摘要
目的 ：观察中药汤剂、体针、眼针联合应用治疗缺血性中风（风痰阻络型）恢复期吞咽障碍的临床疗效。方法 ：该研究的全部病历资料均来自于辽宁中医药大学附属医院针灸科（神经内科）B区2015年1月—2017年1月的住院患者,共80例。按照随机数字表法将全部病例随机分成A、B两组,每组40例。两组患者常规应用西医治疗,A组为对照组,予中药汤剂（半夏白术天麻汤合解语丹加减）和体针治疗。B组为治疗组,在A组治疗基础上加用眼针疗法。两组患者每个疗程治疗6 d,满1个疗程后停1 d,共治疗8个疗程。观察治疗前后,两组患者吞咽功能的改善情况。结果 ：统计结果显示,两组患者治疗后洼田饮水试验等级评定与本组治疗前比较均有统计学差异（P〈0.05）。治疗组（B组）治疗后饮水试验等级评定与对照组（A组）比较有统计学差异（P〈0.05）,治疗组（B组）患者吞咽功能改善情况优于对照组（A组）。结论 ：联合眼针疗法,协同体针疗法及中药汤剂治疗缺血性中风后吞咽障碍效果更佳,可显著改善吞咽障碍症状、提高生活质量。
Objective To investigate the clinical efficacy on treating dysphagia after ischemic stroke（wind and phlegm blocking collaterals syndrome）by using combination of Chinese medicine body acupuncture,eye acupuncture in convalescence. Methods ：All patients in the clinical study were derived in March 2015 and 2017 in affiliated hospital of Liaoning university of traditional Chinese medicine of acupuncture（neurology）B area of hospitalized patients,a total of 80 cases. All patients,in accordance with the random number table,were randomly divided into group A and B. There were 40 cases in each group. Both groups underwent routine treatment of Western medicine. Group A was the control group with combination of Chinese medicine（Banxia Baizhu Tianma Decoction combined with Jieyu Dan）and body acupuncture. Group B was the treatment group,on the basis of group A,group B was added to be given the treatment of eye acupuncture. Both groups of every 6 days for a course of treatment,each treatment interval of 1 day,after 8 courses,observing the situation of improvement of swallowing function of two groups before and after the treatment. Results ：According to the results of statistical data,there was the difference between before and after treatment on Kubota＇s water test evaluation in two groups（P〈0.05）. There was obvious difference between the treatment group（group A）and the control group（group B）on Kubota＇s water test evaluation after the treatment（P〈0.05）,the treatment group（group B）had a better effect on improving the swallowing function compare with the control group（group A）. Conclusion ：Eye acupuncture,body acupuncture combined with Chinese medicine has a better effect of treating dysphagia after ischemic stroke,which can improve the swallowing function and the quality of life obviously.
出处
《辽宁中医药大学学报》
CAS
2018年第1期219-222,共4页
Journal of Liaoning University of Traditional Chinese Medicine
关键词
缺血性中风
针药结合
吞咽障碍
临床观察
ischemic stroke
combination of acupuncture and Chinese medicine
dysphagia
clinicalefficacy
