| Clinical efficacy of different acupuncture depths of Lianquan point combined with ice stimulation on dysphagia after stroke |
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| DOI： |
| EN KeyWords: stroke dysphagia Lianquan acupoint ice stimulation |
| Fund Project:广东省中山市医学科研项目（2019A020290） |
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| EN Abstract: |
| Objective: To observe the clinical efficacy of Lianquan point acupuncture at different depths combined with ice stimulation in the treatment of dysphagia after stroke. Methods: Totally, 80 patients with dysphagia after stroke were randomly divided into shallow needling group and deep needling group, 40 cases in each group. The patients in both groups were given conventional drug treatment and ice stimulation. The shallow needling group was subjected to acupuncture at Lianquan (30-40 mm) and the deep needling group to acupuncture at Lianquan (60-70 mm). Before and after treatment, the visual fluoroscopy swallowing function (VFSS) and standard swallowing function assessment scale (SSA) were used to evaluate the two groups, and the clinical efficacy and adverse reactions were recorded. Results: At 12th week of treatment and 8th week of follow-up after the end of treatment, the oral passage time, pharyngeal delay time and pharyngeal passage time in the two groups were significantly shortened as compared with those before treatment (all P<0.05), and SSA scores were significantly reduced (all P<0.05). At 12th week of treatment and 8th week of follow-up after the end of treatment, the oral passage time, pharyngeal delay time and pharyngeal passage time in the deep needling group were significantly shorter than those in the shallow needling group (all P<0.05), and SSA scores were significantly lower (all P<0.05). The total effective rate in the deep needling group was significantly higher than that in the shallow needling group (P<0.05). There was no significant difference in adverse reactions between the two groups. Conclusion: Deep needling of Lianquan point combined with ice stimulation can effectively improve the swallowing function of patients with dysphagia after stroke, and the long-term effect is stable. |
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