针刺对脑梗死后假性延髓麻痹患者吞咽功能重塑的影响

目的:探讨针刺治疗对脑梗死后假性球麻痹(Pseudobulbar Palsy),患者吞咽功能重塑的干预效应.方法:将72例脑梗死后假性延髓麻痹患者随机分为观察组和对照组,每组36例.治疗组在神经内科常规治疗基础上加用针刺治疗,每日1次,连续治疗6d后休息ld,治疗6个疗程后进行疗效评定.对照组予以神经内科常规治疗,共治疗42d后观察疗效.结果:观察组总有效率80.6％,对照组总有效率58.3％,2组比较差异有统计学意义(P＜0.05);治疗后观察组吞咽障碍症状积分与对照组比较差异有统计学意义(P＜0.01).结论:项针能够明显改善假性球麻痹患者的临床症状和体征,疗效肯定,值得推广使用.

Influence of acupuncture on remodeling of swallowing functions for patients with pseudobulbar palsy after cerebral infarction

Objective： To explore the interfering effect of acupuncture treatment in remodeling the swallowing functions for the patients with pseudobulbar palsy after cerebral infarction. Methods： Seventy-two cases with pseudobulbar palsy after cerebral infarction were randomly allocated into an observation group and a control group, 36 cases in each group. The treatment neurological therapies, once a day, with one day rest group was treated with acupuncture based upon routine after continuous treatment for six days, and therapeutic effects were assessed after six courses of the treatments. The control group was treated with routine neurological therapies, with the therapeutic effects observed after the treatment for 42 d. Results： The total effective rate was 80.6% in the observation group and 58.3% in the control group, with statistical significance in comparison of difference between the two groups （P〈0.05）, and with statistical significance in comparison of the score of deglutition disorder between the observation group and control group （P〈0.01）. Conclusion： Nape acupuncture can obviously improve the clinical symptoms and signs for the patients with pseudobulbar palsy, with affirmative therapeutic effects, and is worthy of popularization.