Clinical Study on the Efficacy of Abdominal Acupuncture Combined with Neuromuscular Electrical Stimulation in the Treatment of Dysphagia after Stroke Based on Video Fluoroscophic Swallowing Study Analysis
Objective:To evaluate the efficacy of abdominal acupuncture combined with neuromuscular electrical stimulation(NMES)in the treatment of dysphagia after stroke based on video fluoroscophic swallowing study(VFSS)analysis.Methods:120 pa-tients with dysphagia after stroke who were admitted to the Rehabilitation Medicine Department of Ruikang Hospital affiliated to Guangxi University of Traditional Chinese Medicine from June 2020 to December 2022 were divided into control group(60 cases,NMES treatment)and experimental group(60 cases,combine with abdominal acupuncture on the basis of control group)by random number table method.Patients in control group were evaluated based on VFSS analysis to evaluate the efficacy of abdominal acupuncture combine with NMES in the treatment of dysphagia after stroke,the VFSS score,the mobility of the hyoid-laryngeal complex and the openness of the upper esophageal sphincter(UES),pharyngeal contraction rate(PCR),nutritional indicators[hemoglobin(Hb),serum al-bumin(ALB),serum transferrin(sF)],standard swallowing function(SSA)score,and Watian drinking water test were compared between two groups.Results:Compared with control group,the total clinical effective rate in experimental group was higher(P＜0.05).Com-pared with control group after treatment,the VFSS score in experimental group was higher,the UES openness was greater,and the PCR was smaller(P＜0.05).Compared with control group after treatment,Hb,ALB and sF in experimental group were higher(P＜0.05).Com-pared with control group after treatment,the SSA score in experimental group was lower(P＜0.05).After treatment,Watian drinking water test in experimental group was better than that in control group(P＜0.05).Conclusion:Abdominal acupuncture combined with NMES can effectively improve swallowing dysfunction and nutritional status in patients with post stroke swallowing disorders.
Video fluoroscophic swallowing studyAbdominal acupunctureNeuromuscular electrical stimulationDysphagiaStrokeEfficacy
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