醒脑开窍针刺法治疗中风后假性延髓麻痹34例疗效观察

目的：观察醒脑开窍针法治疗中风后假性延髓麻痹的临床疗效。方法：将68例患者随机分为2组。治疗组34例，施以醒脑开窍针剌法（取穴：人中及双侧内关、三阴交、风池、完骨；金津、玉液点刺放血，咽后壁点刺）治疗；对照组34例，以常规针刺法（取穴：哑门、廉泉、通里、合谷）治疗。结果：治疗组治愈18例，显效9例，有效6例，无效1例，总有效率为97．06％；对照组治愈5例，显效10例，有效12例，无效7例，总有效率为79．41％，2组总有效率比较，差异有显著性意义（P〈0.05）。结论：醒脑开窍针法能有效地改善假性延髓麻痹患者的吞咽、语言功能，临床疗效显著。

Treatment of Pseudobulbar Paralysis After Apoplexy by Therapy of Xingnao Kaoqiao Acupuncture: A Clinical Observation of 34 Cases

Objective: To observe the curative effect of Xingnao Kaiqiao acupuncture (XKA) for pseudobulbar paralysis (PP) after apoplexy. Methods: 68 cases were allocated to 2 groups randomly. The treatment group (34 cases) was treated by XKA (acupoints: Renzhong (ST 17), bilateral Neiguan (PC 6), Sanyinjiao (SP 6), Fengchi (GB 20), Wangu (GB 12), Jinjin (Ex), Yuye (Ex) for prick to bleed, and prick the postpharyngeal); the control group (34 cases) by routine acupuncture (acupoints: Yamen (DU 15) Liangquan (RN 23), Tongli (HT 5) and Hegu (LI 4) . Results: In treatment group, 18 cases were cured, 9 cases markedly effective, 6 cases effective and 1 case ineffective, the total effective rate was 97. 06% ; and 5, 10, 12, 7 and 79.41% in control group respectively (P < 0.05). Conclusion: XKA possesses marked effect and improves the ability of swallowing and language for PP after apoplexy.