Yu Jing, Zhu Ying, Mao Jun-Hui, Yuan Jian-Hui, Xu Ya-Lin, Huang Jin-Xiu
Department of Acupuncture-Moxibustion and Rehabilitation, Hangzhou Hospital of TCM, Hangzhou 310007, Zhejiang Province, China.
Third Clinical College, Zhejiang Chinese Medical University.
Zhongguo Zhen Jiu. 2022 May 12;42(5):481-5. doi: 10.13703/j.0255-2930.20210620-k0003.
To observe the therapeutic effect of scalp-nape acupuncture for pharyngeal dysphagia of stroke at recovery stage on the basis of neuromuscular electrical stimulation (NMES) and rehabilitation training.
A total of 42 patients with pharyngeal dysphagia of stroke at recovery stage were randomized into an observation group and a control group, 21 cases in each group. Conventional medical symptomatic treatment was given in both groups. NMES and rehabilitation training were adopted in the control group, 30 min for each one. On the basis of the treatment in the control group, scalp-nape acupuncture was given in the observation group, scalp acupuncture was applied at lower 2/5 of anterior and posterior oblique lines of parietal and temporal, nape acupuncture was applied at Fengchi (GB 20), Yiming (EX-HN 14), Gongxue (Extra), Zhiqiang (Extra), Tunyan (Extra), etc. The treatment was given once a day, 5 days a week for 3 weeks in both groups. Before and after treatment, the videofluoroscopic dysphagia scale (VDS) score, the Kubota water swallowing test grade, the functional oral intake scale (FOIS) grade and the swallowing quality of life (SWAL-QOL) score were observed in both groups.
After treatment, the VDS scores were decreased and the SWAL-QOL scores were increased compared before treatment (<0.05), the Kubota water swallowing test grade and FOIS grade were improved compared before treatment (<0.05) in both groups. The changes of VDS score and SWAL-QOL score, Kubota water swallowing test grade and FOIS grade in the observation group were superior to those in the control group (<0.05).
Based on NMES and rehabilitation training, scalp-nape acupuncture can enhance the therapeutic effect on pharyngeal dysphagia of stroke at recovery stage, and improve the patients' swallowing function and quality of life.
观察在神经肌肉电刺激（NMES）及康复训练基础上，项针治疗脑卒中恢复期吞咽障碍的疗效。
将42例脑卒中恢复期吞咽障碍患者随机分为观察组和对照组，每组21例。两组均给予常规内科对症治疗。对照组采用NMES及康复训练，各30分钟。观察组在对照组治疗基础上给予项针治疗，头针取顶颞前斜线、顶颞后斜线中2/5，项针取风池（GB 20）、翳明（EX-HN 14）、供血（奇穴）、志强（奇穴）、吞咽（奇穴）等。两组均每日治疗1次，每周5次，共3周。观察两组治疗前后电视荧光吞咽造影量表（VDS）评分、久保田饮水试验分级、功能性经口摄食量表（FOIS）分级及吞咽生活质量（SWAL-QOL）评分。
治疗后，两组VDS评分降低，SWAL-QOL评分升高（<0.05），久保田饮水试验分级及FOIS分级较治疗前改善（<0.05）。观察组VDS评分、SWAL-QOL评分、久保田饮水试验分级及FOIS分级的变化优于对照组（<0.05）。
在NMES及康复训练基础上，项针可提高脑卒中恢复期吞咽障碍的治疗效果，改善患者吞咽功能及生活质量。
