项针联合颈部皮肤浅刺对气虚血瘀型中风后吞咽障碍的影响

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Abstract Objective To explore the effect of nape acupuncture combined with superficial cervical skin acupuncture on dysphagia after stroke of blood stasis due to qi deficiency type. Methods Sixty inpatients with dysphagia after stroke in Rehabilitation Hospital of Cangzhou Hospital of Integrated Traditional Chinese Medicine and Western Medicine, Hebei Province from September 2019 to September 2020 were selected and they were divided into combined acupuncture group and traditional acupuncture group according to random number table method, with 30 cases in each group. On the basis of conventional treatment, combined acupuncture group was treated with nape acupuncture combined with superficial cervical skin acupuncture, traditional acupuncture group was treated with conventional acupuncture, six days one week, one day off, four weeks as a course of treatment. Clinical efficacy, Wata drinking water test grade, Ichiro Fujishima swallowing disorder score and video fluoroscopic swallowing study (VFSS) score were compared between two groups. Results After treatment, clinical effect of combined acupuncture group was better than that of traditional acupuncture group (P < 0.05). After treatment, Wata drinking water test grade in combined acupuncture group was better than that in traditional acupuncture group (P < 0.05). Four weeks after treatment, Ichiro Fujishima swallowing disorder scores in two groups were higher than those before treatment, and combined acupuncture group was higher than traditional acupuncture group (P < 0.05). Four weeks after treatment, VFSS scores of two groups were higher than those before treatment, and combined acupuncture group was higher than traditional acupuncture group (P < 0.05). Conclusion Nape acupuncture combined with superficial cervical skin acupuncture can improve curative effect of dysphagia after stroke, improve swallowing function of patients, and promote rehabilitation process, which is worthy of clinical promotion.

Key words： Nape acupuncture Superficial acupuncture therapy Stroke Dysphagia Control study

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	XU Chen1 ZHU Yanyan1 WANG Lichun1 HUANG Fenghui2

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XU Chen1 ZHU Yanyan1 WANG Lichun1 HUANG Fenghui2. Effect of nape acupuncture combined with superficial cervical skin acupuncture on dysphagia after stroke of blood stasis due to qi deficiency type[J]. 中国医药导报, 2022, 19(20): 161-164,188.

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https://www.yiyaodaobao.com.cn/EN/ OR https://www.yiyaodaobao.com.cn/EN/Y2022/V19/I20/161

[参考文献]
[1] Perkin GD，Murray Lyon I. Neurology and the gatointestinal system [J]. J Neurol Neurosurg Psychiatry，1998，65（3）：291-300．
[2] 贺建强，韩润霞，李明睿，等.头针带针状态进行康复训练治疗中风后假性球麻痹吞咽障碍疗效观察[J].湖北中医杂志，2020，42（2）：28-30.
[3] 刘杰棉.醒脑开窍针刺法治疗中风后假性球麻痹所致吞咽困难疗效观察[J].医学食疗与健康，2020，18（9）：32-34.
[4] 王琪，满斌，许军峰.“通关利窍”针刺法治疗缺血性脑卒中后吞咽障碍[J].吉林中医药，2019，39（11）：1469-1472.
[5] 楚佳梅，刘小平，陈飞宇，等.“高氏项针”对脑卒中后假性延髓麻痹患者吞咽功能及生活质量的影响：随机对照研究[J].中国针灸，2017，12（7）：328-329.
[6] 冀健民，李孟汉，陈付艳，等.通关利窍针刺法结合吞咽治疗仪对脑梗死吞咽障碍的影响[J].中国中医药现代远程教育，2019，17（11）：91-94.
[7] 黄拥军，吴靖.项针联合吞咽训练对脑梗死后假性延髓麻痹患者吞咽及语言功能的影响[J].现代中西医结合杂志，2019，28（8）：876-879.
[8] 栗先增，顾伯林，周红，等.项针治疗对脑梗死患者吞咽功能的影响[J].解放军医学杂志，2019，44（4）：322-326.
[9] 中华神经科学会，中华神经外科学会.各类脑血管疾病诊断要点[J].中华神经科杂志，1996（6）：60-61.
[10] 任占利.中风病诊断与疗效评定标准（试行）[J].北京中医药大学学报，1996，19（1）：55-56.
[11] 尚世由，农泽宁，宁莉，等.浅述项针治疗作用及相关临床应用[J].内蒙古中医药，2020，39（4）：152-153.
[12] 石学敏.针灸学[M].北京：中国中医药出版社，2007：63-122.
[13] Han TR，Paik NJ，Park JW. Quantifying swallowing functionafter stroke functional dysphag ia scale based on videflu-oroscopic studies [J]. Arch Phys Med Rehabi，2001，82（5）：677-682.
[14] 藤岛一郎.脑卒中的摄食咽下障碍[M].东京：医齿药出版株式会社，1999：87.
[15] 辛贵乐，李季，王璐，等.针康法结合浮针疗法治疗中风后吞咽障碍的临床研究[J].现代中西医结合杂志，2021， 30（24）：2645-2649.
[16] 袁影，钱小路，闫文敏，等.火针治疗脑卒中后假性延髓麻痹吞咽障碍：随机对照研究[J].中国针灸，2020，40（4）：347-351.
[17] 中国吞咽障碍康复评估与治疗专家共识组.中国吞咽障碍评估与治疗专家共识（2017年版）[J].中华物理医学与康复杂志，2017，39（12）：881-892.
[18] 张婧，王拥军，崔韬.脑卒中后吞咽困难9个评价量表的信度及效度研究[J].中国临床康复，2004（7）：1201-1203.
[19] 窦祖林.吞咽障碍评估与治疗[M].北京：人民卫生出版社，2009：87-88.
[20] Rofes L，Muriana D，Palomeras E，et al. Risk factors and complications of oropharyngeal dysphagia in stroke patients：a cohort study [J]. Neurogastroenterol Motil，2018， 30（8）：133-138.
[21] 袁英，汪洁，黄小波，等.吞咽功能的中枢及周围神经调控机制[J].中国康复医学杂志，2018，33（12）：1479-1482.
[22] Teismann IK，Dziewas R，Steinstraeter O，et al. Time dependent hemisperic shift of the cortical control of volitional swallowing [J]. Hum Brain Mapp，2009，30（1）：92-100．
[23] 王琳晶，王雪，张继瑶，等.项针结合吞咽训练对帕金森患者吞咽障碍的影响[J].康复学报，2020，30（3）：202-205.
[24] 孔令常，杨玲玲，张东伟，等.吞咽分期针刺治疗中风后吞咽障碍120例[J].河南中医，2018，38（5）：714-716.
[25] 凌梦馨.天突深刺配合球囊扩张术治疗中风后吞咽障碍的临床观察[D].北京：中国中医科学院，2017.
[26] 乔玲.舌三针配合颞三针对脑卒中后吞咽障碍患者功能恢复的影响[J].航空航天医学杂志，2020，31（12）：1504-1506.
[27] 王亚南，贺媛，杨冠男，等.“高氏项针”结合电刺激改善脑卒中后吞咽障碍的疗效及对颏下肌群sEMG的影响[J].针灸临床杂志，2021，37（9）：29-34.