针药联合治疗脑卒中吞咽障碍90例临床观察
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上海市闸北区中心医院中医科,上海 200070

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R246.6

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* 基金项目: 上海市闸北区卫生局科研课题(中医2013ZY01) 收稿日期: 2015 - 06 - 11 作者简介: 唐军(1972-),女,上海浦东人,主治医师,研究方向:中风病中医综合康复治疗。


Clinical Observation on Acupuncture plus Traditional Chinese Medicine for Dysphagia after Stroke
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Department of Traditional Chinese Medicine, Central Hospital of Zhabei District, Shanghai 20070, China

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    摘要:

    目的观察针刺加中风复元方对缺血性脑卒中所致吞咽障碍的疗效。方法将入选的90例患者随机分为针刺组、中药组及针药组,每组30例。针刺组予针刺舌体穴位及廉泉,中药组予中风复元方口服,针药组则同时予针刺及中药治疗。在治疗前、治疗后4周及治疗后8周评定吞咽功能。结果治疗8周后针刺组总有效率为83.33%,中药组为76.66%,针刺加中药组为93.33%,统计结果显示3个治疗组的吞咽功能评分,在治疗后均较治疗前降低(P<0.05),具有统计学意义;针药组疗效优于针刺组及中药组(P<0.01)。结论针药联合可提高脑卒中后吞咽障碍的临床疗效。

    Abstract:

    Objective To observe the effects of acupuncture plus Zhongfeng Fuyuan Formula for Dysphagia after Stroke. Methods Totally 90 cases were randomized into three groups, acupuncture group(30 cases), traditional Chinese medicine group(30 cases), acupuncture plus traditional Chinese medicine group(30 cases). Before treatment, after treatment for four weeks and eight weeks, the effect was evaluanted according to the swallowing test of the three groups. Results After treatment for eight weeks, the total effective rate of swallowing test was 83.33% in the acupuncture group, 76.66% in the traditional Chinese medicine group, 93.33% in the acupuncture plus traditional Chinese medicine group with significant difference among the three(P<0.01). Conclusion acupuncture plus Zhongfeng Fuyuan Formula is effective for dysphagia after stroke.

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