【摘要】 目的:观察针刺颈项部腧穴为主治疗假性球麻痹所致吞咽障碍的临床疗效并探讨其作用机理。方法:将86例明确诊断的病人随机分为治疗组(针刺+西药)44例,穴取风府、风池、供血、翳明、治呛、吞咽、发音、廉泉等,药物选用疏血通6 ~10 mL,0.9 %NaCl 250 mL静脉注射,对照组(西药)42例,药物选用疏血通6 ~10 mL,0.9 %NaCl 250 mL静脉注射。结果:治疗组总有效率为97.73 %,对照组总有效率为80.95 %。两组间差异有非常显著意义(P<0.01)。结论:颈项部腧穴为主治疗假性球麻痹所致吞咽障碍有较好的疗效,优于单纯西药治疗,值得推广;其机理可能是提高了病人脑神经细胞的兴奋性,使可逆神经细胞复活或被抑制的神经细胞觉醒。更多还原

【Abstract】 Objective To observe the clinical therapeutic effects on dysphagia induced by pseudobulbar palsy chiefly treated with neck acupuncture and probe into the mechanism on the effects. Methods The 86 cases that had been diagnosed definitely were randomized into two groups, the treatment group and control group. The treatment group (acupuncture+western medication) (44 cases) was treated with acupuncture on Fēngfǔ (风府GV16), Fēngchí (风池GB20), Gòngxuě (供血Extra), Yīmíng (翳明EX-HN14), Zhìqiāng (治呛Extra), Tūnyàn (吞咽Extra), Fāyīn (发音Extra), Liánquán (廉泉CV23), etc., and the intravenous injection with Shuxuetong (疏血通) 6-10 mL and 0.9%, NaCl 250 mL. The control group (western medication) (42 cases) was treated with the intravenous injection with Shuxuetong (疏血通) 6-10 mL and 0.9%, NaCl 250 mL. Results The total effective rate was 97.73% and 80.95% in the treatment group and control group respectively, indicating very significant difference (P<0.01). Conclusion The therapeutic effects mainly with neck acupuncture are better on dysphagia induced by psudalbulbar palsy, which is superior to that with simple western medication and worth to be promoted. Concerning to the mechanism on the therapeutic results, it is viewed that acupuncture on neck points improves the excitability of cerebral neurocytes, resuscitates the reversible neurocytes or awakens the inhibited neurocytes.更多还原