项丛刺对脑梗死吞咽障碍患者脑干听觉诱发电位的影响

目的:观察项丛刺对脑梗死吞咽障碍患者脑干听觉诱发电位(BAEP)的影响,探讨项丛刺疗法的作用机制.方法:将80例脑梗死吞咽障碍患者随机分为项丛刺组、对照组,项丛剌组在药物治疗基础上,取风池、天柱、完骨、廉泉、旁廉泉、金津、玉液.风池、天柱、完骨震颤进针,针向喉结,留针30 min,廉泉、旁廉泉针向舌根直刺2寸,金津、玉液点刺放血(3天1次).对照组单纯药物治疗.结果:项丛刺组的总有效率达85％,对照组总有效率77.5％.愈显率项丛刺组为70％,对照组为35％,经统计学处理,P＜0.05,两组有显著差异,可见项丛刺组的疗效明显高于对照组.从BAEP变化看,治疗后两组均有明显变化,经统计学处理,P＜0.05,组间比较亦有显著差异.结论:项丛刺疗法可以调节脑梗塞BAEP,增加脑梗死病灶局部脑血流量,改善脑缺血状态,这也是项丛刺疗法治疗脑梗塞吞咽障碍的作用机制之一.

Influence of Nape-aligned Acupuncture on Brain-stem Auditory Evoked Potential of Cerebral Infarction Patients with Deglutationuenc Obstacle

Objective:To observe the effect of nape-aligned acupuncture on cerebral infarction patients with deglutation obstacle for brainstem auditory evoked potential,and to investigate the mechanism of nape-aligned acupuncture treatment.Methods:Eighty cerebral infarction patients with deglutation were selected and randomly allocated to nape-aligned acupuncture treatment group and control group.The control group received routine treatment,nape-aligned acupuncture treatment group added nape cluster acupuncture(fengchi acupoint,tianzhu acupoint,wangu acupoint,lianquan acupoint,panglianquan acupoint,jijin acupoint,yuye acupoint,fengchi acupoint,tianzhu acupoint and wangu acupoint needling,adam’s apple direction,remaining 30 minutes,lianquan acupoint,panglianquan acupoint,root of the tongue direction,inhalaned 2 cun,Jinjin acupoint and yuye acupoint for insertion and blood letting,once for 3 days) in addition to the treatment for control group.Results:The total effective rate of nape-aligned acupuncture treatment group was 85%,and the total effective rate of control group was 77.5%.Excellence ratio of nape-aligned acupuncture treatment group was 70%,and control group was 35%,The difference before and after the therapy was notable(P<0.05).Conclusion:Nape-aligned acupuncture treatment can regulate the BAEP(brain-stem auditory evoked potential) of cerebral infarction,increase the RCBF of the cerebral infarction patients,improve the condition of cerebral ischemia.Therefore,the conclusion is that one of the mechanism of action of nape-aligned acupuncture treatment is to cure the deglutation obstacle of cerebral infarction patients.