针刺廉泉、天鼎穴为主治疗脑卒中后吞咽困难的疗效观察

摘要

Objective: To observe the effect of acupuncture Lian, quan and Tian, ting points on dysphagia after stroke. Methods:Sixty -two patients were randomly allocated to control group (named group A) and treatment group ( named group B ) : The group A , which was composed of 30 cases who were treated with the common acupuncture method,such as Feng chi.Yi feng.Shang lian quan, Jin jin,Yu ye,Yan hou bi,Shui gou,Tong li points; The group B, comprised 32 patients treated with the acupuncture lian quan, Tian ding, Feng chi, Yi feng,Shang lian quan,Jin jin,Yu ye,Yan hou bi,Shui gou,Tong li points. Adopting Kubota drinking water test and Expectoration function test to evalute the swallowing function. Results: Swallowing function in each group after treatment than before treatment were significantly improved (P < 0. 05 ). Group B is better than group A after treatment and in the total effective rate(P <0.05). Conclusion: lian quan and Tian ding points combined with conventional acupuncture in the treatment of dysphagia after stroke was better than conventional acupuncture only. It is a better method for the treatment of dysphagia after stroke.%目的:观察针刺廉泉、天鼎穴对脑卒中后吞咽困难的疗效.方法:采用随机对照法将符合纳入标准的62例患者分为2组:A组（30例）:针刺风池、翳风、上廉泉、金津、玉液、咽后壁、水沟、通里.B组（32例）:针刺廉泉、天鼎、风池、翳风、上廉泉、金津、玉液、咽后壁、水沟、通里.采用洼田饮水试验和咯痰功能计分进行吞咽功能疗效评估.结果:治疗后各组吞咽功能较治疗前均有明显改善(P＜0.05),治疗后B组优于A组(P＜0.05).A、B两组总有效率比较,B组优于A组(P＜0.05).结论:针刺廉泉、天鼎穴结合常规穴位治疗脑卒中后吞咽困难的疗效佳,且优于针刺常规穴位,是治疗脑卒中后吞咽困难的较好方法之一.