中华中医药学刊

目的:客观评价舌七针在治疗脑卒中后吞咽障碍中的疗效。方法:将60例脑卒中后存在吞咽障碍的患者纳入研究,以治疗第14天为疗效评价时点,对治疗组(针刺加吞咽功能训练)30例与对照组(单纯吞咽功能训练)30例,进行平行、随机、对照临床研究,采用统一疾病严重程度判定标准和疗效判定标准,客观评价舌七针的疗效与实用性。结果:治疗后,治疗组治愈6例,显效8例,有效10例,有效率为80.00%,对照组治愈3例,显效7例,有效8例,有效率为60.00%,两组有效率比较,治疗组优于对照组,经治疗后,两组饮水试验评分均较治疗前降低,治疗组评分结果显著低于对照组,差异具有统计学意义(P<0.05),且观察组的吞咽功能障碍评分,较之对照组下降明显,差异具有显著统计学意义(P<0.01)。治疗后两组日常生活能力量表得分,差异具有统计学意义(P<0.05),实验组低于对照组。治疗组在治疗后0、4、6分水平阶段的患者的吞咽能力均较对照组有显著性的提高。治疗组与对照组相比并无明显不良反应产生。结论:舌七针治疗脑卒中后吞咽障碍,临床疗效明显具,有临床推广价值。

Objective: To explore the curative effect of tongue seven-needle in the treatment of post-stroke dysphagia. Methods: Sixty cases of stroke aphasia were randomly divided into the treatment group( Tongue seven-needle and swallow function training,30 cases) and the control group( simple swallowing function training,30 cases). We performed a parallel,randomized,controlled clinical study and unified disease severity criteria and clinical criteria. We objectively evaluated the efficacy and practicability of the tongue seven-needle. Results: After treatment,the treatment group was cured in 6 cases,markedly effective in 8 cases,effective in 10 cases,and the effective rate was 80. 00%. The control group was cured in 3 cases,markedly effective in 7 cases,effective in 8 cases,and the effective rate was 60. 00%. Compared with the control group,the treatment group was superior to the control group,and the difference was statistically significant( P < 0. 05). Compared with the control group,the treatment group was superior to the control group. After treatment,the two groups' drinking water test scores were lower than those before treatment. The treatment group's score was significantly lower than that of the control group. The difference was statistically significant( P < 0. 01). After treatment,the daily life ability scale score of the two groups had statistically significant difference( P < 0. 05). The experimental group's was lower than that of the control group. The swallowing ability of the treatment group at 0,4 and 6 minutes after treatment was significantly higher than that of the control group. There was no obvious adverse reaction in the two groups. Conclusion: Tongue seven-needle treatment of post-stroke dysphagia has obvious clinical efficacy was,worthy of promotion.