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| 揿针结合于氏项针治疗脑卒中后咽期吞咽障碍的临床研究 |
| Clinical Study On The Treatment Of Post Stroke Dysphagia By Pressing acupuncture combined with Yu''s Nape Acupuncture |
| 投稿时间：2024-03-29 录用日期：2024-04-15 |
| DOI： |
| 中文关键词: 揿针 于氏项针 吞咽障碍 脑卒中 临床观察 |
| 英文关键词: press needle Yu''s nape needle dysphagia stroke clinical observation |
| 基金项目:黑龙江省博士后资助面上项目,编号：LBH-Z21031； 黑龙江省博士后科研启动金,编号：LBH-Q21183；孙申田青年人才基金,编号：2021KY-01；黑龙江省中医药科研项目，编号：GY2022-08，哈尔滨市科技计划自筹经费项目，编号：2022ZCZJNS054；黑龙江中医药大学校科研基金资助项目（2019MS） |
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| 中文摘要: |
| 摘 要 目的：分析揿针联合于氏项针治疗脑卒中后吞咽障碍的临床疗效。方法：将70例符合纳入标准的脑卒中后吞咽障碍患者采用随机数字表法分为两组，分别是治疗组（揿针结合于氏项针组）与对照组（常规针刺组），每组35例，其中对照组脱离1例，剩余34例。两组除基础治疗外，对照组给予常规针刺治疗，治疗组给予揿针结合于氏项针治疗。记录两组患者治疗前后的洼田饮水试验评分表、标准吞咽功能评估量表（SSA） 、吞咽造影（VFSS）、吞咽障碍特异性生活质量评分（SWAL-QOL）。结果：治疗后，两组患者洼田饮水试验评分、SSA评分降低，VFSS指标及SWAL-QOL评分增高，且治疗组有效率以及各项指标均优于对照组，差异有统计学意义（P＜0.05）。结论：揿针结合于氏项针可以改善，且疗效优于常规针刺。 |
| 英文摘要: |
| Abstract Objective: To analyze the clinical efficacy of pressing acupuncture combined with Yu''s nape acupuncture in the treatment of dysphagia after stroke. Methods: 70 patients with dysphagia after stroke who met the inclusion criteria were randomly divided into two groups: the treatment group (pressing needle combined with nape needle group) and the control group (routine acupuncture group), with 35 cases in each group, including 1 case of detachment in the control group and the remaining 34 cases. In addition to basic treatment, the control group was treated with routine acupuncture, and the treatment group was treated with pressing needle combined with nape needle. The scores of Wata drinking water test, standard swallowing function assessment scale (SSA), swallowing angiography (VFSS) and swallowing disorder specific quality of life (swal-qol) were recorded before and after treatment. Results: After treatment, the Wada drinking water test score and SSA score of the two groups decreased, the VFSS and the SWAL-QOL score increased. The effective rate and various indicators of the treatment group were better than those of the control group, and the difference was statistically significant (P < 0.05). Conclusion: Pressing acupuncture combined with nape acupuncture can improve the curative effect and is better than routine acupuncture. |
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