| 引用本文: |
刘桐言,赵宁,刘家庆,石磊,余雨荷,李春镇,张泓,陆琳.舌三针配合颞三针治疗脑卒中后吞咽障碍的临床观察[J].湖南中医药大学学报,2019,39(4):516-519[点击复制] |
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| 舌三针配合颞三针治疗脑卒中后吞咽障碍的临床观察 |
| 刘桐言,赵宁,刘家庆,石磊,余雨荷,李春镇,张泓,陆琳 |
| (湖南中医药大学针灸推拿学院, 湖南 长沙 410208;深圳市南山区人民医院, 广东 深圳 518000) |
| 摘要: |
| 目的 观察针刺舌三针结合颞三针治疗脑卒中后吞咽障碍的临床疗效。方法 选取在深圳市南山区人民医院康复医学科住院的脑卒中后吞咽障碍患者60例，随机分为治疗组和对照组各30例。治疗组予以针刺舌三针配合颞三针治疗，对照组予以传统针刺治疗，两组均给予基本药物治疗和吞咽功能训练，疗程2周，观察治疗前后洼田饮水试验及功能性经口摄食量表的等级变化，对比临床疗效。结果 治疗后两组间洼田饮水试验、功能性经口摄食量表分级比较，差异均有统计学意义（P<0.05）；治疗组有效率93.33%，优于对照组73.34%（P<0.05）。结论 在基本药物治疗和吞咽功能训练治疗基础上，综合运用舌三针结合颞三针治疗脑卒中后吞咽障碍患者，能提高疗效，值得推广应用。 |
| 关键词: 脑卒中 吞咽障碍 舌三针 颞三针 洼田饮水试验 功能性经口摄食量表 |
| DOI：10.3969/j.issn.1674-070X.2019.04.017 |
| 投稿时间：2018-08-16 |
| 基金项目:国家自然科学基金面上项目（81473753）；广东省深圳市卫生计生系统科研项目（SZXJ2017072）；深圳市南山区科技计划项目（2017012）；深圳市南山区科技计划项目（2017009） |
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| Clinical Observation on Tongue Three-needle Combined with Temporal Three-needle in Patients with Dysphagia after Stroke |
| LIU Tongyan,ZHAO Ning,LIU Jiaqing,SHI Lei,YU Yuhe,Li Chunzhen,ZHANG Hong,LU Lin |
| (College of Acupuncture and Moxibustion, Hunan University of Chinese Medicine, Changsha, Hunan 410208, China;Shenzhen Nanshan People's Hospital, Shenzhen, Guangdong 518000, China) |
| Abstract: |
| Objective To observe the efficacy of tongue three-needle combined with temporal three-needle in patients with dysphagia after stroke. Methods A total of 60 cases of post-stroke dysphagia patients were selected in the rehabilitation medicine department of the Shenzhen Nanshan People's Hospital. The patients were randomly divided into the control group and the treatment group, with 30 cases in each group. The treatment group was applied with the tongue three-needle and temporal three-needle, while the control group was received the traditional acupuncture. The two groups were given the basic treatment combined with deglutition training, and the course of treatment was 2 weeks. The water swallow test and Functional Oral Intake Scale (FOIS) before and after treatment were observed. The clinical efficacy before and after the treatment was compared. Results After treatment, the water swallow test and FOIS in the two groups were statistically significant. The effective rate in the treatment group was 93.33%, which was better than 73.34% in the control group (P<0.05). Conclusion On the basis of the basic drug treatment and deglutition training, the tongue three-needle combined with temporal three-needle can improve the curative effect in treating patients with dysphagia after stroke, which is worthy of popularization and application in clinic. |
| Key words: stroke dysphagia tongue three-needle temporal three-needle water swallow test functional oral intake scale |
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