Clinical study on treatment of post-stroke dysphagia with head and neck acupuncture combined with neuromuscular electrical stimulation
Objective To investigate the clinical effect of hand and neck acupuncture combined with neuromuscular electrical stimulation(NMES)in the treatment of post-stroke dysphagia(PSD).Methods A total of 90 patients with PSD admitted to the Fourth Affiliated Hospital of Nanjing Medical University from February 2020 to March 2022 were selected and divided into three groups with 30 cases in each group according to random number table method.The head and neck acupuncture group were treated with head and neck acupuncture,the NMES group was treated with NMES,and the combined group was treated with head and neck acupuncture and NMES.After three weeks of treatment,the clinical efficacy of the three groups was compared,and the classification of Kubota water swallowing test(WST),standardized swallowing assessment(SSA),swallowing-quality of life questionnaire(SWAL-QOL),and surface electromyography(sEMG)of submental muscle in three groups before and after treatment were compared,and the safety of the three measures was evaluated.Results The clinical effect of combined group was better than that of head and neck acupuncture group and NMES group(P＜0.05).After treatment,classification of WST in the three groups was better than that before treatment,and those in combined group were better than those in head and neck acupuncture group and NMES group(P＜0.05).After treatment,the SSA score,SWAL-QOL score,and swallowing time of the three groups were lower than those before treatment,and the average and maximum sEMG amplitude of the submental muscle of the three groups were higher than those before treatment,and the SSA score,SWAL-QOL score,and swallowing time of the combined group were lower than those of the head and neck acupuncture group and NMES group,the average and maximum sEMG amplitude of submental muscle of the combined group were higher than those of head and neck acupuncture group and NMES group(P＜0.05).There was no significant difference in the total incidence of adverse reactions between the combined group and the head and neck acupuncture group,and NMES group(P＞0.05).Conclusion Head and neck acupuncture combined with NMES in the treatment of PSD has definite clinical efficacy and high safety.
StrokeDysphagiaHead and neck acupunctureNeuromuscular electrical stimulationClinical effect
万方数据
维普
