针刺作为一种传统中医疗法,在治疗脑卒中后假性延髓麻痹方面取得了显著进展。脑卒中后假性延髓麻痹是一种常见且严重的并发症,表现为语言和吞咽困难,对患者的生活质量造成了极大影响。本文对针刺治疗脑卒中后假性延髓麻痹的临床研究进行了整理,旨在对针刺治疗假性延髓麻痹提供临床借鉴与参考。As a traditional Chinese medical therapy, acupuncture has made significant progress in treating post-stroke pseudobulbar palsy over the past five years. Pseudobulbar palsy is a common and severe complication following stroke, characterized by difficulties in speech and swallowing, which greatly impacts patients' quality of life. This paper reviews the clinical research on acupuncture treatment for post-stroke pseudobulbar palsy conducted, aiming to provide clinical insights and references for acupuncture treatment of Pseudobulbar palsy.
中风后假性延髓麻痹的患者主要表现为吞咽困难、饮水呛咳等症状,其发病率呈逐年上升趋势,目前无确切有效药物治疗,严重影响患者的生活质量。针刺因安全性高、操作简便、疗效突出等优势,被普遍运用到脑中风后吞咽障碍康复治疗中。针刺可有效治疗中风后假性延髓麻痹吞咽障碍的患者,增强其吞咽功能,使患者的生活质量得到提高。笔者通过查看近些年传统针刺治疗中风后假性延髓麻痹吞咽障碍的相关文献,观察普通针刺、特殊针刺,针刺联合其他治疗方法治疗吞咽障碍患者的疗效情况,对不同的针刺方法进行阐述,为临床进一步应用各种针刺方法提供疗法依据,能更好服务于临床治疗,更好地发掘祖国传统医学,推动其应用与发展。Patients with pseudobulbar palsy after stroke mainly have symptoms such as dysphagia and choking cough in drinking water. The incidence of pseudobulbar palsy after stroke is increasing year by year. At present, there is no effective drug treatment, which seriously affects the quality of life of patients. Acupuncture is widely used in the rehabilitation treatment of dysphagia after stroke due to its advantages of high safety, simple operation and outstanding curative effect. Acupuncture can effectively treat patients with pseudobulbar palsy dysphagia after stroke, enhance their swallowing function, and improve the quality of life of patients. By reviewing the relevant literature on traditional acupuncture in the treatment of post-stroke pseudobulbar palsy dysphagia in recent years, the author observed the efficacy of ordinary acupuncture, special acupuncture, and acupuncture combined with other treatment methods in the treatment of patients with dysphagia, and elaborated on different acupuncture methods. It provides a therapeutic basis for further clinical application of various acupuncture methods, which can better serve clinical treatment, better explore traditional Chinese medicine, and pr
目的探讨在急性脑梗死(ACI)合并延髓麻痹症患者中采用不同管饲干预的应用情况。方法回顾性分析90例ACI合并延髓麻痹症患者,通过不同管饲干预方法分为间歇经口管饲(IOE,55例)组与鼻饲(NGT,35例)组。对比两组患者管饲10d后的吞咽功能改善情况、舒适度(Visual Analogue Scale,VAS)、身体质量(Body Mass Index,BMI)指数及生活质量[生活质量评分精简版(Quality of Life Short Form 12,SF-12)]评分。结果经干预对比后,IOE组患者舒适度显著高于NGT组患者,且IOE组患者VAS评分显著低于NGT组(P<0.05);经干预后,两组患者吞咽功能评级、BMI指数与SF-12评分均有提高,IOE组患者吞咽功能恢复人数显著大于NGT组患者,IOE组两项评分均高于NGT组,各项差异均有统计学意义(P<0.05)。结论ACI合并延髓麻痹症患者采用间歇经口管饲法更能帮助患者缓解鼻咽喉不适感,改善吞咽功能及营养状态,提高生活质量,值得临床推广。
