中国现代医学杂志2026，Vol.36Issue(1)：34-40,7.DOI:10.3969/j.issn.1005-8982.2026.01.006
咽三针点按联合摄食-吞咽训练对卒中后吞咽障碍的影响
Effect of Yan San Zhen acupressure combined with feeding-swallowing training on post-stroke dysphagia
摘要
Abstract
Objective To investigate the effect of Yan San Zhen acupressure combined with feeding-swallowing training on post-stroke dysphagia(PSD).Methods A total of 98 patients with PSD admitted to Jinhua Municipal Central Hospital from January 2022 to January 2025 were selected as the research objects and randomly divided into a training group and a Yan San Zhen group,with 49 cases in each group.The training group was given feeding-swallowing training,while the Yan San Zhen group was treated with Yan San Zhen acupressure on the basis of the training group.Clinical efficacy,syndrome scores,movement distances of the thyroid cartilage and hyoid bone,swallowing time,maximum electromyographic amplitude,and adverse reactions were compared between the two groups.Results The total clinical effective rate of the Yan San Zhen group was higher than that of the training group(P<0.05).After treatment,the syndrome scores of dysphagia,stiff tongue with slurred speech,and choking on water in the Yan San Zhen group were lower than those in the training group(P<0.05).The differences in syndrome scores of dysphagia,stiff tongue with slurred speech,and choking on water before and after treatment in the Yan San Zhen group were greater than those in the training group(P<0.05).After treatment,the vertical and horizontal movement distances of the thyroid cartilage and hyoid bone in the Yan San Zhen group were greater than those in the training group(P<0.05).The differences in vertical and horizontal movement distances of the thyroid cartilage and hyoid bone before and after treatment in the Yan San Zhen group were greater than those in the training group(P<0.05).After treatment,the swallowing time in the Yan San Zhen group was shorter than that in the training group,while the maximum electromyographic amplitude was higher(P<0.05).The differences in swallowing time and maximum electromyographic amplitude before and after treatment in the Yan San Zhen group were greater than those in the training group(P<0.05).No adverse reactions were observed in either group.Conclusion Yan San Zhen acupressure combined with feeding-swallowing training has a significant effect on patients with PSD.关键词
卒中后吞咽障碍/咽三针/摄食-吞咽训练/证候积分Key words
post-stroke dysphagia/Yan San Zhen/feeding-swallowing training/syndrome score分类
医药卫生引用本文复制引用
Huang Min-er,Mao Zhen-ying,Wu Meng-yuan,Zhu Wei-xin..咽三针点按联合摄食-吞咽训练对卒中后吞咽障碍的影响[J].中国现代医学杂志,2026,36(1):34-40,7.基金项目
浙江省医药卫生科技计划项目(No:2023KY1199) （No:2023KY1199）
