醒脑开窍针法与刺络放血治疗脑卒中后吞咽障碍患者的临床效果

文章信息/Info

• Title:醒脑开窍针法与刺络放血治疗脑卒中后吞咽障碍患者的临床效果

• 卷期:2024年22卷4期

• 作者:赖晓燕

• 南昌市洪都中医院康复科 江西南昌330000

• Author(s):Lai Xiaoyan

• department of Rehabilitation, Nanchang Hongdu Hospital of Traditional Chinese Medicine 330000

• 关键词醒脑开窍针法；刺络放血；脑卒中；吞咽障碍

• Keywords:Xingnao Kaiqiao acupuncture; Puncture and bloodletting; Stroke; Swallowing disorder

• 摘要:目的：探讨醒脑开窍针法与刺络放血治疗脑卒中后吞咽障碍患者。方法：对我院84例2019年2月-2020年2月脑卒中后吞咽障碍患者进行选择，使用电脑进行随机筛选常规组（n=42例）和研究组（n=42例）。常规组采用刺络放血治疗，研究组采用醒脑开窍针法联合刺络放血治疗，经过治疗后对患者效果进行评估，对两组疗效情况进行分析、对治疗前后两组的洼田饮水评分进行分析、对治疗前后两组的VFSS评分进行分析。结果：研究组患者的总疗效95.24%比常规组80.95%高（P<0.05）；治疗后研究组患者的洼田饮水评分高于常规组（P<0.05）；治疗后研究组患者的VFSS评分高于常规组（P<0.05）。结论：在脑卒中后吞咽障碍患者治疗中，采用醒脑开窍针法与刺络放血，能够促进患者的疗效，同时提升患者的洼田饮水评分和VFSS评分，值得推广应用。                                                                                                                                                                                

• Abstract: To investigate the treatment of dysphagia after stroke by xingnao Kaiqiao acupuncture and puncture and bloodletting. Methods: A total of 84 patients with dysphagia after stroke in our hospital from February 2019 to February 2020 were selected and randomly selected by computer from the conventional group (n=42 cases) and the study group (n=42 cases). The conventional group was treated with pricking and bloodletting, while the research group was treated with Xingnaokaiqiao acupuncture combined with pricking and bloodletting. After treatment, the effect of the patients was evaluated, and the efficacy of the two groups were analyzed, and the watian drinking water score of the two groups before and after treatment was analyzed, and the VFSS score of the two groups before and after treatment was analyzed. Results: The total efficacy of study group was 95.24% higher than that of conventional group 80.95% (P<0.05). After treatment, the drinking water score of the study group was higher than that of the conventional group (P<0.05). After treatment, the VFSS score of the study group was higher than that of the conventional group (P<0.05). Conclusion: In the treatment of patients with dysphagia after stroke, the use of xingnao Kaiqiao acupuncture and puncture and bloodletting can promote the curative effect of patients, and improve the score of Watian drinking water and VFSS of patients, which is worthy of popularization and application.

  近年来，由于我国人口老龄化趋势的加深，脑卒中的临床发病率也呈明显上升趋势[1]。脑卒中后吞咽困难患者易发生误吸等情况，进而导致营养不良、电解质紊乱、吸入性肺炎等并发症，其中吞咽困难是中风后最为严重的并发症，严重影响患者康复，甚至威胁生命安全[2]。