Clinical effect of nape cluster acupuncture in the treatment of swallowing dysfunction after stroke
YAO Shan1 GUO Pengfei1 XU Dehui2 SUN Jie1#br#
1.Department of Rehabilitation, Xuzhou Central Hospital, Jiangsu Province, Xuzhou 221009, China;
2.the Second Clinical Medical School, Xuzhou Medical University, Jiangsu Province, Xuzhou 221004, China
Abstract Objective To explore the clinical effect of nape cluster acupuncture in the treatment of swallowing dysfunction after stroke. Methods One hundred and twenty-four patients with swallowing dysfunction after stroke treated in Xuzhou Central Hospital from September 2019 to September 2021 were selected, and they were divided into control group and observation group by random number table method, with 62 cases in each group. The control group was treated with routine rehabilitation treatment, and the observation group was treated with nape cluster acupuncture on the basis of the control group. Both groups took four weeks as a course of treatment and continued for three courses of treatment. The clinical efficacy, swallowing function score, brain hemodynamic indexes, brain injury markers level and adverse reactions were compared between the two groups. Results The clinical efficacy of the observation group was better than that of the control group (P < 0.05). After treatment, the scores of Kubota water swallowing test, video fluoroscopic swallowing study and eating assessment tool-10 score in the two groups were lower than those before treatment, and the scores in the observation group were lower than those in the control group (P < 0.05). After treatment, maximum peak velocity (MPV) and average velocity (VM) in the two groups were faster than those before treatment, resistance index (RI) in the two groups was lower than before treatment, and MPV and VM in the observation group were faster than those in the control group, RI in the observation group was lower than that in the control group (P < 0.05). After treatment, the levels of serum amyloid A, myelin basic protein and phospholipid transfer protein factor in the two groups were lower than those before treatment, and the levels in the observation group were lower than those in the control group (P < 0.05). There was no significant difference in the total incidence of adverse reactions between the two groups (P > 0.05). Conclusion Nape cluster acupuncture is effective in the treatment of swallowing dysfunction after stroke. It can improve the swallowing function, cerebral blood flow microcirculation state, reduce the level of brain injury markers, and has good safety.
YAO Shan1 GUO Pengfei1 XU Dehui2 SUN Jie1. Clinical effect of nape cluster acupuncture in the treatment of swallowing dysfunction after stroke[J]. 中国医药导报, 2022, 19(25): 119-123.
