标本配穴针灸对脑卒中后吞咽功能障碍患者临床症状的改善作用研究

目的 研究标本配穴针灸对脑卒中后吞咽功能障碍患者临床症状的改善作用，旨在为更好地治疗脑卒中后吞咽功能障碍提供有效的理论依据。 方法 选取2016年2月—2018年2月期间温州市中医院收治的148例脑卒中后吞咽功能障碍患者作为研究对象，随机分成对照组与研究组，每组74例，对照组给予内科常规治疗及吞咽康复训练，研究组在对照组基础上配合标本配穴针灸治疗。观察并比较2组临床疗效、治疗前后洼田饮水试验评级、吞咽功能改善情况(SSA评分)、电视透视吞咽功能(VFSS评分)与生活质量(SWAL-QOL评分)，同时记录治疗期间发生的不良事件。 结果 ①研究组治疗后总有效率显著高于对照组(94.59% vs. 83.78%，P<0.05)；②2组治疗前SSA评分比较差异无统计学意义(P>0.05)，治疗后2组SSA评分低于治疗前，且研究组SSA评分低于对照组(均P<0.05)；③2组治疗后洼田饮水试验评级均优于治疗前(均P<0.05)；④2组治疗前VFSS评分、SWAL-QOL评分比较差异无统计学意义(均P>0.05)，2组治疗后VFSS评分、SWAL-QOL评分均高于治疗前，且研究组VFSS评分、SWAL-QOL评分均高于对照组(均P<0.05)；⑤研究组不良事件总发生率略低于对照组，但差异无统计学意义(4.05% vs. 5.41%，P>0.05)。 结论 标本配穴针灸治疗脑卒中后吞咽功能障碍可显著提高总体临床疗效，改善患者吞咽功能，且不良反应少。 

Biaoben Acupoints acupuncture in the treatment of post-stroke dysphagia

Objective To investigate effect of Biaoben Acupoints acupuncture on patients with post-stroke dysphagia, so as to provide an effective theoretical basis for the treatment. Methods A total of 148 cases of post-stroke dysphagia treated in our hospital from February 2016 to February 2018 were selected and randomly divided into two groups, each with 74 cases. The control group received routine medical treatment and rehabilitation training. Based on this, the study group received the Biaoben Acupoints acupuncture. Then the clinical efficacy, Watian drinking test rating, swallowing function improvement (SSA score), TV perspective swallowing function (VFSS score) and quality of life (SWAL-QOL score) and the adverse reactions of the two groups were compared. Results ①The total effective rate of the study group after treatment was significantly higher than that of the control group (94.59% vs. 83.78%, P<0.05); ②The SSA scores between the two groups had no difference before treatment (P>0.05), and the SSA scores decreased in both groups, which were significantly lower in the study group than in the control group (all P<0.05); ③The water swallow test results between the two groups were ameliorated in both groups after treatment (all P<0.05), which were significantly better in the study group than in the control group (all P<0.05). ④There was no significant difference in VFSS scores and SWAL-QOL scores between the two groups before treatment(all P>0.05). The VFSS and SWAL-QOL scores in the two groups were higher than those before the treatment, and the VFSS score and the SWAL-QOL score in the study group were all higher than those in the control group (all P<0.05); ⑤The overall incidence rate of adverse reactions in the study group was slightly lower than that in the control group (4.05% vs. 5.41%, P>0.05). Conclusion Biaoben Acupoints acupuncture can effectively and safely ameliorate the swallowing function for patients with post-stroke dysphagia, which has less adverse reaction.