Yuan Ying, Qian Xiao-Lu, Yan Wen-Min, Zhou Shuang
Department of Acupuncture-Moxibustion and Tuina, Changhai Hospital of Naval Military Medical University, Shanghai 200433, China.
Department of Acupuncture-Moxibustion and Tuina, Changhai Hospital of Naval Military Medical University, Shanghai 200433, China; School of Acupuncture-Moxibustion and Tuina, Shanghai University of TCM, Shanghai 201203.
Zhongguo Zhen Jiu. 2020 Apr 12;40(4):347-51. doi: 10.13703/j.0255-2930.20190502-0003.
To observe the clinical effect of fire needling on dysphagia due to pseudobulbar paralysis after stroke and to compare the difference in clinical effect between fire needling and swallowing function rehabilitation training.
A total of 76 patients with dysphagia due to pseudobulbar paralysis after stroke were randomly divided into an observation group and a control group, 38 cases in each group (1 case dropped out in the control group). The both groups were based on conventional western medication treatment. Fire needle pricking was exerted at Lianquan (CV 23), Fengchi (GB 20), Wangu (GB 12), Shuigou (GV 26), Neiguan (PC 6) and Zusanli (ST 36) without needle retaining every other day in the observation group. The control group was treated with the swallowing function rehabilitation training. In both groups, treatment for 2 weeks was as one course and 2 courses of treatment with 2-day interval were required. After treatment, swallowing scores of Fujishima Ichiro and swallow quality of life questionnaire (SWAL-QOL) scores were observed in both groups, and the clinical effect was compared. Follow-up of swallowing scores of Fujishima Ichiro in 4 weeks after treatment was completed to evaluate the clinical effect.
The clinical effective rates after treatment and follow-up were 92.1% (35/38) and 94.7% (36/38) in the observation group, higher than 75.7% (28/37) and 83.8% (31/37) in the control group (<0.05). After treatment, the swallowing scores of Fujishima Ichiro and SWAL-QOL scores were increased in the two groups (<0.05), and those in the observation group were higher than the control group (<0.05). The swallowing scores of Fujishima Ichiro were increased during follow-up in the two groups (<0.05).
Fire needling has a better effect than conventional rehabilitation training in the treatment of dysphagia due to pseudobulbar paralysis after stroke, which can obviously improve the swallowing function and quality of life in patients with dysphagia.
观察火针治疗中风后假性球麻痹吞咽障碍的临床疗效，并比较火针与吞咽功能康复训练临床疗效的差异。
将76例中风后假性球麻痹吞咽障碍患者随机分为观察组和对照组，每组38例（对照组脱落1例）。两组均给予西医常规药物治疗。观察组隔日在廉泉（CV 23）、风池（GB 20）、完骨（GB 12）、水沟（GV 26）、内关（PC 6）、足三里（ST 36）行火针点刺，不留针。对照组采用吞咽功能康复训练。两组均以2周治疗为1个疗程，间隔2天进行2个疗程的治疗。治疗后，观察两组藤岛一郎吞咽评分及吞咽生活质量问卷（SWAL-QOL）评分，并比较临床疗效。治疗结束后随访4周藤岛一郎吞咽评分，评价临床疗效。
观察组治疗后及随访时的临床有效率分别为92.1%（35/38）和94.7%（36/38），高于对照组的75.7%（28/37）和83.8%（31/37）（P<0.05）。治疗后，两组藤岛一郎吞咽评分及SWAL-QOL评分均升高（P<0.05），且观察组高于对照组（P<0.05）。两组随访时藤岛一郎吞咽评分均升高（P<0.05）。
火针治疗中风后假性球麻痹吞咽障碍疗效优于传统康复训练，能明显改善吞咽障碍患者的吞咽功能及生活质量。
