Clinical Effect of Three-Portion Opening Orifice and Benefiting Pharynx Acupuncture Assisted by Swallowing Function Training in Treating Post-AIS Dysphagia
Objective:To analyze the clinical effect of three-portion opening orifice and benefiting pharynx acupuncture assisted by swallowing function training in treatment of dysphagia after acute ischemic stroke(AIS).Methods:A retrospective study was conducted on 112 patients with post-AIS dysphagia,whom were divided into two groups according to different treatment plans,with 56 cases in each group.The control group was given swallowing function training;on which basis,the observation group was also treated with three-portion opening orifice and benefiting pharyngeal acupuncture.Clinical efficacy,scores of Standardized Swallowing Assessment(SSA),video fluoroscopy swallowing study(VFSS),Kubato water drinking test,total incidence of adverse events,scores of Swallowing Disability-specific Quality of Life Scale(SWAL-QOL)and modified Barthel Index(MBI)were compared between the two groups.Results:The total clinical effective rate was 96.43％(54/56)in the observation group,which was higher than 75.00％(42/56)in the control group(P＜0.01).The SSA score of the observation group was lower than that of the control group(P＜0.01),and the VFSS score of the observation group was higher than that of the control group(P＜0.01).In terms of Kubato water drinking test,the rate of grade 1 was 23.21％(13/56)and grade 2 was 41.08％(23/56)in the observation group,which were higher than 7.14％(4/56)and 28.57％(16/56)respectively in the control group(P＜0.05).The total incidence of adverse events in the observation group was 1.79％(1/56),which was lower than 14.29％(8/56)in the control group(P＜0.05).The scores of SWAL-QOL and MBI were higher in the observation group than those in the control group after the treatment(P＜0.01).Conclusion:The three-portion opening orifice and benefiting pharyngeal acupuncture assisted by swallowing function training can effectively reduce the symptoms of dysphagia and coughing caused by drinking water in patients with post-AIS dysphagia,decrease the incidence of aspiration pneumonia and other adverse events,and improve the quality of life and self-care ability,with its significant clinical efficacy.
Swallowing function trainingThree-portion opening orifice and benefiting pharynx acupunctureAcute ischemic strokeDysphagia
万方数据
维普
