针灸推拿医学（英文版）2025，Vol.23Issue(1)：49-55,7.DOI:10.1007/s11726-025-1478-0
盘龙针刺法联合下颏抗阻力训练治疗脑卒中后吞咽障碍临床观察
Clinical observation of coiling dragon needling plus chin tuck against resistance training for post-stroke deglutition disorders
摘要
Abstract
Objective:To explore the clinical efficacy of coiling dragon needling plus chin tuck against resistance(CTAR)training for post-stroke deglutition disorders and its impact on surface electromyography. Methods:A total of 100 patients with post-stroke deglutition disorders were randomly divided into two groups,with 50 cases in each group.Both groups received the same CTAR training,and the observation group was treated with additional coiling dragon needling.Both groups were treated for 2 weeks.The clinical efficacy,swallowing function,average value of the maximum amplitude of surface electromyography,quality of life,and the difference in adverse reactions were compared between the two groups. Results:The total effective rate of the observation group was higher than that of the control group(P<0.05).After treatment,the standardized swallowing assessment(SSA),aspiration score,and deglutition disorders score of the videofluoroscopic swallowing study(VFSS)in both groups were significantly lower than those before treatment(P<0.05).The average value of the maximum amplitude of surface electromyography in the relaxed state,dry swallowing state,and the state of swallowing water,and the swallowing quality of life questionnaire(SWAL-QOL)score were all significantly higher than those before treatment in the two groups(P<0.05).After treatment,the SSA score,VFSS aspiration score,and VFSS deglutition disorders score in the observation group were lower than those in the control group(P<0.05),and the average value of the maximum amplitude of surface electromyography in the relaxed state,dry swallowing state,and the state of swallowing water,and the SWAL-QOL score in the observation group were higher than those in the control group(P<0.05).There was no significant difference in the incidence of adverse reactions between the two groups(P>0.05). Conclusion:Compared to CTAR treatment alone,coiling dragon needling plus CTAR treatment can enhance the clinical efficacy in treating patients with post-stroke deglutition disorders,enhancing the contraction ability of swallowing muscles and improving their swallowing function and quality of life.关键词
针刺疗法/盘龙针刺/中风后遗症/吞咽障碍/抗阻力训练/表面肌电/随机对照试验Key words
Acupuncture Therapy/Coiling Dragon Needling/Poststroke Syndrome/Deglutition Disorders/Resistance Training/Surface Electromyography/Randomized Controlled Trial分类
医药卫生引用本文复制引用
唐李莹,朱莉莉,周英,余梅,张垣,张馥晴..盘龙针刺法联合下颏抗阻力训练治疗脑卒中后吞咽障碍临床观察[J].针灸推拿医学（英文版）,2025,23(1):49-55,7.基金项目
This study was supported by the Science and Technology Program of Wenzhou(温州市科技计划项目,No.Y20210966). （温州市科技计划项目,No.Y20210966）
