second Affiliated Hospital of Anhui University of Chinese Medicine,Hefei 230000,China;The Third the People’s Hospital of Bengbu,Bengbu 233000,China;Clinical Research Institute of Acupuncture and Moxibustion,Anhui University of Chinese Medicine,Hefei 230038,China;The Second People’s Hospital of Lu’an City,Lu’an 237000,China)
出处
《上海针灸杂志》
2022年第9期895-901,共7页
Shanghai Journal of Acupuncture and Moxibustion
基金
安徽省重点研究和开发计划项目(1804h08020288)
安徽省卫生健康委重点项目(AHWJ2021a020)。
关键词
针刺疗法
针药并用
巨针疗法
透针
中风后遗症
吞咽障碍
标准吞咽功能评价量表
Acupuncture therapy
Acupuncture and medication combined
Big needle therapy
Penetrating acupuncture
Post-stroke sequelae
Dysphagia
Standardized swallowing assessment
