Effect of acupuncture for dysphagia after stroke based on fiberoptic endoscopic swallowing function evaluation.
10.13703/j.0255-2930.20210911-0005
- Author:
Qian LIN
1
,
2
;
Xiu-Yu LI
1
,
2
;
Ling-Li CHEN
1
,
2
;
Mei-Yun CHEN
3
,
4
;
Shu-Fang LIN
3
,
5
Author Information
1. Rehabilitation Hospital of Fujian University of TCM, Speech Therapy Department, Fuzhou 350003, China
2. Fujian Key Laboratory of Rehabilitation Technology, Fuzhou 350003.
3. Fujian Key Laboratory of Rehabilitation Technology, Fuzhou 350003
4. Rehabilitation Hospital of Fujian University of TCM, Outpatient Department, Fuzhou 350003, China.
5. Rehabilitation Hospital of Fujian University of TCM, Department of Acupuncture and Moxibustion, Fuzhou 350003, China.
- Publication Type:Randomized Controlled Trial
- Keywords:
Kubota water swallow test;
acupuncture;
dysphagia after stroke;
fiberoptic endoscopic;
swallowing evaluation
- MeSH:
Acupuncture Points;
Acupuncture Therapy;
Deglutition;
Deglutition Disorders/therapy*;
Humans;
Stroke/complications*;
Treatment Outcome;
Water
- From:
Chinese Acupuncture & Moxibustion
2022;42(5):486-490
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE:To observe the effect of acupuncture combined with regular treatment and swallowing function training on pharyngeal motor, sensory function and penetration-aspiration function in patients with dysphagia after stroke.
METHODS:A total of 60 patients with dysphagia after stroke were randomly divided into a control group and an observation group, 30 patients in each group. Both groups were treated with conventional treatment and swallowing function training; in addition, the observation group was treated with acupuncture at Lianquan (CV 23), Fengfu (GV 16), Yifeng (TE 17). All the treatments were given once a day, 5 days a week, for totally 4 weeks. In the two groups, the pharyngeal motor and sensory function, penetration-aspiration scores were evaluated by fiberoptic endoscopic evaluation of swallowing (FEES), and the Kubota water swallowing test scores were assessed before and after treatment, and the clinical effects were compared.
RESULTS:After treatment, the pharyngeal motor and sensory function in the two groups were all higher than those before treatment (P<0.05), and those in the observation group were better than the control group (P<0.05). After treatment, the penetration-aspiration scores and Kubota water swallowing test scores in the two groups were all lower than those before treatment (P<0.05), and those in the observation group were lower than the control group (P<0.05). The total effective rate was 93.3% (28/30) in the observation group, which was better than 73.3% (22/30) in the control group (P<0.05).
CONCLUSION:Acupuncture combined with regular treatment and swallowing training could improve the pharyngeal motor and sensory function, and penetration-aspiration scores in patients with dysphagia after stroke.
