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Observation on mind-refreshing and orifice-opening needling method plus swallowing disorder therapeutic apparatus for deglutition disorder of stroke patients in the convalescent stage

醒脑开窍针法联合吞咽障碍治疗仪治疗脑卒中恢复期吞咽障碍的观察

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Abstract

Objective

To observe the clinical effect of mind-refreshing and orifice-opening needling method plus swallowing disorder therapeutic apparatus for deglutition disorder of stroke patients in convalescence stage.

Methods

A total of 136 patients conforming to the inclusion criteria were randomized into three groups by the random number table, including group A of 46 cases, group B of 44 cases and group C of 46 cases. Patients in group A received swallowing disorder therapeutic apparatus treatment, patients in group B received mind-refreshing and orifice-opening needling method treatment, and patients in group C received mind-refreshing and orifice-opening needling method plus swallowing disorder therapeutic apparatus treatment. The treatment was given once a day for 10 d as a course, the whole treatment lasted for 4 courses. Therapeutic evaluation items including water-swallowing test (WST), standardized swallowing assessment (SSA) and modified Barthel index (MBI) were measured before treatment, after treatment and at follow-up visit (2 months after treatment).

Results

After treatment, scores of WST and MBI in all three groups increased significantly (all P<0.05), while the SSA score dropped significantly (all P<0.05). After treatment and during follow-up visit period, score of WST in group C was significantly higher than that in group A and group B (both P<0.05), while the difference between group A and group B showed no statistical significance (P>0.05); the SSA score in group C was substantially lower than that in group A and group B (all P<0.05), the difference between group A and group B showed no statistical significance (P>0.05); the MBI scores in group B and group C were substantially higher than that in group A (all P<0.05), the difference between group B and group C showed no statistical significance (P>0.05). After treatment and during follow-up visit period, the differences in overall therapeutic effect between group A and group B showed no statistical significance (P>0.05), while the overall therapeutic effect in group C was substantially better than that in group A and group B (all P<0.05).

Conclusion

Both mind-refreshing and orifice-opening needling method and swallowing disorder therapeutic apparatus can alleviate symptoms of deglutition disorder of stroke patients respectively, and the combination of two methods can improve the therapeutic effect.

摘要

目的

观察醒脑开窍针法联合吞咽治疗仪治疗脑卒中恢复期吞咽障碍的疗效。

方法

将136 例符合纳入标准的患者根据随机数字表随机分为三组, A 组(46 例)采用吞咽治疗仪治疗; B 组(44 例)采用醒脑开窍针法治疗;C 组(46 例)采用醒脑开窍针法联合吞咽治疗仪治疗。均每日1 次, 10 d 为1 个疗程, 共治疗4 个疗程。于治疗前、治疗后和随访时(治疗结束后2 个月)用洼田饮水试验(WST)、标准吞咽功能评定量表(SSA)、改良Barthel 指数(MBI)评价疗效。

结果

治疗后, 三组患者洼田饮水试验评分、MBI 评分较本组治疗前明显增加(均P<0.05); SSA 评分较治疗前明显下降(均P<0.05)。治疗后及随访时, C 组的洼田饮水试验评分明显高于A 组和B 组(均P<0.05), A、B 两组差异无统计学意义(P>0.05); C 组SSA 评分显著低于A 组和B 组(均P<0.05), A、B 两组无统计学差异(P>0.05);B、C 两组的MBI 评分显著高于A 组(均P<0.05), B、C 两组无统计学差异(P>0.05)。治疗后及随访时, A 组与B 组的总体疗效差异无统计学意义(P>0.05), C 组总体疗效优于A 组和B 组(均P<0.05)。

结论

醒脑开窍针法和吞咽治疗仪均能改善脑卒中后吞咽障碍, 两者合用可提高疗效。

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Acknowledgments

This work was supported by Wanzhou District Scientific and Technological Research Program of Chongqing City (重庆市万州区科学技术项目, No. 201403025).

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Authors and Affiliations

  1. Rehabilitation Department, Bai’an Branch of Chongqing Three Gorges Central Hospital, Chongqing, 404100, China

    Zhen-jie Xu  (徐贞杰), Lian Xiang  (向连) & Xia Liu  (刘霞)

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  1. Zhen-jie Xu  (徐贞杰)
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  2. Lian Xiang  (向连)
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Correspondence to Xia Liu  (刘霞).

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Xu, Zj., Xiang, L. & Liu, X. Observation on mind-refreshing and orifice-opening needling method plus swallowing disorder therapeutic apparatus for deglutition disorder of stroke patients in the convalescent stage. J. Acupunct. Tuina. Sci. 16, 156–160 (2018). https://doi.org/10.1007/s11726-018-1042-2

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