桂树虹黄东勉李俊驹费毅蔡燕（.海南省人民医院，海南海口5703；.海南省中医院，海南海口5703）

中药联合针灸治疗脑卒中后吞咽障碍肺部感染临床观察*

桂树虹1黄东勉2李俊驹1费毅1蔡燕1
（1.海南省人民医院，海南海口570311；2.海南省中医院，海南海口570311）

目的探讨针灸疗法联合中药治疗脑卒中后肺部感染的临床疗效。方法选择156例脑卒中后吞咽困难并发肺部感染患者，随机分为观察组和对照组各78例，对照组患者给予常规治疗，观察组患者另予针灸疗法联合化痰祛瘀汤进行治疗。观察两组临床疗效并进行分析。结果观察组患者吞咽障碍临床有效率为93.59%，明显优于对照组的82.05%，两组比较差异有统计学意义（P＜0.05）。肺部感染临床疗效显示观察组临床总有效率92.31%，优于对照组的74.36%（P＜0.05）。结论针灸疗法联合中药治疗脑卒中后吞咽障碍并发肺部感染患者临床疗效显著，吞咽障碍和肺部感染症状明显改善。

针灸疗法化痰祛瘀汤脑卒中吞咽障碍肺部感染

【Abstract】Objective：To evaluate the clinical efficacy of traditional Chinesemedicine combined with acupuncture on pulmonary infection in patients with dysphagia after stroke，providing the basis for clinical treatment. M ethods：156 cases of pulmonary infection with dysphagia after stroke from February 2014 to March 2015 were random ly divided into the observation group and the control group，78 cases in each.The control group were given conventional treatment；the observation group were treated with acupuncture combined with Huatan Quyu Decoction.Differences of clinical effects between the two groupswere observed and analyzed.Results：After treatment，the clinical effective rate of dysphagia in the observation group was 93.59%，which was significantly better than that of the control group 82.05%；the difference was statistically significant（P《0.05）.The total clinical effective rate of pulmonary infection in the observation group was 92.31%，better than thatof the control group 74.36%（P《 0.05）.Conclusion：Acupuncture combined with traditional Chinesemedicine on pulmonary infection in patients with dysphagia after stroke has an obvious clinical efficacy；swallowing dysfunction and pulmonary infection symptoms of patients improved significantly，worth further study

【Key words】Acupuncture；Huatan Quyu Decoction；Stroke；Dysphagia；Lung infection

脑卒中是一种急性脑血管疾病，多数由脑部血管发生破裂或堵塞而导致血液流入大脑路径受阻进而引发脑组织损伤，常见脑卒中包括缺血性卒中和出血性卒中两种［1-2］。吞咽障碍与肺部感染是临床脑卒中患者常见并发症，发生吞咽障碍的患者饮水时易呛咳进而引发吸入性肺炎、窒息等并发症，同时合并肺部感染的患者会加剧吞咽障碍程度，临床治疗中难度较大［3］。为探讨脑卒中后吞咽障碍并发肺部感染患者的有效治疗方案，本研究对给予两种治疗方案的156例患者临床疗效进行了统计分析。……