Clinical Effects of Acupuncture Combined with Stroop Paradigm for Swallowing Disorder Caused by Pseudobulbar Palsy After Stroke
Objective To analyze the effects of acupuncture combined with Stroop paradigm on swallowing function,cognitive function and facial spasm in patients with swallowing disorder caused by pseudobulbar palsy after stroke.Methods A total of 90 patients with dysphagia caused by pseudobulbar palsy after stroke admitted to Veteran Cadres Rehabilitation Hospital of Henan Province from January 2021 to January 2023 were selected and grouped into randomized control groups.The two groups received basic treatment and routine swallowing function training.The control group(45 cases)received Stroop paradigm cognitive task training,and the study group(45 cases)received acupuncture and Stroop paradigm cognitive task training for a total of 2 weeks.The clinical efficacy,swallowing function,facial spasm,brain-derived neurotrophic factor,cognitive function and incidence of adverse events were compared between the two groups.Results The total effective rate of the study group after 2 weeks of training was higher than that of the control group(P＜0.05).After 2 weeks of training,the grade of facial spasm in the study group was lighter than that in the control group,and the total normal rate was higher than that in the control group(P＜0.05).The standard swallowing function assessment(SSA)score of the study group was lower than that of the control group after 2 weeks of training(P＜0.05).After 2 weeks of training,the levels of serum S100β protein and neuron-specific enolase(NSE)in the study group were lower than those in the control group,and the levels of serum brain-derived neurotrophic factor(BDNF)and Montreal cognitive assessment scale(MoCA)score in the study group were higher than those in the control group(P＜0.05).There was no significant difference in the incidence of adverse events in the study group compared with the control group(P＞0.05).Conclusion Acupuncture combined with Stroop paradigm can effectively improve the swallowing function and cognitive function of patients with dysphagia caused by pseudobulbar palsy after stroke,and improve the condition of facial spasm and brain nerve injury.
strokepseudobulbar paralysisdysphagiaprickstroop paradigm cognitive task trainingswallowing function
万方数据
维普
