摘要
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6 d后休息1 d, 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42 d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。
Abstract
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 group was treated with acupuncture based upon routine neurological therapies, once a day, with one day rest 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.
This is a preview of subscription content, log in via an institution to check access.
References
Peng YJ, Li ZR, Yang YQ. Clinical observation of acupuncture treatment of 30 cases of pseudobulbar palsy after stroke. Shang Hai Zhen Jiu Za Zhi, 2006, 25(5): 8–9.
Zhao XF, Song WJ, Li QH, Zhang H, Zhou YF, Zhang LJ, Guo Y. Clinical observations on the treatment of apoplectic pseudobulbar paralysis by brain-refreshing and orifice-opening acupuncture. Shang Hai Zhen Jiu Za Zhi, 2004, 23(5): 8–10.
State Administration of Traditional Chinese Medicine. Criteria of Diagnosis and Therapeutic Effects of Traditional Chinese Medicine Diseases and Syndromes. Nanjing: Nanjing University Press, 1994: 24.
Wang WZ. Neurology. 5th Edition. Beijing: People’ Medical Publishing House, 2004.
Wang YJ. Clinical Assessment of Neuropathy. Beijing: China Youyi Publishing Company, 2005: 217.
Liu C, Cui L, Song X, Li XP. Progress of study on acupuncture treatment of pseudobulbar palsy. Zhong Guo Zhong Yi Yao Xian Dai Yuan Cheng Jiao Yu, 2010, 8(23): 31–32.
Yang GY. Clinical observations on the treatment of pseudobulbar paralysis by combined scalp and body acupuncture. Shang Hai Zhen Jiu Za Zhi, 2005, 24(12): 10–12.
Luo P, Zhang SY. Observations on the efficacy of brain-activating and orifice-opening acupuncture in treating pseudobulbar paralysis. Shang Hai Zhen Jiu Za Zhi, 2010, 29(1): 11–13.
Lu JW, Sun JH. Clinical observation of acupuncture in treating pseudobulbar palsy. J Acupunct Tuina Sci, 2010, 8(6): 344–348.
Chen D, Gao WB, Zhang Qian. Nape-acupuncture on post-stroke pseudobulbar palsy and hemorheology. Shang Hai Zhen Jiu Za Zhi, 2011, 30(4): 223–224.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Liu, Dd., Tong, X., Kou, Jy. et al. Influence of acupuncture on remodeling of swallowing functions for patients with pseudobulbar palsy after cerebral infarction. J. Acupunct. Tuina. Sci. 10, 44–48 (2012). https://doi.org/10.1007/s11726-012-0568-y
Received:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s11726-012-0568-y