Effect of pulse-taking acupuncture combined with chin tuck against resistance training on swallowing function in nasopharyngeal carcinoma patients with dysphagia after radiotherapy
Objective:To investigate the effect of pulse-taking acupuncture combined with chin tuck against resistance(CTAR)training on swallowing function in nasopharyngeal carcinoma(NPC)patients with swallowing disorder(SD)after radiotherapy.Methods:A randomized controlled method was applied.Sixty NPC patients with SD after radiotherapy were randomly divided into the CTAR training group and combination group,30 cases in each group.All the patients were treated with routine training.Based on above,the patients in the CTAR training group were treated with CTAR training,and the patients in the combination group were treated with pulse-taking acupuncture combined with CTAR training.The intervention period of both groups was 4 weeks.Before and after intervention,the water swallowing test(WST)grading and the videofluoroscopic swallowing study(VFSS)score of the two groups were evaluated and compared;the levels of albumin(ALB)and prealbumin(PA)of the two groups were detected and compared in order to evaluate the nutritional status of the patients;the incidence of aspiration was compared between the two groups;the swallowing-quality of life(SWAL-QOL)was used to evaluate the life quality of the patients in the two groups.Results:①After intervention,the WST grading in both groups were better than that before intervention(P＜0.05),and the WST grading in the combination group was superior to the CTAR training group(P＜0.05).②After intervention,the VFSS scores in both groups were significantly increased compared with those before intervention(P＜0.05),and the score of the combination group was higher than that of the CTAR training group(P＜0.05).③After intervention,the levels of ALB and PA in both groups were significantly increased compared with those before intervention(P＜0.05),and the levels of ALB and PA in the combination group were higher than those in the CTAR training group(P＜0.05).④In the 4 weeks of intervention,the incidence of aspiration was 3.33％in the combination group and 26.67％in the CTAR training group,and the incidence of aspiration in the combination group was obviously lower than that in the CTAR training group(P＜0.05).⑤After intervention,the SWAL-QOL scores in both groups were significantly increased compared with those before intervention(P＜0.05),and the score of the combination group was higher than that of the CTAR training group(P＜0.05).Conclusion:Pulse-taking acupuncture combined with CTAR training can significantly improve the swallowing function and nutritional status in NPC patients with SD after radiotherapy,effectively reduce the incidence of aspiration,and enhance the life quality of the patients.
nasopharyngeal carcinomaradiotherapyswallowing disorderpulse-taking acupuncturechin tuck against resistance trainingswallowing function
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