Clinical Observation on the Nape Needling Combined with Swallowing Dysfunction Therapeutic Apparatus in the Treatment of Swallowing Dysfunction After Cerebral Infarction
10.13359/j.cnki.gzxbtcm.2024.06.020
- VernacularTitle:项针联合吞咽功能障碍治疗仪治疗脑梗死后吞咽功能障碍的临床观察
- Author:
Nan-Nan ZHAO
1
;
Gao-Gang SHANG
;
Xin ZHAO
Author Information
1. 秦皇岛市中医医院针灸科,河北秦皇岛 066000
- Keywords:
nape needling;
swallowing dysfunction therapeutic apparatus;
cerebral infarction;
swallowing dysfunction;
hyoid bone motor displacement;
serum substance P;
clinical observation
- From:
Journal of Guangzhou University of Traditional Chinese Medicine
2024;41(6):1504-1509
- CountryChina
- Language:Chinese
-
Abstract:
Objective To observe the clinical effect of nape needling combined with swallowing dysfunction therapeutic apparatus in the treatment of patients with swallowing dysfunction after cerebral infarction.Methods Eighty patients with swallowing dysfunction after cerebral infarction were randomly divided into observation group and control group,40 cases in each group.On the basis of routine treatment,the control group was treated with swallowing dysfunction therapeutic apparatus,and the observation group was treated with nape needling on the basis of the control group for 4 weeks.After 1 month of treatment,the clinical efficacy of the two groups was evaluated,and the changes of the water swallowing test(WST)score and the standard swallowing assessment(SS A)score were observed before and after treatment in the two groups,as well as the changes of the vertical and horizontal movement of the hyoid bone during swallowing in the two groups.The changes of serum substance P(SP)content were compared before and after treatment between the two groups.The safety and adverse reactions of the two groups were evaluated.Results(1)The total effective rate was 90.00％(36/40)in the observation group and 67.50％(27/40)in the control group.The curative effect of the observation group was superior to that of the control group,and the difference was statistically significant(P＜0.05).(2)After treatment,the WST and SSA scores of the two groups were significantly improved(P＜0.05),and the improvement of WST and SSA scores in the observation group was significantly superior to that in the control group,the difference was statistically significant(P＜0.05).(3)After treatment,the vertical and horizontal displacement of the hyoid bone in the two groups were significantly improved(P＜0.05),and the improvement of the vertical and horizontal displacement of the hyoid bone in the observation group was significantly superior to that in the control group,the difference was statistically significant(P＜0.05).(4)After treatment,the serum SP level of the two groups was significantly improved(P＜0.05),and the observation group was significantly superior to the control group in improving the serum SP level,the difference was statistically significant(P＜0.05).(5)The total incidence of adverse reactions in the observation group was 5.00％(2/40);the control group was 25.00％(10/40);the incidence of adverse reactions in the observation group was significantly lower than that in the control group,the difference was statistically significant(P＜0.05).Conclusion Nape needling combined with swallowing dysfunction therapeutic apparatus in the treatment of swallowing dysfunction after cerebral infarction can significantly improve the swallowing function of patients,improve the serum SP level of patients,increase the displacement distance of hyoid bone,and reduce the incidence of adverse reactions.
