Effect of Opening and Closing Liyan Acupuncture Combined with Tongue Pressure Resistance Feedback Training on Patients with Dysphagia after Stroke
Objective To explore the effect of opening and closing liyan acupuncture combined with tongue pressure resistance feedback training on patients with dysphagia after stroke.Methods A total of 120 patients with dysphagia after stroke admitted to Dezhou Hospital of Traditional Chinese Medicine from January 2023 to December 2023 were selected as the research objects,and were divided into a control group and a study group according to random number table method,with 60 cases in each group.The control group was treated with tongue pressure resistance feedback training,and the study group was treated with the combination of opening and closing Liyan acupuncture on the basis of control group.The clinical efficacy,TCM symptom score,swallowing function and quality of life of the two groups were compared.Results The total effective rate of the study group was 91.67%,which was higher than 76.67%of the control group,and the difference was statistically significant(P<0.05).Before treatment,there were no significant differences in the scores of TCM symptoms between the two groups(P＞0.05);after treatment,the scores of hemiplegia in the study group were(3.11±0.29)points,skew of mouth was(2.74±0.25)points,speech irritation was(2.84±0.24)points,coughing after drinking water was(2.78±0.19)points,they were lower than(3.24±0.32)points,(2.86±0.31)points,(3.01±0.36)points,(2.94±0.25)points of the control group,and the differences between groups were statistically significant(P<0.05).Before treatment,there were no significant differences in Standardized Swallowing Assessmen(SSA)and Video Fluoroscopic Swallowing Study(VFSS)scores between the two groups(P＞0.05);after treatment,the SSA score of the study group was(24.87±3.87)points,which was lower than(27.34±4.11)points of the control group,and the VFSS score was(7.67±1.93)points,which was higher than(7.67±1.93)points of the control group,and the differences between groups were statistically significant(P<0.05).Before treatment,there was no significant difference in Swallowing Quality of Life Scale(SWAL-QOL)scores between the two groups(P＞0.05);after treatment,SWAL-QOL score of the study group was(126.17±11.86)points,which was higher than(102.69±11.42)points of the control group,and the difference was statistically significant(P<0.05).Conclusion In the treatment of dysphagia patients with stroke,opening and closing Liyan acupuncture combined with tongue pressure resistance feedback training can improve their swallowing function and improve their quality of life.
StrokeDysphagiaTongue pressure resistance feedback trainingOpening and closing Liyan acupunctureTraditional Chinese Medicine SymptomsSwallowing functionQuality of life
万方数据
