首页|针刺脾经组穴对中风后吞咽障碍康复治疗促进作用观察

针刺脾经组穴对中风后吞咽障碍康复治疗促进作用观察

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目的:观察针刺脾经组穴(太白、商丘)对中风后吞咽障(Dysphagia after stroke,DAS)康复治疗疗效的促进作用.方法:将 60 例DAS患者随机分为试验组、对照组,各 30 例,两组均予以常规针刺治疗及吞咽康复训练,试验组结合针刺脾经组穴(太白、商丘).两组均每周 针刺治疗 6 次,4 周为 1 个疗程,1 个疗程结束后评定疗效.比较治疗前后两组患者洼田饮水试验评分、血红蛋白、白蛋白、中医症候积分、临床疗效.结果:治疗后,两组患者洼田饮水试验评分均较治疗前降低(P<0.001),且试验组组优于对照组(P=0.001<0.01);两组患者血红蛋白值均较治疗前上升,试验组优于对照组(P=0.01<0.05);两组白蛋白值均较治疗前上升,试验组优于对照组(P=0.01<0.05);两组中医症候积分均较治疗前改善,试验组优于对照组(倦怠乏力:Z=1.162,P=0.032<0.05;面色萎黄:Z=1.212,P=0.007<0.05);治疗后试验组临床治愈率明显高于对照组,差异有统计学意义.结论:针刺脾经组穴能有效提升DAS的吞咽能力,提高患者的营养水平.
A Clinical Study on the Treatment of Dysphagia after Stroke by Acupuncture at the Points of the Spleen Channel
Objective:Observing the Clinical Efficacy of Acupuncture at Points on the Spleen Meridians for Treat-ing Dysphagia after Stroke(DAS).Methods:60 DAS patients were randomly divided into the trial group and the control group,30 cases each.Both groups were treated with conventional acupuncture and swallowing rehabilitation,the experi-mental group combined with acupuncture of a group of acupuncture points in the spleen meridian(Taibai,Shangqiu).Both groups were treated with acupuncture 6 times per week,4 weeks for 1 course of treatment,efficacy was assessed at the end of 1 course of treatment.The drinking water test in the depression test score,hemoglobin,albumin,TCM symp-tom score and clinical efficacy of the two groups before and after treatment were compared.Results:After treatment,the scores of the drinking water test in the depression of the two groups of patients were lower than before treatment(P<0.001),and the experimental group was better than the control group(P=0.001<0.01);the hemoglobin values of both groups of patients were higher than before treatment,and the experimental group was better than the control group(P=0.01<0.05);the albumin values of both groups of patients were higher than before treatment,and the experimental group was better than the control group(P=0.01<0.05);The points of both groups of traditional Chinese medicine symp-toms improved compared with before treatment,and the experimental group was better than the control group(Fatigue:Z=1.162,P=0.032<0.05;Sallow complexion:Z=1.212,P=0.007<0.05);The clinical cure rate of the experimental group after treatment was significantly higher than that of the control group,and the difference was statistically significant.Conclusion:A group of acupuncture points for the spleen meridians can effectively improve the swallowing ability of DAS and improve the nutritional level of patients.

The acupoint of the spleen meridiansStrokeSwallowing disorders

苏星星、汪庆庆、叶宇、赵建军、张菊红、程红亮

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安徽中医药大学第二附属医院 安徽 合肥 230061

安徽中医药大学 安徽 合肥 230000

合肥佰惠医院 安徽 合肥 230000

合肥工业大学医院 安徽 合肥 230000

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脾经组穴 中风 吞咽障碍

2024

中医药临床杂志
中华中医药学会

中医药临床杂志

影响因子:0.636
ISSN:1672-7134
年,卷(期):2024.36(11)