[1]于 眉,李玉波,李 玲,等.醒脑开窍针刺法治疗颅脑损伤吞咽障碍临床研究*[J].陕西中医,2020,(11):1661-1664.[doi:DOI:10.3969/j.issn.1000-7369.2020.11.038]
　YU Mei,LI Yubo,LI Ling,et al.Clinical study on Xingnao Kaiqiao acupuncture for treatment of dysphagia due to craniocerebral injury[J].,2020,(11):1661-1664.[doi:DOI:10.3969/j.issn.1000-7369.2020.11.038]
点击复制

醒脑开窍针刺法治疗颅脑损伤吞咽障碍临床研究*
分享到：

《陕西中医》[ISSN:1000-7369/CN:61-1281/TN]

卷:
期数:
2020年11期
页码:
1661-1664
栏目:
针灸经络
出版日期:
2020-11-05

文章信息/Info

Title:
Clinical study on Xingnao Kaiqiao acupuncture for treatment of dysphagia due to craniocerebral injury
作者:
于 眉1; 李玉波2; 李 玲1; 王颖超1; 杨 敏1; 裴明明1
1.北京航天总医院中医科(北京 100076); 2.中国中医科学院中医基础理论研究所(北京 100070)
Author(s):
YU Mei; LI Yubo; LI Ling; et al.
Department of TCD,Beijing Aerospace General Hospital(Beijing 100076)
关键词:
颅脑损伤;  吞咽障碍;  针灸;  醒脑开窍法;  炎性细胞因子;  血液流变学
Keywords:
Craniocerebral injury;  Dysphagia;  Acupuncture;  Xingnao Kaiqiao method;  Inflammatory cytokines;  Hemorheology
分类号:
R651.15
DOI:
DOI:10.3969/j.issn.1000-7369.2020.11.038
文献标志码:
A
摘要:
目的:探讨醒脑开窍针刺法治疗颅脑损伤吞咽障碍的临床疗效。方法:选取颅脑损伤吞咽障碍患者85例,按照随机数字表法分成两组,对照组患者42例仅行常规治疗方案,观察组43例在对照组基础上联合醒脑开窍针刺治疗,两组患者均连续治疗4周,对比两组患者治疗前后血液流变学指标、细胞炎性因子水平和饮水试验的变化情况。结果:观察组总有效率为86.05%,高于对照组的66.67%(χ2=4.435,P<0.05); 治疗前组间吞咽障碍评分比较,差异无统计学意义(P>0.05),治疗后两组吞咽障碍评分均升高,观察组高于对照组(P<0.05)。治疗后观察组全血黏度(WBV)、红细胞沉降率(ESR)、红细胞聚集指数(EAI)降幅及红细胞变形指数(EDI)增幅均优于对照组(P<0.05); 治疗后观察组血清C-反应蛋白(CRP)、白细胞介素-6(IL-6)降幅优于对照组,组间比较,差异有统计学意义(P<0.05)。结论:醒脑开窍针法治疗颅脑损伤吞咽障碍效果显著,可更好的缓解患者血液流变学指标、细胞炎性因子水平,改善患者的临床症状。
Abstract:
Objective:To explore the clinical value of Xingnao Kaiqiao acupuncture in treating dysphagia due to craniocerebral injury.Methods:85patients with dysphagia due to craniocerebral injury were divided into two groups according to the random number table method.The control group of 42 patients underwent routine treatment only,and the observation group of 43 patients was combined with Xingnao Kaiqiao acupuncture treatment,and the two groups of patients were treated for 4 weeks.The changes of blood rheology indexes,inflammatory factors and drinking water test before and after treatment were compared between the two groups.Results:The total effective rate in the observation group was 86.05%,higher than that in the control group(χ2 = 4.435,P<0.05); after treatment,the observation group had a whole blood viscosity(WBV),red blood cell sedimentation rate(ESR),and red blood cell aggregation index(EAI).The decrease rate and the increase of red blood cell deformation index(EDI)were significantly better than those in the control group(P<0.05).Conclusion:Xingnao Kaiqiao acupuncture has a significant effect on craniocerebral injury and dysphagia,which can better relieve the patient's blood rheology indexes and cellular inflammatory factor levels and improve the patient's clinical symptoms.

参考文献/References:

[1] 俞茗文,万 萍.脑损伤后咽期吞咽障碍的康复治疗研究进展[J].中国康复,2017,32(6):518-521.
[2] 王玉珏,戴 萌,卫小梅,等.获得性脑损伤气管切开患者上气道压力重塑对其吞咽功能的影响[J].中华物理医学与康复杂志,2017,39(12):918-921.
[3] 高 翔,李水琴,韩雪萍,等.针刺“三廉泉”为主治疗急性期脑卒中后吞咽障碍的临床观察[J].陕西中医,2016,37(6):728-730.
[4] 陈惜珠,袁仕国.呼吸功能训练对脑卒中吞咽障碍患者吞咽功能的恢复作用[J].解放军预防医学杂志,2018,36(5):687-688.
[5] Lombardo S,Millar D,Jurkovich GJ,et al.Factor VIIa administration in traumatic brain injury:an AAST-MITC propensity score analysis[J].Trauma Surgery & Acute Care Open,2018,3(1):134.
[6] 苏淑娟,李朝健,林 任,等.涤痰汤合通窍活血汤联合吞咽功能训练对脑梗死后吞咽障碍的临床疗效[J].中华中医药学刊,2018,36(7):1786-1788.
[7] 王星淳.脑卒中后吞咽障碍患者神经肌肉电刺激与吞咽功能训练联合治疗效果分析[J].山西医药杂志,2019,48(20):2492-2494.
[8] 马军廷,袁 燕.标准吞咽功能评估下吞咽康复训练对脑卒中吞咽功能障碍患者康复效果的影响[J].中国医药导报,2018,15(17):56-60,64.
[9] 陈美芳,吴月峰,黄春华.危机管理模式结合传统外伤急救护理对急诊颅脑外伤患者的应用效果[J].中华全科医学,2019,17(4):693-695.
[10] Smith EE,Kent DM,Bulsara KR,et al.Effect of dysphagia screening strategies on clinical outcomes after stroke:a systematic review for the 2018 guidelines for the early management of patients with acute ischemic stroke [J].Stroke,2018,49(3):140.
[11] Morrell K,Hyers M,Stuchiner T,et al.Telehealth stroke dysphagia evaluation is safe and effective[J].Cerebrovascular Diseases,2017,44(34):225-231.
[12] 周海文,张 虎.深层咽肌神经刺激配合醒脑开窍针治疗脑卒中后咽期吞咽障碍临床研究[J].国际中医中药杂志,2018,40(1):14-17.
[13] 张 曼,李春梅.醒脑开窍针刺法联合冰刺激治疗中风后吞咽障碍临床研究[J].针灸临床杂志,2018,34(6):27-30.
[14] 卢建丽,韩振萍,马 将,等.醒脑开窍针刺法联合功能训练治疗脑卒中后吞咽困难的疗效及对日常生活能力的影响[J].针灸临床杂志,2019,11(9):23-26.
[15] Habib PO,Green RE,George M.Characterization of balance control after moderate to severe traumatic brain injury:a longitudinal recovery study[J].Physical Therapy,2018,98(9):786-795.
[16] 黄 黎,宋 梅.脑卒中后吞咽障碍与预后的评估研究[J].陕西医学杂志,2017,46(9):1198-1199.
[17] 胡家墙,胡洪涛,秦桂芳.辨证论治配合针灸对重度颅脑损伤患者术后肢体功能和认知功能的影响[J].四川中医,2018,36(7):186-190.
[18] Martin M,Elisabeth M,Schwab KA,et al.Defense and veterans brain injury center:the first 25 years[J].Journal of Head Trauma Rehabilitation,2018,33(2):73.
[19] Marcus HJ,Paine H,Sargeant M,et al.Vestibular dysfunction in acute traumatic brain injury[J].Journal of Neurology,2019,266(10):2430-2433.
[20] Massaro AN,Wu YW,Bammler TK,et al.Plasma biomarkers of brain injury in neonatal hypoxic-ischemic encephalopathy[J].J Pediatrics,2018(194):67-75.

相似文献/References:

[1]李 媛,赵正恩,张少军,等.针灸结合咽部冰刺激训练治疗脑卒中后吞咽障碍临床研究*[J].陕西中医,2020,(2):238.
　LI Yuan,ZHAO Zhengen,ZHANG Shaojun,et al.Clinical study on the treatment of dysphagia after stroke with acupuncture combined with pharyngeal ice stimulation[J].,2020,(11):238.
[2]张晓霞,杨 峥△,赵 亭.风三针治疗中风后吞咽障碍临床研究*[J].陕西中医,2020,(10):1504.[doi:DOI:10.3969/j.issn.1000-7369.2020.10.046]
　ZHANG Xiaoxia,YANG Zheng,ZHAO Ting..The clinical effect of “three wind needles” in patients with dysphagia after stroke[J].,2020,(11):1504.[doi:DOI:10.3969/j.issn.1000-7369.2020.10.046]
[3]杨栋栋,李 娜,吕新峰.靶向针刺法配合背俞穴埋线治疗老年性痴呆合并吞咽障碍临床研究[J].陕西中医,2021,(7):954.[doi:DOI:10.3969/j.issn.1000-7369.2020.07.039]
[4]耿久军,高杨阳,曹 斌,等.电针治疗卒中后吞咽障碍疗效Meta分析[J].陕西中医,2021,(12):1814.[doi:DOI:10.3969/j.issn.1000-7369.2020.12.042]
[5]曹久冬,吕学玉,霍 然.眼针治疗脑卒中及其并发症研究进展[J].陕西中医,2021,(12):1819.[doi:DOI:10.3969/j.issn.1000-7369.2020.12.043]
　CAO Jiudong,LV Xueyu,HUO Ran.Research progress of eye acupuncture in the treatment of stroke and its complications[J].,2021,(11):1819.[doi:DOI:10.3969/j.issn.1000-7369.2020.12.043]
[6]刘 静,惠振亮,齐玉洁,等.针刺联合中药棒冰刺激治疗卒中后吞咽障碍临床研究[J].陕西中医,2022,(5):658.[doi:DOI:10.3969/j.issn.1000-7369.2022.05.027]
　LIU Jing,HUI Zhenliang,QI Yujie,et al.Clinical study of acupuncture combined with traditional Chinese medicine popsicle stimulation on dysphagia after stroke[J].,2022,(11):658.[doi:DOI:10.3969/j.issn.1000-7369.2022.05.027]
[7]马 月,曹 奕,汪 瑛,等.电针夹廉泉联合点刺金津玉液干预脑卒中后吞咽功能障碍临床观察[J].陕西中医,2023,(9):1302.[doi:DOI:10.3969/j.issn.1000-7369.2023.09.034]
[8]李宏伟,王 栩,樊 颖,等.“深刺纳阳”针法联合中频电脑治疗仪治疗卒中后患者吞咽障碍疗效观察[J].陕西中医,2024,(4):554.[doi:DOI:10.3969/j.issn.1000-7369.2024.04.027]
　LI Hongwei,WANG Xu,FAN Ying,et al.Effect of “deep needling and yang absorption” acupuncture combined with medium frequency computer therapy instrument in treating post-stroke dysphagia[J].,2024,(11):554.[doi:DOI:10.3969/j.issn.1000-7369.2024.04.027]
[9]杨开洋,时素华,宋 萌.电针联合通督益脑化痰汤治疗脑卒中后口咽期吞咽障碍临床研究[J].陕西中医,2024,(10):1415.[doi:DOI:10.3969/j.issn.1000-7369.2024.10.027]
　YANG Kaiyang,SHI Suhua,SONG Meng.Clinical study of electro-acupuncture combined with Tongdu Yinao Huatan decoction in the treatment of dysphagia in oropharyngeal stage after stroke[J].,2024,(11):1415.[doi:DOI:10.3969/j.issn.1000-7369.2024.10.027]
[10]梁子晗,程淑贤,张苗苗,等.针刺联合咽部冰刺激治疗卒中后吞咽障碍研究进展[J].陕西中医,2024,(10):1435.[doi:DOI:10.3969/j.issn.1000-7369.2024.10.032]
　LIANG Zihan,CHENG Shuxian,ZHANG Miaomiao,et al.Progress of acupuncture combined with pharyngeal ice stimulation in treating post-stroke dysphagia[J].,2024,(11):1435.[doi:DOI:10.3969/j.issn.1000-7369.2024.10.032]

备注/Memo

备注/Memo:
*国家自然科学基金资助项目(81603417)
更新日期/Last Update: 2020-11-09