项丛刺对脑梗死吞咽障碍患者脑干听觉诱发电位的影响

摘要

目的:观察项丛刺对脑梗死吞咽障碍患者脑干听觉诱发电位(BAEP)的影响,探讨项丛刺疗法的作用机制.方法:将80例脑梗死吞咽障碍患者随机分为项丛刺组、对照组,项丛剌组在药物治疗基础上,取风池、天柱、完骨、廉泉、旁廉泉、金津、玉液.风池、天柱、完骨震颤进针,针向喉结,留针30 min,廉泉、旁廉泉针向舌根直刺2寸,金津、玉液点刺放血(3天1次).对照组单纯药物治疗.结果:项丛刺组的总有效率达85％,对照组总有效率77.5％.愈显率项丛刺组为70％,对照组为35％,经统计学处理,P＜0.05,两组有显著差异,可见项丛刺组的疗效明显高于对照组.从BAEP变化看,治疗后两组均有明显变化,经统计学处理,P＜0.05,组间比较亦有显著差异.结论:项丛刺疗法可以调节脑梗塞BAEP,增加脑梗死病灶局部脑血流量,改善脑缺血状态,这也是项丛刺疗法治疗脑梗塞吞咽障碍的作用机制之一.%Objective; To observe the effect of nape - aligned acupuncture on cerebral infarction patients with deglutation obstacle for brainstem auditory evoked potential, and to investigate the mechanism of nape - aligned acupuncture treatment. Methods; Eighty cerebral infarction patients with deglutation were selected and randomly allocated to nape - aligned acupuncture treatment group and control group. The control group received routine treatment, nape - aligned acupuncture treatment group added nape cluster acupuncture ( fengchi acupoint, tianzhu acupoint,wangu acupoint,lianquan acupoint, panglianquan acupoint,jijin acupoint,yuye acupoint,fengchi acupoint,tianzhu acupoint and wangu acupoint needling, adam's apple direction,remaining 30 minutes, lianquan acupoint,panglianquan acupoint,root of the tongue direction, inhalaned 2 cun,Jinjin acupoint and yuye acupoint for insertion and blood letting, once for 3 days) in addition to the treatment for control group. Results; The total effective rate of nape - aligned acupuncture treatment group was 85% ,and the total effective rate of control group was 77. 5% . Excellence ratio of nape - aligned acupuncture treatment group was 70% ,and control group was 35% ,The difference before and after the therapy was notable( P＜0.05 ). Conclusion: Nape - a-ligned acupuncture treatment can regulate the BAEP( brain - stem auditory evoked potential) of cerebral infarction , increase the RCBF of the cerebral infarction patients, improve the condition of cerebral ischemia. Therefore , the conclusion is that one of the mechanism of action of nape - aligned acupuncture treatment is to cure the deglutation obstacle of cerebral infarction patients.