摘要
目的:观察"咽部四针"治疗脑梗死后假性球麻痹的临床疗效。方法:选择2013年9月—2015年2月在漯河市第二人民医院神经内科和河南中医学院第一附属医院脑病科住院治疗的脑梗死后假性球麻痹患者60例,随机分为治疗组和对照组,每组30例。对照组给予常规针刺治疗,治疗组给予"咽部四针"治疗。两组患者针刺前后对患者行吞咽功能分级评定和经颅多普勒(transcranial doppler,TCD)检测。结果:治疗组有效率96.7%,对照组有效率76.7%,治疗组优于对照组(P<0.05);治疗组治疗后TCD指标大脑前动脉(ACA)、大脑中动脉(MCA)、大脑后动脉(PCA)、基底动脉(BV)、椎动脉(VA)的平均血流速度(Vm)及BV、VA的动脉搏动指数(PI)均优于对照组(P<0.05)。结论:"咽部四针"治疗脑梗死后假性球麻痹临床疗效显著。
Objective： To observe the clinical curative effect of ＂ throat four- needling＂ on pseudobulbar palsy after cerebral infarction. Methods： Sixty patients with pseudobulbar palsy after cerebral infarction who were treated in Neurology Department of The Second People＇s Hospital of Luohe City and the First Hospital Attached to Hennan University of TCM between Sept. of 2013 and Feb. of 2015 were chosen and randomly divided into the treatment group and the control group,with 30 cases in each group.The ones in the control group were given routine acupuncture treatment,while the ones in the treatment group were given ＂ throat four- needling＂. Then The two groups＇ swallowing function was evaluated and detected by transcranial Doppler（ TCD） before and after acupuncture. Results： The effective rate of the treatment group was 96. 7%,while that of the control group was76. 7%; and the treatment group was better than the control group（ P〈 0. 05）. After the treatment,the treatment group＇s TCD indicators including the average Vm of ACA,MCA,PCA,BV,VA,and PI of BV and VA were all better than those of the control group（ P〈 0. 05）. Conclusion： ＂ Throat four- needling＂ has remarkable clinical curative effect on pseudobulbar palsy.
出处
《河南中医》
2016年第2期242-244,共3页
Henan Traditional Chinese Medicine
关键词
脑梗死
假性球麻痹
“咽部四针”
cerebral infarction
pseudobulbar palsy（PBP）
＂throat four-needling＂
