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Therapeutic observation of Gao’s nape acupuncture plus swallowing training for pharyngeal deglutition disorder after stroke

高氏项针配合吞咽训练治疗卒中后咽期吞咽障碍的疗效观察

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Abstract

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.

概要

目的

观察高氏项针配合吞咽训练治疗卒中后咽期吞咽障碍的临床疗效。

方法

将100例卒中后咽期吞 咽障碍患者随机分为治疗组和对照组, 每组50例。两组均采用常规神经内科的基础治疗, 治疗组加用高氏项针针 刺及吞咽训练, 对照组加用单独吞咽训练。治疗8周后, 观察两组反复唾液吞咽测试(RSST)分级、修订版饮水试验 (MWST)评分、标准吞咽功能评分(SSA)及吞咽障碍特异性生活质量量表(SWAL-QOL)评分的变化情况, 并比较两组 临床疗效。

结果

治疗后, 两组RSST分级、MWST评分、SSA评分及SWAL-QOL评分与同组治疗前比较, 差异均具有 统计学意义(P<0.05或P<0.01)。治疗组治疗后RSST分级、MWST、SSA评分及SWAL-QOL评分与对照组比较, 差异 均具有统计学意义(P<0.05或P<0.01)。治疗组总有效率和愈显率分别为100.0%和72.3%, 对照组分别为97.9%和 34.0%。两组愈显率比较, 差异具有统计学意义(P<0.01)。两组临床疗效比较, 差异具有统计学意义(P<0.01)。

结论

高氏项针配合吞咽训练是治疗卒中后咽期吞咽障碍的有效方法, 其疗效优于单独吞咽训练。

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Acknowledgements

This work was supported by Project of Zhejiang Provincial Administration of Traditional Chinese Medicine (浙江省中医药管理局项目, No. 2014ZA094).

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Authors and Affiliations

  1. Hangzhou Hospital of Traditional Chinese Medicine, Zhejiang, 310007, China

    Xiao-ping Liu  (刘小平), Jia-mei Chu  (楚佳梅) & Ye-hua Bao  (包烨华)

  2. Dingqiao Hospital of Hangzhou, Zhejiang, 310007, China

    Fei-yu Chen  (陈飞宇)

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  1. Xiao-ping Liu  (刘小平)
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  3. Jia-mei Chu  (楚佳梅)
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  4. Ye-hua Bao  (包烨华)
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Correspondence to Jia-mei Chu  (楚佳梅).

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Liu, Xp., Chen, Fy., Chu, Jm. et al. Therapeutic observation of Gao’s nape acupuncture plus swallowing training for pharyngeal deglutition disorder after stroke. J. Acupunct. Tuina. Sci. 17, 37–43 (2019). https://doi.org/10.1007/s11726-019-1090-2

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  • DOI: https://doi.org/10.1007/s11726-019-1090-2

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