1-石院士讲稿-“通关利窍”针刺法治疗脑干梗死吞咽障碍的临床研究(张部长改).pptVIP

研究方案 Research programs 　　　我们以临床实践为基础，以醒脑开窍为原则，在取穴、配方、针刺手法及其量学方面做了严格规范，临床疗效显著。 临床资料 Clinical Data 26 of 46 疗效评定 Assessment of Results 治疗结果 Results of Treatment 治疗方法 Treatment Method 临床资料 Clinic Date 27 of 46 排除标准 诊断及纳入标准 一般资料 General Data Exclusion Criteria Diagnosis and Inclusion Criteria 一般资料 General Date 28 of 46 Diagram 脑干梗死吞咽障碍患者64例 64 post brainstem infarction dysphagia patients were screened　　　 年龄平均63.86±9.49岁 average age of the patients was 63.86±9.49 years 　　　 病程平均23.89±20.71天 average course of disease was 23.89±20.71 days 诊断及纳入标准 Diagnosis and Inclusion Criteria 29 of 46 排除标准 30 of 46 Diagram Exclusion Criteria ① Other diseases that might cause dysphagia; ② Poor consciousness, psychological problems and have difficulty complying with the doctor; ③ Suffers from other primary diseases like liver, kidney and endocrine disorders ① 运动神经元性疾病导致的吞咽障碍； ② 神志不清，有精神症状不能配合治疗者； ③ 合并有肝肾、造血系统、内分泌系统等严重原 发病及精神疾患者； 治疗方法 Treatment Method 2 of 6 治疗周期均为28天 采用“通关利窍” 针刺法 Perform the “Tong Guan Li Qiao” acupuncture therapy. The course of treatment was 28 days. 疗效评定 Assessment of Results 32 of 46 评定吞咽功能 assess the patients’ swallowing ability 洼田饮水试验 Kubota water test 藤岛一郎吞咽疗效评价标准 Fujishima Ichiro rating scale 标准吞咽功能评价量表（SSA） Standard Swallowing Assessment Barthel生活指数 Barthel Index 评价生活质量 assess standard of living 治疗结果 Results of Treatment 采用洼田饮水试验进行疗效比较，治疗前后评分具有显著性差异，说明通关利窍针刺法在改善吞咽功能方面效果显著。 Comparison of Results for Bulbar Paralysis/ Brainstem Infarction/Combined Infarction，there were significant differences between the scores of Kubota water test before and after treatment. This shows that “Tong Guan Li Qiao” acupuncture therapy is effective in improving swallowing ability. 33 of 46 洼田饮水试验 Kubota water test 34 of 46 Diagram 延髓梗死患者治疗前洼田饮水评分较高、病情较重，但治疗前后评分改善程度明显，表现出了更好的疗效趋势。 Comparison among the groups showed that in brainstem infarction patients, the Kubota Water Test results were higher,