目的：观察基于冲脉理论针刺疗法联合康复训练对脑卒中患者吞咽功能障碍的影响。方法：选取80 例脑卒中后吞咽功能障碍患者作为研究对象，按随机数字表法分为观察组及对照组各40 例。对照组予以常规针刺联合康复训练治疗，观察组予以基于冲脉理论的针刺疗法联合康复训练。比较2 组临床疗效及并发症发生率，比较2 组治疗前后标准吞咽功能量表（SSA） 评分、电视透视吞咽功能检查（VFSS） 评分、吞咽障碍特异性生活质量量表（SWAL-QOL） 评分的变化。结果：治疗后，观察组临床疗效总有效率97.50%，对照组为82.50%，2 组比较，差异有统计学意义（P＜0.05）。治疗后，2 组SSA 评分均较治疗前下降，2 组VFSS、SWAL-QOL 评分均较治疗前上升（P＜0.05）；观察组SSA 评分低于对照组，VFSS 评分、SWAL-QOL 评分均高于对照组（P＜0.05）。治疗后，对照组并发症发生率为20.00%，观察组为5.00%，2 组比较，差异有统计学意义（P＜0.05）。结论：基于冲脉理论针刺疗法联合康复训练对脑卒中患者吞咽功能障碍有积极的影响，能提高临床疗效，有效改善患者吞咽功能，提升生活质量。
Abstract： Objective： To observe the effect of acupuncture therapy combined with rehabilitation training for swallowing disorders in stroke patients based on Chong vessel theory. Methods： A total of 80 cases of patients with swallowing disorders after stroke were selected as the study subjects， and divided into the observation group and the control group according to the random number table method， with 40 cases in each group. The control group was treated with routine acupuncture combined with rehabilitation training， and the observation group was treated with acupuncture therapy combined with rehabilitation training based on Chong mai theory. The clinical effects and the incidence of complications in the two groups were compared. Before and after treatment， the changes in scores of standardized swallowing assessment(SSA)，Videofluoroscopic Swallowing Study(VFSS) and Swallowing Quality-of-Life questionnaire(SWAL-QOL) in the two groups were compared. Results：After treatment，the total effective rate of clinical effect was 97.50% in the observation group and 82.50% in the control group，the difference being significant(P＜0.05). After treatment， the SSA scores in the two groups were decreased when compared with those before treatment，and the scores of VFSS and SWAL-QOL in the two groups were increased(P＜0.05)；the SSA score in the observation group was lower than that in the control group，and the scores of VFSS and SWAL-QOL were higher(P＜0.05). After treatment，the incidence of complications was 20.00% in the control group and 5.00% in the observation group，the difference being significant(P＜ 0.05). Conclusion：Based on Chong vessel theory，the acupuncture therapy combined with rehabilitation training has a positive effect in patients with swallowing disorders after stroke， which can enhance the clinical effect，effectively improve the swallowing function，and increase quality of life.