Clinical study of moxibustion combined with tongue three needles on post-stroke dysphagia and its influence on tradi-tional Chinese medicine symptoms and nutritional status of patients
Objective To explore the moxibustion combined with tongue three needles on post-stroke dysphagia and its influence on traditional Chinese medicine(TCM)symptoms and nutritional status of patients.Methods A total of 138 cases of post-stroke dysphagia admitted to the hospital from February 2018 to July 2020 were randomly assigned into a control group(n =69)and a treatment group(n =69).All patients were managed by tongue three needles,and patients in the treatment group were additionally given moxibustion,the treatment was performed for 4 weeks for Statistical efficacy.The aiming was to compare TCM symptoms including drinking cough,dysphagia,strong tongue and hemiplegia,and nutritional statusindexes inclu-ding serum total protein(TP),albumin(ALB),prealbumin(PAB)and hemoglobin(Hb)levels between the two groups before and after treatment.The incidence of treatment-emergent adverse events(TEAEs)including scald,hematoma and bruising was assessed.Results The total treatment response rate in the treatment group was significantly higher than that in control group(92.75%[64/69]vs 81.16%[56/69],P<0.05).After treatment,the scores of TCM syndromes were significantly reduced in the two groups(P<0.05),and which were more pronounced in the treatment group(P<0.05).The levels of serum TP,ALB,PAB and Hb were significantly increased in the two groups(P<0.05),and the levels of these nutritional indexes in treat-ment group were significantly higher than those in control group(P<0.05).There was no significant difference in the total inci-dence of adverse reactions between the treatment group and the control group(4.35%[3/69]vs 2.90%[2/69],P>0.05).Conclusion For post-stroke dysphagia patients,moxibustion combined with tongue three needles can play a synergistic role,significantly improve the TCM symptoms and nutritional status of patients,and its therapeutic effect is safe and good.