深刺咽部穴位对老年中风后吞咽障碍的近远期疗效.docVIP

深刺咽部穴位对老年中风后吞咽障碍的近远期疗效 　　[摘要] 目的 探讨深刺咽部穴位治疗老年中风后吞咽障碍的临床效果。 方法 将2013年9月～2014年4月于广东省人民医院住院的60例脑卒中后吞咽障碍患者随机分为治疗组与对照组，各30例，对照组采用内科治疗联合康复训练，治疗组在对照组上加深刺咽部穴位治疗，比较两组近、远期疗效。 结果 近期疗效显示，治疗后治疗组总有效率为93.3%，明显高于对照组（63.3%），差异有统计学意义（χ2=5.651，P 0.05）；随访结束评定远期疗效，治疗后治疗组标准吞咽功能评价量表（SSA）及饮水试验评分分别为（19.16±6.02）、（1.62±0.22）分，明显优于对照组[（30.37±6.81）、（2.73±0.51）分]（t = 8.276、4.143，均P 0.05）；治疗组吞咽障碍评分为（18.29±7.31）分，明显低于对照组[（30.12±6.68）分]（t = 9.137，P 0.05）；治疗组吞咽障碍特异性生活质量量表（SWAL-QOL）及改良Barthel指数（MBI）评分为（194.43±18.45）、（87.27±15.46）分，明显高于对照组[（151.23±19.86）、（70.56±16.29）分]（t = 7.365、9.224，均P 0.05）。 结论 深刺咽部穴位治疗老年中风后吞咽障碍的近远期效果明显，能明显改善患者吞咽障碍，提高生活质量，值得推广。 　　[关键词] 脑卒中；吞咽障碍；深刺法；康复训练 　　[中图分类号] R743.3 [文献标识码] A [文章编号] 1673-7210（2016）03（a）-0096-04 　　Department of Rehabilitation， Guangdong General Hospital Guangdong Academy of Medical Sciences， Guangdong Province， Guangzhou 510080， China 　　[Abstract] Objective To explore the clinical effect of throat acupuncture with long needle in the treatment of dysphagia after stroke in elderly patients. Methods Sixty patients with dysphagia after stroke hospitalized in Guangdong General Hospital from September 2013 to April 2014 were randomly divided into treatment group and control group， with 30 cases in each group. The control group was treated with internal medicine treatment combined with rehabilitation training， and the treatment group was treated with throat acupuncture with long needle on the basis of the control group. The short-term and long-term effects of the two groups were compared. Results The short-term effects showed that the total efficiency of treatment group after treatment was 93.3%， which was significantly higher than that of control group （63.3%）， the difference was statistically significant （χ2=5.651， P 　　[Key words] Stroke； Dysphagia； Acupuncture with long needle； Rehabilitation training 　　中风后吞咽障碍发生率约为45%，而误吸的中重度吞咽障碍发生率则高达33%[1-2]。目前全球已进入人口快速老龄化阶段[3]，虽然本病的发病有年轻化趋势，但还是以老年人居多，占37%～78%[4-5]，严重影响患者生活质量。针灸就是通过刺激相应腧穴，调理脏腑，运行气血，调和阴阳，达到治疗疾病的目的。