【作者】 Liu Xiao-ping (刘小平)1, Chen Fei-yu (陈飞宇)2, Chu Jia-mei (楚佳梅)1, Bao Ye-hua (包烨华)

【机构】 本站原创

【摘要】

Objective: To observe the clinical efficacy of Gao’s nape acupuncture plus swallowing training in treating pharyngeal deglutition disorder after stroke.

Methods: One hundred patients with post-stroke pharyngeal deglutition disorder were randomized into a treatment group and a control group, with 50 cases in each group. The two groups both received routine neurological intervention. In addition, the treatment group was given Gao’s nape acupuncture plus swallowing training, while the control group was intervened by swallowing training alone. After eight-week treatment, the two groups were observed in terms of the changes in repetitive saliva swallowing test (RSST), modified water swallowing test (MWST), standardized swallowing assessment (SSA) and swallowing-related quality of life (SWAL-QOL). The clinical efficacies of the two groups were also compared.

Results: After treatment, the RSST grading, and scores of MWST, SSA and SWAL-QOL changed significantly in both groups (P<0.05 or P<0.01). The RSST grading, and scores of MWST, SSA and SWAL-QOL in the treatment group were significantly different from those in the control group after treatment (P<0.05 or P<0.01). The total effective rate and markedly effective rate were respectively 100.0% and 72.3% in the treatment group, versus 97.9% and 34.0% in the control group. There was a significant difference in the markedly effective rate between the two groups (P<0.01). The difference in the clinical efficacy between the two groups was statistically significant (P<0.01).

Conclusion: Gao’s nape acupuncture plus swallowing training is an effective approach for post-stroke pharyngeal deglutition disorder. Its therapeutic efficacy is more significant than that of swallowing training alone.