湖南中医药大学学报2024，Vol.44Issue(8)：1410-1414,5.DOI:10.3969/j.issn.1674-070X.2024.08.008
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
Clinical efficacy of cervical cluster acupuncture combined with thumbtack needle-embedding therapy in the treatment of post-stroke dysphagia
摘要
Abstract
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.关键词
项丛刺疗法/揿针埋针/脑卒中后吞咽障碍/吞咽造影数字化分析/吞咽功能Key words
cervical cluster acupuncture/thumbtack needle-embedding therapy/post-stroke dysphagia/digitized vide-ofluoroscopic swallow study/swallowing function分类
医药卫生引用本文复制引用
王玉双,李晓磊,米少辉,刘英敏..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[J].湖南中医药大学学报,2024,44(8):1410-1414,5.基金项目
河北省保定市科技计划项目(2141ZF212). （2141ZF212）
