The Effect of Tongguan Liqiao Acupuncture Combined with Electrical Stimulation for Swallowing Disorders on Swallowing Function in Patients with Swallowing Disorders After Ischemic Stroke
Objective Exploring and analyzing the application effect of Tongguan Liqiao acupuncture combined with electrical stimulation for swallowing disorders in patients with swallowing disorders after ischemic stroke.Methods 102 patients with swallowing disorders after ischemic stroke admitted to the hospital from June 2021 to May 2023 were selected as the study subjects,according to the random number table method,the enrolled subjects were divided into a control group and a research group,with 51 cases in each group.the control group received routine swallowing function training,the research group performed the Tongguan Liqiao acupuncture combined with electrical stimulation for swallowing disorders on the basis of the control group.Clinical efficacy,surface electromyography(sEMG)before and 30 days after treatment,and Swallowing-Quality of Life(SWAL-QOL)scores were compared between the two groups.Results The effective rate of swallowing function treatment in the research group was 96.08%,higher than 78.43% in the control group,the difference between groups was statistically significant(P﹤0.05).Before treatment,comparison of surface electromyographic activity levels in two groups of pharyngeal areas,there is no statistically significant difference between groups(P﹥0.05).However,after 30 days of treatment,the maximum amplitude value of the research group was higher than that of the control group,and the swallowing time was shorter than that of the control group,the difference between groups is statistically significant(P﹤0.05).Before treatment,comparison of SWAL-QOL scores between two groups,there is no statistically significant difference between groups(P﹥0.05).After 30 days of treatment,the SWAL-QOL score of the research group was higher than that in the control group,the difference between groups is statistically significant(P﹤0.05).Conclusion Tongguan Liqiao acupuncture combined with electrical stimulation for swallowing disorders in addition to conventional rehabilitation measures significantly improves the treatment efficacy for dysphagia in patients with ischemic stroke,enhances surface muscle function in the throat,thereby improving the quality of life.
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