补肾针刺法为主治疗脑梗死后吞咽困难疗效观察

目的观察补肾针刺法为主治疗脑梗死后吞咽困难的临床疗效。方法将118例脑梗死后吞咽困难患者随机分为治疗组62例和对照组56例。治疗组采用针刺配合基础治疗及吞咽康复策略治疗,对照组仅采用基础治疗及吞咽康复策略治疗。连续治疗28 d后观察两组疗效。结果治疗组总有效率为96.8%,对照组为80.4%,两组比较差异具有统计学意义(P<0.01)。两组治疗后床旁吞咽评估量表评分、洼田氏饮水试验评分及吞咽困难分级量表评分与同组治疗前比较,差异均具有统计学意义(P<0.01)。治疗组治疗后床旁吞咽评估量表评分、洼田氏饮水试验评分及吞咽困难分级量表评分与对照组比较,差异均具有统计学意义(P<0.01)。结论补肾针刺法是一种治疗脑梗死后吞咽困难的有效方法。

Observations on the Efficacy of Kidney-reinforcing Acupuncture as Main Treatment for Dysphagia after Cerebral Infarction

Objective To investigate the clinical efficacy of kidney-reinforcing acupuncture as main treatment for dysphagia after cerebral infarction. Methods One hundred and eighteen patients with dysphagia after cerebral infarction were randomly allocated to a treatment group of 62 cases and a control group of 56 cases. The treatment group received acupuncture plus basic treatment and swallowing rehabilitation strategies and the control group, basic treatment and swallowing rehabilitation strategies only. Results The total efficacy rate was 96.8% in the treatment group and 80.4% in the control group; there was a statistically significant difference between the two groups （P〈0.01）. There were statistically significant pre-/post-treatment differences in the Bedside Swallowing Assessment Scale score, the Kubota＇s water drinking test score and the Dysphagia Severity Rating Scale score in both groups （P〈0.01）. There were statistically significant post-treatment differences in the Bedside Swallowing Assessment Scale score, the Kubota＇s water drinking test score and the Dysphagia Severity Rating Scale score between the treatment and control groups （P〈0.01）. Conclusion Kidney-reinforcing acupuncture is an effective way to treat dysphagia after cerebral infarction.