何天有教授“靶向针刺法”治疗中风后吞咽障碍的临床研究-中医针灸学专业论文.docxVIP

何天有教授治疗中风病的学术经验及“靶向针刺法”治疗中风后吞咽障碍的临床研究 PAGE PAGE 10 ABSTRACT Objective: To evaluation the treatment effect of professor He Tian-you’s “Targeting Acupuncture” method treating post-stroke dysphagia, and seeking the better treating method for post-stroke dysphagia. Methods: 80 patients according to the standard were randomly divided into 2 groups, 40 cases in each group. On the basis of swallowing training, the “Target acupuncture” method and the therapeutic apparatus of swallowing obstacle were given respectively. Monday to Friday 1 times a day, Rest on Saturday and Sunday, 5 times a week, 20 times (4 weeks) is 1 course. The VF was evaluated at the beginning and the end of the treating course. Results: The 2 group both have significant effects (P0.01), There was no significant difference in total efficiency (P0.05), However, the acupuncture group in the cure rate (P0.01) and swallowing score (P0.05) was superior to the therapeutic apparatus of swallowing obstacle group. Conclusion: The “Target acupuncture” combined with swallowing training can improve the swallowing function of the patients with post-stroke dysphagia, and the effect is better than that of the therapeutic apparatus of swallowing obstacle. Key words: Professor He Tian-you; “Target acupuncture”; Dysphagia; Clinical observation 缩略词表 英文缩写 英文全称 中文全称 Ashworth 肌痉挛评定 BBS Berg Balance Scale Berg 平衡量表评定标准 Fugl-Meyer 运动功能评分 MBI Modified Barthel index 改良巴氏指数评定表 NIHSS National Institutes of Health Stroke Scale 美国国立卫生院研究院卒中量表 RSST Repetitive saliva swallowing test 反复唾液吞咽试验 VE Video endoscopy 电视内窥镜检查法 VF Video fluorognaphy 电视荧光镜检查评定法 1 师承的背景 第一部分 课题来源及立题依据 名老中医是中医学术造诣深、临床水平高的一个群体，是将我国中医基础理论与前 人经验及临床实践经验相结合的典范。名老中医的临床经验和学术思想是中医药薪火相 传的主轴，也是我国中医药事业创新发展的源泉[1]。为了整理、继承和创新这些老中医 药专家的学术思想、学术经验和技术专长，为了中医事业薪火相传，造就高次中医药人 才，国家启动了全国老中医药专家学术继承工作。 何天有，男，1953 年 4 月生，毕业于北京中医药大学，现从事中医针灸临床、教 学、科研 40 余年。甘肃中医药大学教授、主任医师、博士生导师，首席专家，北京中 医药大学、中国中医科学院兼职博士生导师，国家级名中医，甘肃省名中医，甘肃省第 一层次领军人才。国家重点针灸专科、国家中医药管