Acupoint injection combined with Vitalstim electrical stimulation for post-stroke dysphagia:a randomized controlled trial.
10.13703/j.0255-2930.20210128-0002
- Author:
Fei-Xiang MA
1
,
2
;
Li CHEN
3
;
Gui-Ping CAO
4
;
Wan-Lang LI
5
;
Ying-Ling ZHU
5
;
Jing-Jian CHANG
5
;
Fei CHEN
5
Author Information
1. Yancheng Third People's Hospital, Yancheng 224005, Jiangsu Province, China
2. First Clinical Medical College of Nanjing University of Chinese Medicine, Nanjing 210049, Jiangsu Province.
3. Affiliated Hospital of Nanjing University of Chinese Medicine.
4. Yancheng Hospital of TCM.
5. Yancheng Third People's Hospital, Yancheng 224005, Jiangsu Province, China.
- Publication Type:Randomized Controlled Trial
- Keywords:
Vitalstim electrical stimulation;
acupoint injection;
post-stroke dysphagia;
tongue muscle thickness;
video fluoroscopic swallowing study (VFSS)
- MeSH:
Acupuncture Points;
Acupuncture Therapy;
Deglutition;
Deglutition Disorders/therapy*;
Electric Stimulation;
Humans;
Treatment Outcome
- From:
Chinese Acupuncture & Moxibustion
2022;42(2):133-136
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE:To observe the clinical efficacy of acupoint injection combined with Vitalstim electrical stimulation for post-stroke dysphagia.
METHODS:A total of 98 patients with dysphagia after first stroke were randomized into an acupoint injection group (35 cases, 2 cases dropped off), an electrical stimulation group (31 cases, 3 cases dropped off) and a combination group (32 cases, 3 cases dropped off). Injection of mecobalamin into Tunyan point, Vitalstim electrical stimulation and the combination of injection of mecobalamin into Tunyan point and Vitalstim electrical stimulation were applied respectively in the 3 groups, once a day, 10 times as one course, 2 courses were required. Before and after treatment, the tongue muscle thickness and video fluoroscopic swallowing study (VFSS) score were observed in the 3 groups.
RESULTS:After treatment, the tongue muscle thickness was decreased (P<0.05), the VFSS scores were increased (P<0.05) compared with before treatment in the 3 groups, and the variation of tongue muscle thickness and VFSS score in the combination group was greater than the acupoint injection group and the electrical stimulation group (P<0.05).
CONCLUSION:Both acupoint injection of mecobalamin and Vitalstim electrical stimulation have therapeutic effect on dysphagia after stroke, and the two have synergistic effect.