Effect of Four-step Acupuncture for Opening Orifice and Improving Pharynx on Swallowing Function,Neurological Function and Quality of Life in Patients with Swallowing Dysfunction after Stroke
Objective:To investigate the effect of four-step acupuncture for opening orifice and improving pharynx on swallowing function,neurological function and quality of life in patients with swallowing dysfunction after stroke.Method:A total of 102 patients with swallowing dysfunction after stroke who treated in Zhangjiagang First People's Hospital from January 2020 to December 2022 were selected as the study objects,they were divided into the observation group and the control group by random number table method,with 51 cases in each group.The control group was treated with conventional symptomatic treatment,and observation group was treated with four-step acupuncture for opening orifice and improving pharynx on the basis of control group,the swallowing function,neurological function,quality of life and clinical efficacy of two groups were compared.Result:Before treatment,there were no significant differences in the swallowing function,neurological function and quality of life between two groups(P>0.05);after treatment,the scores of swallowing function evaluation scale(SSA)and National Institutes of Health stroke scale(NIHSS)in two groups were lower than those before treatment,and those in the observation group were lower than those in the control group,the differences were statistically significant(P<0.05);after treatment,the scores of swallowing-quality of life questionnaire(SWAL-QOL)in two groups were better than those before treatment,and the SWAL-QOL score and functional oral intake scale(FOIS)grade in the observation group was higher than those in the control group,the differences were statistically significant(P<0.05).The total effective rate of the observation group were higher than that of the control group,the difference was statistically significant(P<0.05).Conclusion:Four-step acupuncture for opening orifice and improving pharynx can effectively improve the swallowing function and neurological function of patients with swallowing dysfunction after stroke,improve the quality of life and clinical efficacy.
Four-step acupuncture for opening orifice and improving pharynxStrokeSwallowing dysfunctionSwallowing functionNeural functionQuality of life