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目的观察丁苯酞联合针灸治疗对脑梗死假性球麻痹病人肺部感染的影响。方法根据洼田饮水试验,选择脑梗死后吞咽障碍并发肺炎病人159例,分为A组、B组、和C组,每组53例。C组采用一般脑血管病治疗,B组在C组基础上病情稳定后加用针灸治疗,A组在B组基础上加用丁苯酞氯化钠注射液100mL,静脉输注,每日2次,治疗14d。结果肺部感染病人例数,C组>B组>A组;治疗后,根据NIHSS评分,C组>B组>A组,3组比较有统计学意义(P<0.05)。结论急性脑梗死后假性球麻痹病人在一般治疗基础上加用丁苯酞联合针灸治疗,可以显著降低卒中后肺炎的发生率,改善其预后。
Objective To observe the effect of butylphthalide combined with acupuncture on pulmonary infection in patients with pseudobulbar palsy after cerebral infarction. Methods According to the Kubota drinking water test, 159 patients with swallowing disorders and pneumonia after cerebral infarction were divided into group A, group B and group C, with 53 cases in each group. Group C was treated with general cerebral vascular disease, Group B was treated with acupuncture after stable condition on the basis of Group C, Group A was given 100 mL Butylphthalide and Sodium Chloride Injection on the basis of Group B, Times, treatment 14d. Results The number of cases of pulmonary infection in group C> B group> A group; after treatment, according to NIHSS score, C group> B group> A group, 3 groups were statistically significant (P <0.05). Conclusion The patients with pseudobulbar paralysis after acute cerebral infarction combined with butylphthalide and acupuncture treatment on the basis of general treatment can significantly reduce the incidence of post-stroke pneumonia and improve its prognosis.