[1]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):658-661.[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,(5):658-661.[doi:DOI:10.3969/j.issn.1000-7369.2022.05.027]
点击复制

针刺联合中药棒冰刺激治疗卒中后吞咽障碍临床研究
分享到：

《陕西中医》[ISSN:1000-7369/CN:61-1281/TN]

卷:
期数:
2022年5期
页码:
658-661
栏目:
针灸经络
出版日期:
2022-05-05

文章信息/Info

Title:
Clinical study of acupuncture combined with traditional Chinese medicine popsicle stimulation on dysphagia after stroke
作者:
刘 静; 惠振亮; 齐玉洁; 阮绍萍; 吴鹏亮; 徐海青; 陈 均
(陕西省中医医院,陕西 西安 710003)
Author(s):
LIU Jing; HUI Zhenliang; QI Yujie; RUAN Shaoping; WU Pengliang; XU Haiqing; CHEN Jun
(Shaanxi Provincial Hospital of Traditional Chinese Medicine,Xi'an 710003,China)
关键词:
卒中;  吞咽障碍;  针刺;  中药棒冰;  刺激;  标准吞咽功能评价量表
Keywords:
Stroke;  Dysphagia;  Acupuncture;  Chinese medicine popsicle;  Stimulation;  SSA
分类号:
R 255.2
DOI:
DOI:10.3969/j.issn.1000-7369.2022.05.027
文献标志码:
A
摘要:
目的:观察针刺联合中药棒冰刺激治疗卒中后吞咽障碍的临床疗效。方法:将脑卒中后吞咽困难患者60例,使用随机数字表法分为治疗组和对照组各30例。对照组给予卒中内科基础治疗,配合吞咽功能康复治疗; 治疗组在此基础上采用针刺联合中药棒冰刺激治疗,均治疗1个月。比较两组患者治疗前后的洼田饮水试验(WST)等级、标准吞咽功能评价量表(SSA)评分、临床疗效、吸入性肺炎发生率和胃管留置时间。结果:两组患者吞咽功能均得到了改善,但治疗组效果优于对照组,两组比较,差异具有统计学意义(P<0.05)。结论:针刺联合中药棒冰刺激治疗卒中后吞咽障碍,能显著改善患者的吞咽功能,降低并发症,提高生活质量。
Abstract:
Objective:To observe the clinical effect of acupuncture combined with traditional Chinese medicine popsicle stimulation on dysphagia after stroke.Methods:A total of 60 patients with dysphagia after stroke were divided into treatment group and control group with 30 cases in each group by random number table method.The control group was given basic medical treatment of stroke and rehabilitation of swallowing function.The treatment group received acupuncture combined with traditional Chinese medicine popsicle stimulation for one month.The WST grade,SSA score,clinical efficacy,incidence of aspiration pneumonia and indwelling time of gastric tube were compared between the two groups before and after treatment.Results:The swallowing function was improved in both groups,but the curative effect of the treatment group was better than control group,with statistical significance(P<0.05).Conclusion:Acupuncture combined with traditional Chinese medicine popsicle stimulation in the treatment of post-stroke dysphagia can significantly improve the swallowing function of patients,reduce complications,improve the quality of life,safe and reliable.

参考文献/References:

[1] 宇传华,罗丽莎,李 梅,等.从全球视角看中国脑卒中疾病负担的严峻性[J].公共卫生与预防医学,2016,27(1):1-5.
[2] 王 佳,沈卫东.头针、舌针联合康复训练治疗脑卒中后吞咽障碍疗效研究[J].陕西中医,2019,40(12):1774-1777.
[3] 王晓慧,李 磊,刘永丽,等.天突配膻中电艾灸对脑卒中后吞咽障碍患者吞咽功能影响[J].长春中医药大学学报,2019,35(6):1194-1196.
[4] 王海过,刘 红,吕清霞.维生素C酸刺激治疗脑损伤后吞咽障碍疗效观察[J].陕西医学杂志,2016,45(2):233-234.
[5] 汪 稳,奚文举,楼 慧,等.脑卒中后吞咽障碍患者的醒脑开窍针刺疗法结合吞咽功能康复训练的临床研究[J].辽宁中医杂志,2021,48(3):179-182.
[6] 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,2021,42(12):1814-1818.
[7] 王 欢,周鸿飞,李春日,等.针刺结合康复训练治疗脑卒中后吞咽障碍Meta分析[J].针灸临床杂志,2019,35(10):75-81.
[8] 杨飞飞.通络开窍针法联合吞咽康复训练治疗卒中后吞咽困难临床观察[J].实用中医药杂志2021,37(4):690-692.
[9] 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,2020,41(2):238-240.
[10] 中华医学会神经病学分会,中华医学会神经病学分会脑血管病学组.中国急性脑卒中临床研究规范共识2018[J].中华神经科杂志,2018,51(4):247-255.
[11] 周义杰,胡启洋,韦华军,等.通关散药棒对卒中后吞咽障碍患者吞咽功能的影响[J].江西中医药,2018,49(25):37-39.
[12] 吕 静,尤 路.解语丹加减配合言语训练治疗中风后失语风痰瘀阻证临床观察[J].陕西中医,2019,40(11):1531-1533.
[13] 赵红娟,吕计宝.壮医药线点灸结合针刺治疗中风后吞咽障碍患者临床观察[J].云南中医中药杂志,2021,42(5):60-63.
[14] 陈 可.针灸联合中药冰刺激治疗脑卒中吞咽障碍疗效及安全性分析[J].陕西中医,2019,40(12):1782-1785.
[15] 温泽迎,张海宇.荧光吞咽造影定量分析在针刺联合康复训练治疗脑卒中后吞咽障碍疗效观察中的应用研究[J].中国临床医学影像杂志,2019,30(8):533-536.
[16] 孙龚卫,杨 柳,孙小星.高频rTMS作用健侧半球吞咽皮质代表区联合吞咽康复训练治疗脑卒中后吞咽障碍的临床研究[J].中国康复,2022,37(1):7-11.
[17] 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.
[18] 李红睿,徐 磊,范连彬,等.醒脑开窍针法联合神经肌肉电刺激治疗脑卒中后吞咽障碍的疗效观察[J].中华全科医学,2020,18(9):1563-1565.
[19] 闫志刚.针灸联合中医康复训练治疗脑卒中吞咽障碍的疗效分析[J].当代医学,2021,27(3):123-124.
[20] 黄 坤,李 洋.针灸治疗卒中后吞咽困难临床疗效[J].实用中医内科杂志,2019,33(6):53-55.
[21] 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,2021,42(7):954-957.

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,(5):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,(5):1504.[doi:DOI:10.3969/j.issn.1000-7369.2020.10.046]
[3]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.[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,(5):1661.[doi:DOI:10.3969/j.issn.1000-7369.2020.11.038]
[4]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]
[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,(5):1819.[doi:DOI:10.3969/j.issn.1000-7369.2020.12.043]
[6]刘会军,马云枝,兰 瑞,等.马云枝治疗寒湿(痰)型卒中相关性肺炎经验[J].陕西中医,2023,(5):629.[doi:DOI:10.3969/j.issn.1000-7369.2023.05.021]
[7]曹 勇,韩新源,李 晴.靳三针肩三针加减治疗卒中后肩手综合征临床研究[J].陕西中医,2023,(8):1137.[doi:DOI:10.3969/j.issn.1000-7369.2023.08.033]
　CAO Yong,HAN Xinyuan,LI Qing.Clinical effect of modified Jin's three-needle and shoulder three-needle therapy in the adjuvant treatment of shoulder-hand syndrome after stroke[J].,2023,(5):1137.[doi:DOI:10.3969/j.issn.1000-7369.2023.08.033]
[8]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]
[9]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,(5):554.[doi:DOI:10.3969/j.issn.1000-7369.2024.04.027]
[10]林梦萱,姜海伦,邓士哲,等.浅析针刺治疗卒中后失语研究进展[J].陕西中医,2024,(8):1147.[doi:DOI:10.3969/j.issn.1000-7369.2024.08.031]
[11]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]
[12]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,(5):1435.[doi:DOI:10.3969/j.issn.1000-7369.2024.10.032]

备注/Memo

备注/Memo:
基金项目:陕西省重点研发计划项目(2021SF-371)
更新日期/Last Update: 2022-05-09