Lin Qian, Li Xiu-Yu, Chen Ling-Li, Chen Mei-Yun, Lin Shu-Fang
Rehabilitation Hospital of Fujian University of TCM, Speech Therapy Department, Fuzhou 350003, China; Fujian Key Laboratory of Rehabilitation Technology, Fuzhou 350003.
Fujian Key Laboratory of Rehabilitation Technology, Fuzhou 350003; Rehabilitation Hospital of Fujian University of TCM, Outpatient Department, Fuzhou 350003, China.
Zhongguo Zhen Jiu. 2022 May 12;42(5):486-90. doi: 10.13703/j.0255-2930.20210911-0005.
To observe the effect of acupuncture combined with regular treatment and swallowing function training on pharyngeal motor, sensory function and penetration-aspiration function in patients with dysphagia after stroke.
A total of 60 patients with dysphagia after stroke were randomly divided into a control group and an observation group, 30 patients in each group. Both groups were treated with conventional treatment and swallowing function training; in addition, the observation group was treated with acupuncture at Lianquan (CV 23), Fengfu (GV 16), Yifeng (TE 17). All the treatments were given once a day, 5 days a week, for totally 4 weeks. In the two groups, the pharyngeal motor and sensory function, penetration-aspiration scores were evaluated by fiberoptic endoscopic evaluation of swallowing (FEES), and the Kubota water swallowing test scores were assessed before and after treatment, and the clinical effects were compared.
After treatment, the pharyngeal motor and sensory function in the two groups were all higher than those before treatment (<0.05), and those in the observation group were better than the control group (<0.05). After treatment, the penetration-aspiration scores and Kubota water swallowing test scores in the two groups were all lower than those before treatment (<0.05), and those in the observation group were lower than the control group (<0.05). The total effective rate was 93.3% (28/30) in the observation group, which was better than 73.3% (22/30) in the control group (<0.05).
Acupuncture combined with regular treatment and swallowing training could improve the pharyngeal motor and sensory function, and penetration-aspiration scores in patients with dysphagia after stroke.
观察针刺联合常规治疗及吞咽功能训练对脑卒中后吞咽障碍患者咽肌运动、感觉功能及误吸功能的影响。
将60例脑卒中后吞咽障碍患者随机分为对照组和观察组，每组30例。两组均给予常规治疗及吞咽功能训练；此外，观察组加用针刺廉泉（CV 23）、风府（GV 16）、翳风（TE 17）。所有治疗均每日1次，每周5天，共4周。两组均通过纤维喉镜吞咽功能评估（FEES）评价咽肌运动和感觉功能、误吸评分，并在治疗前后评估久保田饮水试验评分，比较临床疗效。
治疗后，两组患者的咽肌运动和感觉功能均高于治疗前（P<0.05），且观察组优于对照组（P<0.05）。治疗后，两组患者的误吸评分和久保田饮水试验评分均低于治疗前（P<0.05），且观察组低于对照组（P<0.05）。观察组总有效率为93.3%（28/30），优于对照组的73.3%（22/30）（P<0.05）。
针刺联合常规治疗及吞咽训练可改善脑卒中后吞咽障碍患者的咽肌运动和感觉功能及误吸评分。
