传统针刺法与深刺法对老年中风后吞咽障碍的临床疗效评价.docVIP

传统针刺法与深刺法对老年中风后吞咽障碍的临床疗效评价 　　[摘要] 目的 评价传统针刺法与深刺法对老年中风后吞咽障碍的临床疗效。 方法 选取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，将其随机分为两组，治疗组（深刺法结合康复训练）30例，对照组（传统针刺结合康复训练）30例。治疗后评价疗效，比较两组患者的X线吞咽造影检查（VFSS）评分以及洼田饮水试验评分，记录两组不良反应。 结果 治疗组总有效率为90.0%，高于对照组的80.0%，但两组总有效率比较差异无统计学意义（P 0.05）；两组治疗后洼田饮水试验评级均较治疗前显著改善（P 0.05）。 结论 深刺法结合康复训练治疗卒中后吞咽障碍效果优于传统针刺法，可有效改善患者的吞咽功能，针刺操作安全，适于进一步推广应用。 　　[关键词] 脑卒中；康复训练；吞咽障碍；深刺法；针灸 　　[中图分类号] R743 [文献标识码] A [文章编号] 1673-7210（2016）04（a）-0076-04 　　stroke in elderly patients. Methods Sixty cases of dysphagia after stroke in Guangdong General Hospital from September 2013 to April 2014 were selected， and randomly divided into two groups： the treatment group （acupuncture with long needle combined with rehabilitation training） and control group （traditional acupuncture combined with rehabilitation training）， each group with 30 cases. After treatment， the therapeutic effect was evaluated， the videofluoroscopic swallowing study （VFSS） scores， drinking water test scores of the two groups were compared， and the adverse reactions of the two groups were recorded. Results The total effective rate of treatment group was 90.0%， which was higher than that of control group （80.0%）， while there was no significant difference in efficiency between the two groups （P 0.05）. The evaluation of drinking water test in two groups after treatment were significantly improved compared with before treatment （P 0.05）. Conclusion The effect of acupuncture with long needle combined with rehabilitation training in the treatment of dysphagia after stroke is superior to the traditional acupuncture method， which can effectively improve the swallowing function of patients， has safe acupuncture operation， and it is suitable for further popularization and application. 　　[Key words] Stroke； Rehabilitation training； Dysphagia； Acupuncture with long needle； Acupuncture 　　老年人脑卒中后吞咽障碍的发生率为37%～78%[1-2]，严重影响患者的生活质量，其中很多是多次脑卒中患者，其认知、理解、接受能力较差，吞咽障碍极大地影响老年中风患者的生活质量和康复进程，延长治疗时间，增加患者的医疗负担。如何解决老年中风患者的吃饭问题是非