舌针治疗脑卒中后吞咽困难的临床研究

被引:36
作者
沈焱
邢向娈
郭爱玲
高焕民
机构
[1] 宁夏人民医院神经内科
关键词
中风; 吞咽困难; 舌针;
D O I
10.13621/j.1001-5949.2015.10.0905
中图分类号
R246.6 [神经精神病科];
学科分类号
100225 [精神医学];
摘要
目的研究评估舌针治疗中风后吞咽困难的临床疗效。方法选择120例脑卒中后吞咽困难患者,按照入院的顺序将患者分为2组,即60例编入舌针组,在常规药物治疗的基础上进行舌针治疗;另外60例进入对照组,只进行腕部和颈部常规针刺。舌针组选取聚泉穴(EX-HN10,位于舌背正中缝的中点处)和海泉穴(EXHN11,位于舌下系带中点处),对照组选取风池穴(GB20)和内关穴(PC6)。采用美国国立卫生研究院卒中量表(NIHSS),用吞钡X射线透视吞咽功能评分(VFSS)、肺部感染的发生率等指标,治疗4周后计算治疗有效率。结果治疗4周后舌针组与对照组比较,NIHSS评分和VFSS评分明显改善(P<0.05);舌针组肺部感染发生率为5%,对照组10%,但2组比较差异无统计学意义(P>0.05)。结论舌针能改善吞咽功能,促进神经功能恢复,减少中风后吞咽困难患者肺部感染的发生率。
引用
收藏
页码:905 / 907
页数:3
相关论文
共 13 条
[1]
The One-Year Attributable Cost of Post-stroke Dysphagia [J].
Bonilha, Heather Shaw ;
Simpson, Annie N. ;
Ellis, Charles ;
Mauldin, Patrick ;
Martin-Harris, Bonnie ;
Simpson, Kit .
DYSPHAGIA, 2014, 29 (05) :545-552
[2]
Differences in Videofluoroscopic Swallowing Study (VFSS) Findings According to the Vascular Territory Involved in Stroke [J].
Kim, Seo Yeon ;
Kim, Tae Uk ;
Hyun, Jung Keun ;
Lee, Seong Jae .
DYSPHAGIA, 2014, 29 (04) :444-449
[3]
Cough Reflex Testing in Dysphagia Following Stroke: A Randomized Controlled Trial.[J].Anna Miles;Irene S.L. Zeng;Helen McLauchlan;Maggie-Lee Huckabee.Journal of Clinical Medicine Research.2013, 3
[4]
Post-stroke dysphagia: progress at last [J].
Rofes, L. ;
Vilardell, N. ;
Clave, P. .
NEUROGASTROENTEROLOGY AND MOTILITY, 2013, 25 (04) :278-282
[5]
The effect of 5Hz high‐frequency rTMS over contralesional pharyngeal motor cortex in post‐stroke oropharyngeal dysphagia: a randomized controlled study.[J].J.‐W. Park;J.‐C. Oh;J.‐W. Lee;J.‐S. Yeo;K. H. Ryu.Neurogastroenterology & Motility.2012, 4
[6]
Post-Stroke Pneumonia Prevention by Angiotensin-Converting Enzyme Inhibitors: Results of a Meta-analysis of Five Studies in Asians [J].
Shinohara, Yukito ;
Origasa, Hideki .
ADVANCES IN THERAPY, 2012, 29 (10) :900-912
[7]
Clinical study on puncturing Renying (ST 9) to treat poststroke dysphagia [J].
Jin Z. ;
Chen J. ;
Wang Y.-L. .
Journal of Acupuncture and Tuina Science, 2010, 8 (4) :246-248
[8]
Complex Traditional Chinese Medicine for Poststroke Motor Dysfunction A Systematic Review [J].
Junhua, Zhang ;
Menniti-Ippolito, Francesca ;
Xiumei, Gao ;
Firenzuoli, Fabio ;
Boli, Zhang ;
Massari, Marco ;
Hongcai, Shang ;
Yuhong, Huang ;
Ferrelli, Rita ;
Limin, Hu ;
Fauci, Alice ;
Guerra, Ranieri ;
Raschetti, Roberto .
STROKE, 2009, 40 (08) :2797-2804
[9]
Risk assessment of ischemic stroke associated pneumonia.[J].Lin Li;Lin-hong Zhang;Wu-ping Xu;Jun-min Hu;.World Journal of Emergency Medicine.2014, 03
[10]
针刺与电刺激治疗脑卒中后吞咽障碍随机对照研究.[J].黄臻;黄芬;颜海霞;闵瑜;高燕;谭碧东;屈菲;.中国针灸.2010, 12