项丛刺疗法联合揿针埋针治疗脑卒中后吞咽障碍的临床疗效观察OACSTPCD

Objective To explore the clinical efficacy of cervical cluster acupuncture(CCA)combined with thumbtack needle-embedding therapy(TNET)in the treatment of post-stroke dysphagia(PSD).Methods A total of 80 patients with PSD admitted to the Second Hospital of Baoding from March 2019 to January 2022 were selected and divided into observation and control groups by random number table method,with 40 cases in each group.The control group was treated with TNET,and the observation group was treated with CCA combined with TNET.Both groups were treated once every other day for two weeks.Clinical efficacy,standardized swallowing assessment(SSA)score,water swallow test score,TCM syndrome score,relevant indicators of digitized videofluoroscopic swallow study(pharyngeal contraction rate and duration)and surface electromyography(sEMG)[duration and averaged electromyography(AEMG)],and complication incidence were compared between the two groups.Results The total effective rate of the observation group(92.50%)was significantly higher than that in the control group(75.00%)(P<0.05).Compared with before treatment,the water swallow test scores,SSA scores,TCM syndrome scores,pharyngeal contraction rate,and AEMG and duration of submental and infrahyoid muscle groups decreased in both groups after treatment(P<0.05),with the observation group showing greater reductions than the control group(P<0.05).Compared with before treatment,the duration of pharyngeal contraction in both groups increased after treatment(P<0.05),with the observation group showing a greater increase than the control group(P<0.05).There was no statistically significant difference in the complication incidence between the two groups(P>0.05).Conclusion CCA combined with TNET is effective in the treatment of PSD,thereby enhancing the swallowing function,alleviating symptoms,and improving the related indicators of digitized videofluoroscopic swallow study and sEMG.