不同针刺介入时机与脑梗死后真性延髓麻痹疗效相关性的临床研究

摘要

Objective:To evaluate the effect of correlation between acupuncture occasion and true bulbar paral-ysis after cerebral infarction from the aspects of swallowing function improvement and electrophysiology.Meth-ods:According to the different acupuncture points in time, we selected 120 patients with true bulbar paralysis after cerebral infarction.Divide them into group A: the incidence of 1 month;group B:the incidence of 2~6 months;group C:above the onset of 6 months,with 30 patients in each group.By the method of Nape needle combined with pharyngeal needle prick,before and after treatment evaluate patients in three groups according to swallowing function,and determinate flow velocity of vertebral basilar artery by Transcranial Doppler (TCD). Results:Nape needle combined with pharyngeal needle prick was capable of improving the swallowing function among genuine bulbar paralysis patients after cerebral infarction, improving the blood flow of vertebral-basilar artery, and group A was better than group B and group C.Conclusion:Acupuncture combined with pharyngeal needle prick certainly has a curative effect in the treatment of cerebral infarction,the sooner the treatment was conducted,the better the effect it may have, and it has a correlation with acupuncture intervention time.%目的：从吞咽功能改善及电生理角度评价不同针刺介入时机与脑梗死后真性延髓麻痹疗效相关性。方法：选取120例脑梗死后真性延髓麻痹患者，根据不同的针刺介入时间点分为A组：发病1个月内；B组：发病2～6个月；C组：发病6个月以上，每组各30例。通过项针结合咽针速刺的治疗方法，分别对3组在治疗前后进行吞咽功能评价，并采用经颅多普勒超声（ TCD）测定椎－基底动脉的血流情况。结果：项针结合咽针速刺的治疗方法能有效改善脑梗死后真性延髓麻痹患者的吞咽功能，改善椎－基底动脉的血流情况，且A组优于B组、C组。结论：项针结合咽针速刺治疗脑梗死后真性延髓麻痹疗效肯定，越早介入针刺治疗疗效越好，与针刺介入时机有相关性。