针刺对帕金森病伴吞咽困难患者吞咽功能的影响

Wei-Xing Feng, Miao-Lin Yang, Li-Juan Tang, Fei-Fei Yan, Hui Zhang
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引用次数: 0

摘要

目的:观察针刺对帕金森病(PD)吞咽困难患者吞咽功能及生活质量的影响。方法:将60例PD合并吞咽困难患者随机分为观察组(30例,下降2例)和对照组(30例,下降3例)。对照组给予常规药物治疗和康复训练。观察组患者在对照组治疗的基础上,给予风府穴(GV 16)、百会穴(GV 20)、神庭穴(GV 24)、印堂穴(GV 24+)、炎三镇穴、双侧风池穴(GV 20),每次30 min,每日1次,每周6次,连用4周。治疗前后采用久保田水吞咽试验、标准化吞咽评定(SSA)和吞咽生活质量(swa - qol)评价两组患者的吞咽功能和生活质量。结果:治疗后,两组患者的久保田水吞咽测试评分、SSA评分均较治疗前(ppppp)下降。结论:在常规药物治疗和康复训练的基础上,针刺可改善PD合并吞咽困难患者的吞咽功能和生活质量。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Effect of acupuncture on swallowing function for patients of Parkinson's disease with dysphagia].

Objective: To observe the effects of acupuncture on swallowing function and quality of life for patients with dysphagia in Parkinson's disease (PD).

Methods: A total of 60 patients of PD with dysphagia were randomly divided into an observation group (30 cases, 2 cases dropped off) and a control group (30 cases, 3 cases dropped off). The control group was given conventional medication therapy and rehabilitation training. On the basis of the treatment as the control group, the observation group was given acupuncture at Fengfu (GV 16), Baihui (GV 20), Shenting (GV 24), Yintang (GV 24+), Yansanzhen and bilateral Fengchi (GB 20), 30 min each time, once a day, 6 times a week for 4 weeks. Before and after treatment, the Kubota water swallowing test, standardized swallowing assessment (SSA) and swallowing quality of life (SWAL-QOL) were used to evaluate the swallowing function and quality of life of the two groups.

Results: After treatment, the Kubota water swallowing test grade, SSA scores in the two groups were decreased compared with those before treatment (P<0.05, P<0.001),the SWAL-QOL scores were increased compared with those before treatment (P<0.001); in the observation group,the Kubota water swallowing test grade and SSA score were lower than those in the control group (P<0.05),the SWAL-QOL score was higher than that in the control group (P<0.001).

Conclusion: On the basis of conventional medication therapy and rehabilitation training,acupuncture could improve the swallowing function and quality of life for patients of PD with dysphagia.

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