| 祝鹏宇,刘彦麟,陈 东,井天依,范程欣.于氏头针结合颈项部针刺法治疗脑出血恢复期吞咽障碍*[J].,2019,19(1):120-124 |
| 于氏头针结合颈项部针刺法治疗脑出血恢复期吞咽障碍* |
| YU's Scalp Acupuncture Combined with Cervical Acupuncture Treat Dysphagia during Convalescence of Cerebral Hemorrhage* |
| 投稿时间：2018-05-28 修订日期：2018-06-20 |
| DOI：10.13241/j.cnki.pmb.2019.01.026 |
| 中文关键词: 于氏头针 吞咽困难 脑出血 |
| 英文关键词: Yu's scalp acupuncture Dysphagia Cerebral hemorrhagecerebral hemorrhage |
| 基金项目:孙远征全国名老中医药专家传承工作室项目（国中医药人教发[2014]20号）；国家中医药管理局国家中医临床研究基地业务建设科研专项课题（JDZX2012075）；黑龙江省中医药科研项目（ZHY16-086） |
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| 中文摘要: |
| 摘要 目的：观察于氏头针结合颈项部针刺法治疗脑出血恢复期吞咽障碍的有效性和安全性。方法：选取150例脑出血恢复期吞咽困难的患者，随机分为于氏项针、头针+颈项部针刺+偏瘫侧肢体针刺（治疗组）75例和除项区外的于氏头针+颈项部针刺+偏瘫侧肢体针刺（对照组）75例。采用洼田氏饮水试验、肺炎发生率、拔除胃管时间及EAT-10量表测评。根据以上量表及评分，给出相应结论。结果：洼田饮水量表显示，两组患者治疗前后均有好转，治疗组平均恢复等级小于对照组。对比拔除胃管平均时间，两组相差6.347天，可见疗效显著。且肺炎发生率两组相差20.6 %。同时EAT-10量表也显示治疗组分数每周均小于对照组，可见起效快，效果稳定。结论：于氏头针结合颈项部针刺法治疗脑出血恢复期吞咽障碍疗效确切，可以提高患者的生活质量，值得临床推广。 |
| 英文摘要: |
| ABSTRACT Objective: To observe the efficacy and safety of the treatment of dysphagia in the recovery period of cerebral hemorrhage by using the Yu's scalp acupuncture combined with the nuchal acupuncture. Methods: The recovery of dysphagia in patients with 150 cases of cerebral hemorrhage were randomly divided into acupuncture, Yu's scalp acupuncture combined with nuchal acupuncture, body acupuncture and rehabilitation training on hemiplegic side group (treatment group) 75 cases and swallowing therapy instrument combined with hemiplegic limbs of acupuncture and rehabilitation training group (control group) 75 cases. The Watian drinking water test, the incidence of pneumonia, extubation time and EAT-10 scale, the recovery of swallowing difficulties in patients of two groups were observed before and after treatment. According to the above scale and score, the corresponding conclusions are given. Results: The WaTian drinking water test scale showed that the two groups improved after treatment, but the average score of the treatment group was less than that of the control group. The incidence of pneumonia and the time of pulling out the gastric tube in the treatment group were also less than those in the control group. Likewise, the EAT-10 scale showed that the score in the treatment group was smaller than that in the control group. Conclusion: Yu's scalp acupuncture combined with nuchal acupuncture is effective in treating dysphagia during cerebral hemorrhage, and it can improve the quality of life of patients, and is worthy of clinical promotion. |
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