Clinical study of fire needle acupuncture in the treatment of dysphagia due to pseudobulbar paralysis after stroke

YUAN Ying; QIAN Xiaolu; YAN Wenmin; ZHOU Shuang

doi:10.16305/j.1007-1334.2018.02.016

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Clinical study of fire needle acupuncture in the treatment of dysphagia due to pseudobulbar paralysis after stroke

更新时间：2022-08-31

- Clinical study of fire needle acupuncture in the treatment of dysphagia due to pseudobulbar paralysis after stroke
- Shanghai Journal of Traditional Chinese Medicine Vol. 52, Issue 2, Pages: 67-70(2018)
- 作者机构：
  
  1. 海军军医大学附属长海医院中医系针灸推拿科,上海,200433
  2. 上海中医药大学研究生院,上海,201203
- 作者简介：
- 基金信息：
- DOI：10.16305/j.1007-1334.2018.02.016
  CLC：
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YUAN Ying, QIAN Xiaolu, YAN Wenmin, et al. Clinical study of fire needle acupuncture in the treatment of dysphagia due to pseudobulbar paralysis after stroke. [J]. Shanghai Journal of Traditional Chinese Medicine 52(2):67-70(2018)
DOI：

YUAN Ying, QIAN Xiaolu, YAN Wenmin, et al. Clinical study of fire needle acupuncture in the treatment of dysphagia due to pseudobulbar paralysis after stroke. [J]. Shanghai Journal of Traditional Chinese Medicine 52(2):67-70(2018) DOI： 10.16305/j.1007-1334.2018.02.016.

摘要

目的：观察火针疗法治疗脑卒中后假性球麻痹致吞咽困难的临床疗效。方法：将76例脑卒中后假性球麻痹致吞咽困难的患者随机分为治疗组和对照组,每组38例。在基础疾病的常规西药治疗基础上,治疗组予火针疗法,对照组予吞咽功能康复训练。两组疗程均为30天,观察临床疗效,比较洼田饮水试验评价等级、洼田饮水试验前后脉冲血氧饱和度下降值及吞咽功能障碍中医评价量表评分的变化情况。结果：①最终完成试验者75例,治疗组38例,对照组37例。②治疗组、对照组临床总有效率分别为89.5%、75.7%；组间临床疗效比较,治疗组明显优于对照组(P<0.05)。③组间治疗后比较,洼田饮水试验评价等级差异有统计学意义,治疗组对吞咽能力的改善程度明显强于对照组(P<0.05)。④组间治疗后比较,洼田饮水试验前后脉冲血氧饱和度下降值差异有统计学意义,治疗组对误吸的改善程度明显强于对照组(P<0.05)。⑤组间治疗后比较,吞咽功能障碍中医评价量表评分差异有统计学意义,治疗组对评分的改善程度明显强于对照组(P<0.05)。结论：火针疗法治疗脑卒中后假性球麻痹致吞咽困难的疗效满意,优于常规康复训练,其可明显改善患者的吞咽障碍,减少饮食饮水中的误吸情况。

Abstract

Objective:To observe the clinical efficacy of fire needle acupuncture in the treatment of dysphagia due to pseudobulbar paralysis after stroke. Methods76 patients with dysphagia due to pseudobulbar paralysis after stroke were randomly divided into the treatment group and control group,38 cases in each group. Based on the conventional therapy of western medicine,the treatment group was treated with fire needle acupuncture,and the control group was treated with the rehabilitation training for swallowing function,with a course of 30 days. The clinical efficacy was observed,the changes on the evaluation grades and pulse oximetry value in Kubota’s drinking water test and Chinese medical evaluation scale score on swallowing dysfunction were compared. Results:①Finally 75 cases completed the trial,among 38 cases in the treatment group and 37 cases in the control group. ②The clinical total effective rates were 89.5% in the treatment group and 75.7% in the control group. The clinical efficacy of the treatment group was obviously better than that of the control group(P<0.05). ③After treatment,there were statistically significant differences on the evaluation grades of Kubota’s drinking water test between the two groups,and the improvement on the swallowing function in the treatment group was obviously better than that in the control group(P<0.05). ④For the comparison of the difference of pulse oximetry value between before and after Kubota’s drinking water test,there was statistically significant difference on the decreased value of pulse oximetry value between the two groups after treatment,and the improvement on the mistaken aspiration in the treatment group was obviously better than that in the control group(P<0.05). ⑤After treatment,there was statistically significant difference on the Chinese medical evaluation scale score of swallowing dysfunction between the two groups,and the score of the treatment group was significantly lower than that of the control group(P<0.05). Conclusion:Fire needle acupuncture shows good efficacy in the treatment of dysphagia due to pseudobulbar paralysis after stroke,which is better than conventional rehabilitation training. It can obviously improve the dysphagia in patients and reduce the mistaken aspiration during diet and drinking.

关键词

脑卒中假性球麻痹神经源性吞咽障碍火针血氧饱和度

Keywords

strokepseudobulbar paralysisneurogenic dysphagiafire needleblood oxygen saturation

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